郭佑祯1△,景慧玲2▲,王星星2,黄佳雯1△.景慧玲运用桂枝法治疗肢端型白癜风经验探析[J].中国医药科学,2025,(3):119-122 基金项目:陕西省中医药管理局科研项目(SZY-NLTL-2022-004);陕西省西安市卫生健康委员会科研项目(2023qn20);陕西省西安市中医药科研能力提升项目(SZY-NLTL-2024-001) |
景慧玲运用桂枝法治疗肢端型白癜风经验探析 |
Exploration of Jing Huiling’s experience in treating acrofacial vitiligo with Guizhi method |
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DOI: |
中文关键词: 肢端型白癜风;桂枝法;火针;临床经验 |
英文关键词:Acrofacial vitiligo; Guizhi method; Fire needle; Clinical experience |
作者 | 单位 | 郭佑祯1△,景慧玲2▲,王星星2,黄佳雯1△ | 1.陕西中医药大学第一临床医学院,陕西咸阳 712046;
2.陕西中医药大学西安附属医院 西安市中医医院皮肤科,陕西西安 710021 |
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中文摘要: |
[摘要] 肢端型白癜风是寻常型白癜风中的一类,表现为色素脱失斑片始发于人体的四肢肢端或是人体末梢,例如面颊部位,手足指(趾)等部位,部分患者或伴发有躯体泛发的白斑。现代医学认为该病和精神、免疫以及遗传等因素相关,传统医家多认为该类疾病总由气血失和、脉络瘀阻所致,或因情志内伤、素体体虚、气滞血瘀而形成,病位多涉及肝脾肾。景慧玲医师在临床诊疗中发现该类型患者多具有局部气血运行不畅、素体阳气不足、机体阴阳失衡的特点,故在治疗上从“宣通”的角度出发,灵活运用桂枝法、重用桂枝这一药物,并在“柴胡桂枝龙骨牡蛎汤”这一经方基础上加减配伍同时外合火针,临床颇获良效。本文旨在阐述景慧玲医师治疗肢端型白癜风的临床经验,为治疗该疾病提供新的治疗思路,附医案1则以佐证。 |
英文摘要: |
[Abstract] Acrofacial vitiligo is a type of common vitiligo, characterized by white patches initially occurring on the extremities or end of the human body, such as the face, hands and feet fingers (toes), and a few may be accompanied by generalized white patches on the body. Western medicine believes that this disease is often related to genetic, neurological, and immune factors, while traditional medical practitioners mostly believe that this type of disease is caused by the imbalance of qi and blood, blood stasis, or internal emotional injury, deficiency of the body, and qi stagnation and blood stasis. The location of the disease often involves the liver, spleen, and kidneys. Through clinical diagnosis and treatment, Dr. Jing Huiling found that most patients of this type had the characteristics of poor local qi and blood flow, insufficient body yang, and imbalance of body yin and yang. Therefore, from the perspective of "XuanTong", the medicine of Guizhi was flexibly used and given a key role, and on the basis of the prescription of Chaihu Guizhi Longgu Oyster Decoction, the addition and subtraction of compatibility and external application of fire needle were quite effective. This paper aims to introduce Jing Shi's experience in treating acrofacial vitiligo, in order to provide new treatment ideas, with a medical case as evidence. |
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