Treating ichthyosis based on "dryness and dampness from the same source causing same disease"

SONG Wei; ZHANG Zhongyi; LING Guihua; RAO Xiangshu; ZHUO Xingwei; XIAO Min; CHEN Mingling; SHEN Tao

doi:10.3969/j.issn.1006-2157.2023.01.018

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Treating ichthyosis based on "dryness and dampness from the same source causing same disease"

Clinical Studies | 更新时间：2023-02-03

- Treating ichthyosis based on "dryness and dampness from the same source causing same disease"
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 1, Pages: 110-114(2023)
- 作者机构：
  
  成都中医药大学　成都　610075
- 作者简介：
  
  Prof. SHEN Tao, Ph.D., Chief Physician, Doctoral Supervisor. Chengdu University of Traditional Chinese Medicine, No.37, Shierqiao Road, Jinniu District, Chengdu 610075. E-mail: st@cdutcm.edu.cn
- 基金信息：
  
  National Key Basic Research and Development Plan Project(2013CB532005);National Key Research and Development Plan Project(2018YFC1704104);National Natural Science Foundation of China(82004380);Applied Basic Research Project of Science and Technology Department of Sichuan Province(2019YJ0613)
- DOI：10.3969/j.issn.1006-2157.2023.01.018
  CLC： R275
- Received：17 December 2021，
  
  Published Online：19 April 2022，
  
  Published：30 January 2023
- 稿件说明：
移动端阅览
SONG Wei, ZHANG Zhongyi, LING Guihua, et al. Treating ichthyosis based on "dryness and dampness from the same source causing same disease"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(1): 110-114.
DOI：

SONG Wei, ZHANG Zhongyi, LING Guihua, et al. Treating ichthyosis based on "dryness and dampness from the same source causing same disease"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(1): 110-114. DOI： 10.3969/j.issn.1006-2157.2023.01.018.

摘要

燥与湿反映了自然界气候的变化，于人体而言，则可概指津液盛衰的两种状态。两者看似相反、互制，实则相关、共存，并能够相互转化。临床上，鱼鳞病的鳞屑颜色和部位可以反映燥极似湿、湿极似燥的皮损特点，此为“燥湿同形”；鱼鳞病的临床特征可以反映燥湿夹杂的病理状态，此为“燥湿同病”。从“燥湿同形同病”论治鱼鳞病，认为鱼鳞病核心病机为外燥内湿，或湿郁燥生，或燥壅湿阻，或燥湿互化。治法上若单纯养阴则碍湿，若过用温燥则阴亏更胜，必润燥相济，相反相成，方可奏效。故内湿以运脾调气祛湿，斡旋中焦；外燥以开玄养阴润燥，布散津液。本文从“燥湿同形同病”论治鱼鳞病，临证予以润肤饮合化裁异功散加减治之，以期为临床治疗鱼鳞病提供又一思路。

Abstract

Dryness and dampness reflect the change of climate in nature. For the human body

they can refer to the rise and fall of body fluid in two states. They seem to be opposite and mutually controlled

but in fact they are related

coexist and can be transformed into each other. Clinically

the color and position of ichthyosis scales show the skin lesions characteristic of "extreme dryness similar to wet and extreme wet similar to dryness"

meaning that "dryness and dampness coming from the same source" . The symptoms and signs of ichthyosis can reflect the combination of dryness and dampness

which means "dryness and dampness causing same disease" . According to the theory of "dryness and dampness from the same source causing same disease"

the core pathogenesis of ichthyosis is considered to be external dryness and internal dampness

or dampness depression and dryness production

or dryness blocking and dampness obstruction

or dryness and dampness interaction. For the treatment of ichthyosis

if the yin is simply raised

the evil of dampness would be more

and the excessive use of warm or dry natured herbs would aggravate yin deficiency

since they complement each other. Therefore

the only choice for treatment is the combination of nourishing yin and drying dampness. Interior dampness should be treated by strengthening the spleen

regulating qi

and mediating middle energizer to remove the evil of dampness

while exterior dryness by opening the sweat pore (

xuanfu

)

nourishing yin and dispersing body fluid to moisten dryness. Based on the theory of "dryness and dampness from the same source causing same disease"

we found the combination of

Runfu

Decoction and

Huacai Yigong

Powder is effective in the treatment of ichthyosis.

关键词

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