276湿疹治疗之体悟

大医精诚 - 2012年11月22日 - 463 浏览

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湿疹是皮肤科常见病,以红斑、丘疹、水疱、渗出、糜烂、瘙痒和反复发作为特征。病因不太明朗,外因有免疫因素、过敏因素,也存在感染因素。内因和内科疾病关系很大,如慢性感染病灶、慢性胆囊炎、扁桃体炎、肠寄生虫;内分泌及代谢改变方面如月经周期、妊娠等因素,血循环障碍常见的如小腿静脉曲张诱发小腿湿疹;神经精神因素对本病的发生也有密切关系如精神紧张过度疲劳等。中医治疗湿疹很有疗效。一般来讲,须抓住祛风、清热、除湿三个环节,然祛风之中,要注意养血活血,因血行风自散;除湿之时,要注意健脾,脾健则湿易化;清热要注意解毒,毒化则病易愈。

   具体用药方面,祛风之法包括外风,也有内风,甚至虫风。其用药有:防风,桑白皮,荆芥,蝉蜕,威灵仙,以及贯众,鹤虱,槟榔杀虫;清热药可用黄柏(偏下),黄芩(偏上),苦参,公英,大青叶,银花等;化湿则用茯苓(利湿兼补),猪苓(渗湿不伤阴),苍术,茵陈,车前子,萆薢,地肤子,白藓皮,苦参等;解毒则用地丁。 下肢湿疹,若原有静脉曲张者,则须加三棱、莪术、红花、忍冬藤等活血化瘀药;若湿浊重或挟痰者,加土茯苓30克,土牛膝15  苍术10克等;皮肤麻木酸胀者,则须加僵蚕、地龙、桑枝等搜风药。

   外用药很讲究。对于热重于湿之湿疹,皮损渗出糜烂者,可用新鲜马齿览、生黄柏、银花等,煎水冷湿敷,尔后再以紫草油调黛柏外擦方(12)外敷,以达收敛止痒促进上皮新生之效。 湿疹滋水甚多,皮肤奇痒,湿毒甚者则须加百部、贯众、紫草等解毒杀虫,外用青黛二石散(煅石膏、滑石,青黛、黄柏,枯矾、冰片、轻粉等,共研极细末,装瓶备用。)。若药后湿热已退,滋水仍不止者,则用龙、牡、五味、乌梅等收敛之。清热凉血用生地,丹皮,赤芍。

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分类: 健康 (全局), 中医中药 | 永久链接 | Trackback
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