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中华养生保健 ›› 2022, Vol. 40 ›› Issue (14): 18-20.

• 论著 • 上一篇    下一篇

王晓蕴教授以“调和营卫以祛风”论治糖尿病合并皮肤瘙痒症

王聪1, 王晓蕴2*, 贾大鹏3   

  1. 1.华北理工大学研究生院,河北 唐山,063000;
    2.河北省沧州中西医结合医院糖尿病二科,河北 沧州,061001;
    3.河北省沧州中西医结合医院放化疗一科,河北 沧州,061001
  • 出版日期:2022-07-16 发布日期:2022-07-15
  • 通讯作者: 王晓蕴,E-mail:wxy8978801@163.com。
  • 作者简介:王聪(1987.7-),女,汉族,籍贯:河北省唐山市,主治医师,本科,研究方向:糖尿病的中医治疗。

Treatment of Diabetic Skin Pruritus Based on“Harmonize Ying and Wei to Dispel Wind” by Professor Wang Xiaoyun

WANG Cong1, WANG Xiao-yun2*, JIA Da-peng3   

  1. 1. Graduate School of North China University of Science and Technology,Tangshan Hebei, 063000,China;
    2. Department of Diabetes Ⅱ,Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou Hebei,061001,China;
    3. Department of Chemotherapy Ⅰ,Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou Hebei,061001,China
  • Online:2022-07-16 Published:2022-07-15

摘要: 糖尿病合并皮肤瘙痒症是糖尿病常见的并发症,临床表现为顽固性皮肤瘙痒并存在感染风险,严重影响患者的正常工作与生活。目前现代医学以对症治疗为主,暂无较好的治疗方法。中医对皮肤瘙痒症诊疗具有悠久的历史,疗效确切。王晓蕴教授精研古籍,以消渴病机理为切入点,归纳总结出糖尿病合并皮肤瘙痒症主要病机为营卫不和、贼风作祟,据此确立以调和营卫、养血祛风治疗原则,并制订桂枝汤为主方的治疗方法,效果显著。本文总结王晓蕴教授对糖尿病合并皮肤瘙痒症的中医病因病机、临床表现、治疗原则、处方及治疗经验等,以医案举隅形式浅析其对该病症的诊疗思路。

关键词: 糖尿病, 皮肤瘙痒症, 调和营卫

Abstract: Diabetes mellitus with skin itching pruritus is the most common complication of diabetes mellitus, mainly manifested by stubborn pruritus, which seriously affects normal work and life and easily causes infection. Modern medicine is based on symptomatic treatment. And there is no better treatment available.Traditional Chinese medicine(TCM) has a long history of diagnosis and treatment of pruritus, and a definite therapeutic effect. Professor Wang Xiaoyun studied ancient medical books and analysed on the pathogenetic characteristics of xiaoke disease in TCM, and concluded that diabetes with pruritus is mainly caused by disharmony between ying and wei, and a bad wind takes the chance to disturb the normal order of normal human body.And the treatment principle of harmonizing ying and wei, and nourishing blood to dispel the wind was adopted. The treatment methods of Guizhi Tang were developed,which had a significant therapeutic effect. This paper summarizes professor Wang Xiaoyun’s analysis of the cause and pathogenesis, clinical manifestations, treatment principles, prescription and treatment experience of diabetes mellituswith skin pruritus based on TCM. The diagnosis and treatment of the disease are analyzedin the form of a medical case example.

Key words: diabetes, skin itching pruritus, harmonize ying and wei

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