|
|
Professor Sun Zhanxue’s experience in the treatment of lichen planus from stagnant fire |
WANG Shiwen1 SUN Zhanxue2 FAN Ziyi1 ZHANG Huili1 CHENG Jing1#br# |
1.The Second Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100078, China;
2.Department of Dermatology, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing 100029, China |
|
|
Abstract Lichen planus is a chronic inflammatory skin disease characterized by polygonal purplish red flat papules of skin damage and easily involving mucous membranes. Professor Sun Zhanxue believes that the occurrence of lichen planus and the characteristics of lingering and difficult to heal are closely related to stagnant fire. In clinic, relieving depression and dispelling fire is the treatment method with definite curative effect. Based on the pathogenesis evolution characteristics of “stagnant fire in sanjiao caused by stagnation of various evils”, “stagnant fire for a long time leads to blood stasis and yin injury”, “overuse of cold medicine will hinder the positive”, combined with classical and modern theories, this paper systematically expounds the treatment of lichen planus from stagnant fire. In terms of treatment, Professor Sun advocates evacuating the stagnant fire of sanjiao from the three levels of “cool the upper, smooth the middle, and purge the lower”, and stresses that the drugs with cold, moisturizing, purging and nourishing should be used to promote blood circulation and nourish yin, and the wind medicine with pungent flavor should be used to invigorate depression and to strengthen the body, and to avoid excessive use of bitter cold, at the same time, pay attention to syndrome differentiation according to the characteristics of the disease.
|
|
|
|
|
[1] 唐志凌.扁平苔藓临床与治疗进展[J].中国中西医结合皮肤性病学杂志,2013,12(6):395-398.
[2] 黄健,封硕,曲畅,等.口腔扁平苔藓中医辨证分型研究概述[J].环球中医药,2020,13(3):530-534.
[3] 谢辉,董宿利,王新慧,等.扁平苔藓病因及发病机制研究进展[J].皮肤病与性病,2021,43(2):179-180.
[4] 陈阵,高平.口腔扁平苔藓局部治疗进展[J].医学综述,2015,21(7):1227-1229.
[5] 何梦瑶.医碥[M].上海:上海科学技术出版社,1982:113.
[6] 朱震亨.丹溪心法[M].北京:人民卫生出版社,2005:356.
[7] 程静,张慧丽,孙占学,等.从“郁火”论治进行期银屑病经验[J].环球中医药,2021,14(7):1283-1286.
[8] 郭在强,刘志亮,张亚辉.火郁证辨及李士懋治疗火郁证经验[J].湖北中医杂志,2020,42(8):18-20.
[9] 周宝宽.扁平苔藓证治经验[J].辽宁中医药大学学报,2011,13(12):19-21.
[10] 陈实功.外科正宗[M].北京:人民卫生出版社,1964:278.
[11] 张亚丽,吴开举.口腔扁平苔藓的中医药治疗进展[J].湖南中医杂志,2019,35(2):166-168.
[12] 赵梦丽,张德蕴,郭艳秋,等.中医辨证论治治疗口腔扁平苔癣[J].临床和实验医学杂志,2011,10(18):1437, 1439.
[13] 毕成,王丽娜.再论治疗温病之“截断扭转法”和“宣透法”[J].中华中医药杂志,2021,36(8):4476-4479.
[14] 范子怡,孙占学,王施文,等.银屑病进行期从分消三焦郁火论治之探析[J].中国中医急症,2021,30(8):1420-1422,1427.
[15] 谭春雨.中藏经[M].北京:人民卫生出版社,2007:35.
[16] 罗思岳,胡博,杨碧莲,等.略论“升阳散火法”在糜烂性口腔扁平苔藓治疗中的应用[J].环球中医药,2019,12(11):1719-1722.
[17] 王清任.医林改错[M].天津:天津科学技术出版社,2005:18.
[18] 李元文,王京军,孙占学,等.银屑病的宏观与微观辨证应用探讨[J].中华中医药杂志,2016,31(4):1281-1283.
[19] 李志庸.张景岳医学全书[M].北京:中国中医药出版社,1999:513.
[20] 王静宇,谭东宇,康伟聪,等.国医大师李士懋先生“火郁发之”常用药对探析[J].时珍国医国药,2019,30(4):988-989.
[21] 黄健,郜贺,封硕,等.从三焦气郁论治口腔扁平苔藓经验[J].环球中医药,2020,13(12):2118-2120.
[22] 张航,孙守才.孙守才教授治疗口腔扁平苔藓经验总结[J].现代中医药,2017,37(4):12-13,62.
[23] 范子怡,孙占学,李林仙,等.从气血津液辨证分期治疗特应性皮炎经验[J].环球中医药,2021,14(8):1486-1489.
[24] 殷鸣,金钊,张琦.金元医家郁火理论汇通[J].中国中医基础医学杂志,2020,26(11):1598-1600,1742.
[25] 王国辰,张年顺.李东垣医学全书[M].北京:中国中医药出版社,2006:1.
[26] 唐颖,刘一平,李元聪.口腔扁平苔藓患者焦虑抑郁与中医证型关系的分析[J].中国医药科学,2020,10(7):6-9,22.
[27] 李俊楠,周丽晨,邢瑶,等.口腔扁平苔藓患者生活质量调查[J].微量元素与健康研究,2021,38(4):2.
[28] 马俊,马华安,陈国丰.陈国丰教授从浊邪论治口腔扁平苔藓[J].西部中医药,2022,35(2):45-47.
[29] 罗茫,刘一平,李元聪,陈世娟.4435例口腔黏膜病临床及中医辨治分析[J].中国医药科学,2020,10(4):3-6. |
|
|
|