当代中医皮科名家辨治脱发的经验与学术思想探讨
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摘要
本文以《当代中医皮肤科临床家丛书》为主要依据,搜集整理30位当代中医皮科名家治疗脱发的经验及学术思想。当代中医皮科名家在临床治疗脱发中传承经典、开拓创新,从先后天全面论治脱发。重视肝、脾、肾三脏与人体气、血、精等理论研究与应用,治疗中辨病与辨证相结合,时时关注病情发展过程中病机的演变情况,并灵活实施具体治疗原则和方法。强调活血化瘀在治疗脱发中的重要性,善于应用治疗专病的特殊药物与升浮药物;各种药物配伍巧妙,全程重视情志调理,在辨证论治的基础上运用药物内调与外治相结合。当代中医皮科名家辨治脱发取得了良好的疗效,充分验证了他们的临床经验和学术思想,值得学习借鉴。
Based on Contemporary Distinguished TCM Dermatologists Series, the clinical experience and academic thoughts of 30 contemporary Chinese medicine dermatologists in treating lipsotrichia are collected, sorted and analyzed.In clinical practice of treating lipsotrichia, contemporary distinguished TCM dermatologists contribute a lot in inheriting classics and innovating. They comprehensively studied the case from the perspectives of nature and nurture. They pay great attention to the research and application of the TCM Liver, Spleen and Kidney systems as well as the TCM theories of human Qi, Blood and Essence. In process of treatment, the combination of disease and syndrome differentiation is made; Great attention is paid to the pathogenesis evolution of the case during the disease progression, during which flexible and specific treatment principles and methods are implemented. The importance of promoting blood circulation and removing blood stasis in treatment of lipsotrichia is stressed. Besides, they are good at applying special medicines or medicines with floating character and functioning in lifting Qi; and all kinds of medicine are ingeniously combined in prescriptions, and emotion conditioning is attached great importance throughout the whole process. On the basis of syndrome differentiation and treatment, drugs are used both in internal and external treatment. Contemporary distinguished TCM dermatologists in treating lipsotrichia have achieved satisfying clinical efficacy, which in turn fully verifies their clinical experience and academic thinking and is worth learning.
Based on Contemporary Distinguished TCM Dermatologists Series, the clinical experience and academic thoughts of 30 contemporary Chinese medicine dermatologists in treating lipsotrichia are collected, sorted and analyzed.In clinical practice of treating lipsotrichia, contemporary distinguished TCM dermatologists contribute a lot in inheriting classics and innovating. They comprehensively studied the case from the perspectives of nature and nurture. They pay great attention to the research and application of the TCM Liver, Spleen and Kidney systems as well as the TCM theories of human Qi, Blood and Essence. In process of treatment, the combination of disease and syndrome differentiation is made; Great attention is paid to the pathogenesis evolution of the case during the disease progression, during which flexible and specific treatment principles and methods are implemented. The importance of promoting blood circulation and removing blood stasis in treatment of lipsotrichia is stressed. Besides, they are good at applying special medicines or medicines with floating character and functioning in lifting Qi; and all kinds of medicine are ingeniously combined in prescriptions, and emotion conditioning is attached great importance throughout the whole process. On the basis of syndrome differentiation and treatment, drugs are used both in internal and external treatment. Contemporary distinguished TCM dermatologists in treating lipsotrichia have achieved satisfying clinical efficacy, which in turn fully verifies their clinical experience and academic thinking and is worth learning.
引文
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[38]李丽琼,欧阳晓勇.刘复兴老师药物配伍经验[J].云南中医中药杂志,2002,33(1):6.
[39]裴悦,平瑞月,梁家芬,等.禤国维运用中医药治疗斑秃经验介绍[J].新中医,2018,50(3):229-231.
[40]赵连皓,马科党.韩世荣主任医师诊治皮肤病验案举隅[J].陕西中医,2015,36(3):363-364.
[41]吴迪,蔡玲玲,胡博,等.李元文教授治疗头皮部脂溢性皮炎用药经验数据挖掘分析[J].世界中医药,2018,13(11):2666-2671.
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[2]北京中医医院.赵炳南临床经验集[M].北京:人民卫生出版社,2006:289-290.
[3]中国中医研究院广安门医院.朱仁康临床经验集-皮肤外科[M].北京:人民卫生出版社,2005:209-211.
[4]张志礼.张志礼医话验案精选[M].北京:人民军医出版社,2009:143-147.
[5]陈彤云,曲剑华,刘清.陈彤云损美性皮肤病治验[M].北京:北京科学技术出版社,2016:129-130,204-207,258-267.
[6]李红毅,欧阳卫权.禤国维[M].北京:中国医药科技出版社,2014:30-31,147-162,259-265,289-292,295-297.
[7]杨素清,苗钱森.王玉玺[M].北京:中国医药科技出版,2014:148-163.
[8]陈明岭,艾华.艾儒棣[M].北京:中国医药科技出版社,2014:248-257.
[9]魏跃钢,闵仲生.管汾[M].北京:中国医药科技出版社,2014:53-54,86,133-135.
[10]杨志波.欧阳恒[M].北京:中国医药科技出版社,2014:277-281.
[11]曾宪玉.徐宜厚[M].北京:中国医药科技出版社,2014:176-187.
[12]卢桂玲.边天羽[M].北京:中国医药科技出版社,2014:182-185,260-262.
[13]周冬梅.王莒生[M].北京:中国医药科技出版社,2014:123-124.
[14]李斌.秦万章[M].北京:中国医药科技出版社,2014:91.
[15]李咏梅.马绍尧[M].北京:中国医药科技出版社,2014:43-53,94-97,208,249-251,269-272.
[16]龚丽萍,王万春.喻文球[M].北京:中国医药科技出版社,2014:76-86,220-222.
[17]孙丽蕴,姜春艳.邓丙戌[M].北京:中国医药科技出版社,2015:63-64,123-128.
[18]史传奎,范玉.杜锡贤[M].北京:中国医药科技出版社,2015:135-137,150-153,265-271.
[19]欧阳晓勇.刘复兴[M].北京:中国医药科技出版社,2015:120-124,153-154.
[20]闫小宁,李争红.韩世荣[M].北京:中国医药科技出版社,2015:243-248.
[21]黄宁.肖定远[M].北京:中国医药科技出版社,2015:150-153.
[22]段行武.李秀敏[M].北京:中国医药科技出版社,2015:134-138,158-163.
[23]宋群先,刘学伟.冯宪章[M].北京:中国医药科技出版社,2015:95-99,133-134.
[24]曹毅.鲁贤昌[M].北京:中国医药科技出版社,2015:110-114,126-130.
[25]张明,赵晓广.刘巧[M].北京:中国医药科技出版社,2016:68,215-219,268-271.
[26]张丰川,李楠.李元文[M].北京:中国医药科技出版社,2016:58-59,156-169.
[27]陈信生.范瑞强[M].北京:中国医药科技出版社,2017:117-125.
[28]李福伦,李欣.李斌[M].北京:中国医药科技出版社,2017:159-162.
[29]李凯,周小勇.段逸群[M].北京:中国医药科技出版社,2017:119-121.
[30]刘朝霞.刘红霞[M].北京:中国医药科技出版社,2017:149-150,233-234.
[31]唐雪勇,王畅.杨志波[M].北京:中国医药科技出版,2017:184-187.
[32]丁雄飞.喻文球治疗脂溢性脱发经验[J].中医杂志,2005,36(7):497-498.
[33]赵晓广,张明,刘巧.刘巧教授治疗斑秃经验[J].内蒙古中医药,2015,34(11):69.
[34]吴迪.基于中医传承辅助平台分析李元文治疗头皮部脂溢性皮炎用药经验[D].北京:北京中医药大学,2018.
[35]王玉梅,艾儒棣.中医药治疗全秃1例探微[J].四川中医,2014,32(2):137-138.
[36]李敏,张苍,蔡念宁.赵炳南调和阴阳治疗慢性荨麻疹经验探析[J].中国中西医结合皮肤性病学杂志,2009,8(6):361-362.
[37]黄虹,潘莉虹,刘复兴.刘复兴辨治脱发经验[J].云南中医中药杂志,2003,34(6):7.
[38]李丽琼,欧阳晓勇.刘复兴老师药物配伍经验[J].云南中医中药杂志,2002,33(1):6.
[39]裴悦,平瑞月,梁家芬,等.禤国维运用中医药治疗斑秃经验介绍[J].新中医,2018,50(3):229-231.
[40]赵连皓,马科党.韩世荣主任医师诊治皮肤病验案举隅[J].陕西中医,2015,36(3):363-364.
[41]吴迪,蔡玲玲,胡博,等.李元文教授治疗头皮部脂溢性皮炎用药经验数据挖掘分析[J].世界中医药,2018,13(11):2666-2671.
[42]刘月树.“生物心理社会医学模式”理论的历史与现实-以恩格尔为中心的学术史考察[J].科学经济社会,2018,36(2):18-25.
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