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

Abstract

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

CLC Number:

R255.4

WANG Cong, WANG Xiao-yun, JIA Da-peng. Treatment of Diabetic Skin Pruritus Based on“Harmonize Ying and Wei to Dispel Wind” by Professor Wang Xiaoyun[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(14): 18-20.

References

[1] 姜爱华,李唯佳,徐东娥.紫草油治疗糖尿病方朝晖.中西医结合治疗糖尿病学[M].北京:学苑出版社,2011:290.
[2] 姜爱华,李唯佳,徐东娥.紫草油治疗糖尿病皮肤瘙痒症30例疗效观察[J].浙江中医杂志,2012,47(12):887.
[3] 苏虹霞,党红转,王艳,等.亓鲁光教授中医辨证治疗糖尿病皮肤瘙痒症的经验[J].实用中西医结合临床,2010,10(1):63-64.
[4] 中华中医药学会.糖尿病中医防治指南[M].北京:中国中医药出版社,2007:15.
[5] Domingueti C P, Dusse L, Carvalho M, et al.Diabetes mellitus: The linkage between oxidative stress, inflammation, hypercoagulability and vascular complications[J]. Journal of Diabetes & Its Complications, 2016,30(4):738-745.
[6] 黄卓,施红,毕明辉.中西药合用治疗糖尿病皮肤瘙痒临床观察[J].实用中医药杂志,2016,32(12):1192-1193.
[7] 廖万清,朱宇.皮肤瘙痒的研究进展及治疗现状[J].解放军医学杂志,2011,36(6):555-557.
[8] 李琳,王婷,刘晓峥.老年性皮肤瘙痒症的危险因素分析及健康指导[J].西南军医,2014,16(5):591-592.
[9] 贾秀林,贾芳.六经辨证使用解[M].北京:人民卫生出版社,2002:35.
[10] 陈辉,付国英.伤寒论集注[M].北京:学苑出版社,2009:17.
[11] 宋·陈自明.妇人大全良方[M].王咪咪,整理.北京:人民卫生出版社,2006:78.
[12] 罗仁,曹文富.中医内科学[M].北京:科技出版社,2016:202.
[13] 苏秀海,李烨,王晓蕴.浅谈糖尿病患者的心理失衡及对策[J].健康心理学杂志,1998(S1):85-86.
[14] 张怀亮.前言:老年女性皮肤疾病的特点及干预[J],实用老年医学,2015,29(8):619-620.
[15] Kim H J, Park J B, Lee J H, et al.How stress triggers itch: a preliminary study of the mechanism of stress-induced pruritus using fMRI[J].International Journal of Dermatology,2016,55(4):434-442.
[16] 黄元御. 四圣心源[M].孙洽熙,校注.北京:中国中医药出版社,2009:13.
[17] 潘毅,刘文君,李兰芝,等.中医药治疗糖尿病皮肤瘙痒症临床效果Meta分析[J].解放军医药杂志,2018,30(1):13-18.
[18] Naguib R, Shahrani A A, Saleh M A, et al.Knowledge, attitude, and practice regarding diabetic dermopathy among physicians in Riyadh, Saudi Arabia[J].Journal of Family Medicine and Primary Care,2020,9(7):3518.