Treatment of vulvar lichenoid diseases based on "harmonization of physique and spirit, and combined treatment of internal and external"

XU Li; LIU Ruoyi; XUE Xiaoou

doi:10.3969/j.issn.1006-2157.2023.06.019

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Treatment of vulvar lichenoid diseases based on "harmonization of physique and spirit, and combined treatment of internal and external"

Thought and Method | 更新时间：2023-07-05

- Treatment of vulvar lichenoid diseases based on "harmonization of physique and spirit, and combined treatment of internal and external"
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 6, Pages: 864-868(2023)
- 作者机构：
  
  北京中医药大学东直门医院　北京　100700
- 作者简介：
  
  Prof. XUE Xiaoou, Ph.D., Chief physician, Doctoral Supervisor. Dongzhimen Hospital, Beijing University of Chinese Medicine, No. 5, Haiyuncang Street, Dongcheng District, Beijing 100700. E-mail: pro_xue@126.com
- 基金信息：
  
  National Key R&D Program of China(2018TFC1704100;2018YFC1704106)
- DOI：10.3969/j.issn.1006-2157.2023.06.019
  CLC： R271.13
- Received：02 September 2022，
  
  Online First：10 March 2023，
  
  Published：30 June 2023
- 稿件说明：
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XU Li, LIU Ruoyi, XUE Xiaoou. Treatment of vulvar lichenoid diseases based on "harmonization of physique and spirit, and combined treatment of internal and external"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(6): 864-868.
DOI：

XU Li, LIU Ruoyi, XUE Xiaoou. Treatment of vulvar lichenoid diseases based on "harmonization of physique and spirit, and combined treatment of internal and external"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(6): 864-868. DOI： 10.3969/j.issn.1006-2157.2023.06.019.

摘要

外阴苔藓样疾病属于中医学“阴痒”“阴蚀”等范畴，主要表现为外阴慢性瘙痒甚或疼痛，患者多伴有焦虑、抑郁等异常心理状态。瘙痒－搔抓－压力之间存在恶性循环，是典型的形神疾病、内外共病，治疗上唯有打破此循环才能有较好的临床疗效。形神一体论源自《黄帝内经》，其在本病的论治中具有重要意义。“形”即形体，“神”即心神，在本病的发生发展过程中，“形损”即瘙痒等躯体症状，而“神伤”即焦虑、抑郁等异常心理状态，形神相因为病，互为因果，形损渐及神伤，神伤进而加重形损。因此，对于此类形神疾病的治疗，应当注重形神同调。本病内有脏腑功能失调，外有局部皮肤病变，治法上应当采用内外合治。通过中药外洗缓解局部瘙痒症状以疗其形，配合中药口服辨证施治以调其神，标本兼施，辅以中医学传统的情志疗法，加以生活调摄，通过调形以养神，调神以守形，方可有效缓解疾病的相关症状，最终达到守神全形、形与神俱，为外阴苔藓样疾病的诊治提供新的临床思路。

Abstract

Vulvar lichenoid diseases include vulva pruritus and vulva erosion in traditional Chinese medicine(TCM)

and they are mainly manifested as chronic vulva pruritus or even pain. The patient’s physical symptoms are often accompanied by abnormal psychological states

such as anxiety and depression. There is a vicious cycle between pruritus

scratching

and pressure

and it is a typical physical and mental disease with internal and external comorbidities. In terms of treatment

only by breaking this cycle can there be a better clinical effect. The theory of unity of physique and spirit was first seen in the

Huangdi Neijing

which is of great significance in the treatment. "physique" is the body

while "spirit" is the mind. During the occurrence and development of this disease

"physique damage" refers to physical symptoms such as itching

and "spirit injury" refers to an abnormal mental state

such as anxiety and depression. Because of mutual cause and effect

physique damage and spirit injury become aggravated in the cycle stage. Therefore

for the treatment of physique and spirit disease

we should focus on the harmony of physique and spirit. This disease is internally caused by the dysfunction of zangfu organs and externally by local skin lesions

and therefore

there should be a combination of internal and external treatments. External washing with TCM medicinals relieves local itching symptoms to cure the physique

combined with oral treatment with a syndrome differentiation of TCM to regulate the spirit

which treats both the symptoms and the root cause of the disease. This is supplemented by traditional Chinese emotional therapy and life conditioning. Only by adjusting the physique to nourish the spirit and adjusting the spirit to guard the physique are the symptoms of the disease effectively alleviated. Finally

the state of maintaining the spirit and physique in full condition is achieved

which provides a new clinical approach for the diagnosis and treatment of vulvar lichenoid diseases.

关键词

Keywords

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