摘要
银屑病与炎症性肠病共病的病位在血分,证属本虚标实,肺脾气虚、邪伏于络为本,热毒积聚于厥阴血分为标,病理变化具有早期肺经蕴热、中期血分热毒、后期脾肾阳虚的特点。治疗方面,需根据患者不同的病机转化阶段,分别治以补虚泻实,早期泻火解毒,后期培本固元。本文旨在通过深入挖掘银屑病与炎症性肠病共病的中医理论体系,为临床提供更加精准的辨证论治依据。
The comorbidity of psoriasis with inflammatory bowel disease(IBD)is characterized by a pathological focus in the blood aspect,with a syndrome that is fundamentally deficient and superficially excessive.The root cause is the deficiency of lung and spleen Qi,with pathogenic factors lurking in the collaterals,while the superficial manifestation is the accumulation of heat-toxicity in the Jueyin blood aspect.The pathological changes are marked by early-stage lung meridian heat,mid-stage blood heat-toxicity,and late-stage spleen-kidney Yang deficiency.Treatment should be tailored to the different stages of pathogenesis transformation,with early-stage treatment focusing on purging fire and detoxification,and late-stage treatment aiming to nourish the root and consolidate the foundation.This study aims to delve deeper into the theoretical system of traditional Chinese medicine for the comorbidity of psoriasis and IBD,providing a more precise basis for syndrome differentiation and treatment in clinical practice.
作者
王清云
王娇
孙晓颖
李欣
WANG Qingyun;WANG Jiao;SUN Xiaoying;LI Xin(Department of Dermatology,Yueyang Hospital of Integrative Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)
出处
《上海医药》
2025年第2期7-11,共5页
Shanghai Medical & Pharmaceutical Journal
基金
国家自然科学基金项目(82305233、82374445)
国家中医药管理局高水平中医药重点学科建设项目(zyyzdxk-2023065)
国家中医药管理局皮肤病循证基地建设项目
上海市加强公共卫生体系建设三年行动计划(2023—2025年)重点学科建设项目(GWVI-11.1-24)
上海市卫生健康委员会科研项目(20224Z0019)。
关键词
银屑病
炎症性肠病
病机
psoriasis
inflammatory bowel disease
pathogenesis
