张鸣鹤治疗银屑病关节炎经验

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英文篇名：ZHANG Minghe's Experience in Treating Psoriatic Arthritis 作者：王鹏飞 ; 李仓廪 ; 李作强 ; 刘英 ; 孙素平 ; 姜萍 英文作者：WANG Pengfei;LI Canglin;LI Zuoqiang;LIU Ying;SUN Suping;JIANG Ping;College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine;Shandong University of Traditional Chinese Medicine;Shandong Institute of Occupational Health and Occupational Diseases;Affiliated Hospital of Shandong University of Traditional Chinese Medicine; 关键词：银屑病关节炎 ; 风 ; 热 ; 毒 ; 瘀 ; 名医经验 ; 张鸣鹤 英文关键词：psoriatic arthritis;;wind;;heat;;toxin;;blood stasis;;experience of famous doctor;;ZHANG Minghe 中文刊名：ZZYZ 英文刊名：Journal of Traditional Chinese Medicine 机构：山东中医药大学中医学院;山东中医药大学;山东省职业卫生与职业病防治研究院;山东中医药大学附属医院; 出版日期：2019-07-16 出版单位：中医杂志 年：2019 期：v.60 基金：国家自然科学基金(81703178);; 国家中医药管理局全国名中医传承工作室建设项目;国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目;; 山东省高等学校科技计划项目(J18KA270) 语种：中文; 页：ZZYZ201914004 页数：3 CN：14 ISSN：11-2166/R 分类号：20-22

摘要

总结张鸣鹤老师治疗银屑病关节炎的经验。认为内生郁热、外感风热毒邪深入血分,日久热灼血凝,以致风、热、毒、瘀互结,热毒泛溢肌肤、攻注关节为其主要病因病机。临诊强调祛邪为主、顾护正气,以银屑病的治疗为突破口,根据疾病不同阶段灵活运用清热解毒法、清营凉血法、祛风除湿法、活血化瘀法、温中护胃法随症加减。
        This paper summarized Professor ZHANG Minghe's experience in treating psoriatic arthritis. It is believed that the main etiology and pathogenesis is internal generation of stagnation heat,exogenous contracted wind heat toxin deepening into the blood level,heat scorching and blood clotting for a long time,resulting in intermingled wind,heat,toxin,phlegm and,heat toxin spilling-over the skin,attacking and filling the joints. The treatment emphasizes eliminating the pathogen and protecting and caring for the vitalal qi. Taking the treatment of psoriasis as a breakthrough,according to the different stages of the disease,clearing heat and detoxification method,clearing the nutrient qi and cooling blood method,eliminating the win and removing the dampness method,activating the blood circulation and resolving the blood stasis method,warming the middle and protecting the stomach method and their modifications with syndromes are in flexible use.

引文

[1]中华医学会风湿病学分会.银屑病关节炎诊断及治疗指南[J].中华风湿病学杂志,2010,14(9):631-633.
    [2]张鸣鹤.清热解毒法治疗风湿病[M].北京:中国中医药出版社,2017:130-147.
    [3]赵辨.临床皮肤病学[M].南京:江苏凤凰科学技术出版社,2017:1104-1126.
    [4]巢元方.诸病源候论[M].北京:中国医药科技出版社,2018:576.
    [5]北京中医医院.赵炳南临床经验集[M].北京:人民卫生出版社,2006:270.
    [6]俞根初.重订通俗伤寒论[M].北京:中国中医药出版社,2011:143.
    [7]罗天益.卫生宝鉴[M].北京:中国中医药出版社,2018:87.
    [8]缪希雍.神农本草经疏[M].北京:中医古籍出版社,2017:154-156.
    [9]李中梓.雷公炮制药性解[M].北京:中国中医药出版社,1998:35.
    [10]赵佶.圣济总录[M].北京:人民卫生出版社,1962:2278.
    [11]黄元御.玉楸药解[M].北京:人民卫生出版社,2015:199.
    [12]李元文,张丰川.皮肤病[M].北京:人民卫生出版社2002:331-333.