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Xuan guowei: from drug treatment skin diseases

2016年06月23日

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Xuan guowei: from drug treatment skin diseases


Source: China's traditional Chinese medicine

Author: xuan guowei


Poison, "evil" refers to a strong pathogenic effect, toxic to the human body of evil, is different from the six evils of the special cause, more because of six, seven, accumulation of phlegm retention, blood stasis and other pathogens cannot evacuation, YuJiu wicked, who is more than the norm.

, in terms of hard skin disease syndrome differentiation, in addition to dispel common pathogenic factors, attaches great importance to the poison from the etiology and pathogenesis, to cause the attention to eliminate pathogenic detoxification treatment, is the key to the traditional theory in promoting cause of traditional Chinese medicine theory, but also the key of improve the curative effect.

, "jiedu decoction" in the skin by the ebony, rhizoma zedoariae, glabrous greenbrier rhizome, radix arnebiae seu lithospermi, su leaf, windproof, paniculate swallowwort root, and licorice, the party is the key to remove outside the poison with poison of the intrinsic, according to the weight of various toxin factor with the disease to add and subtract.

"Poison" interpretation of the

The original meaning of "poison" refers to the "poisonous weeds", said wen jie zi "cloud:" poison, thick, also harm the grass, often."

Meaning of "poison" in traditional Chinese medicine is very wide, can be mainly divided into four aspects: first, a drug or medicinal properties, such as the rites, cheongwan ":" palm doctor of medical order, poison to medical." Second, refers to the diagnosis, see more at surgical diseases, such as erysipelas, furunculosis, poisoning, etc. Third, refers to the treatment, such as poison, detoxification, detoxification, etc. Fourthly, refers to the cause, such as "element asked, angry tongtian theory" : "although have strong winds heavy poison, eph can harm." Put forward the "poison of the external" the possibility of disease; And as "big element asked," political theory ":" little Yang in spring, cold poison not born... Yang Ming in the spring, wet poison born... the sun in spring, hot poison not born... jue Yin in the spring, drug money not born... shaoyin in spring, cold poison not born... lunar in spring, dry poison not born." Points out the poison of the "endogenous" of generation and restriction; Again, such as the element theory of ask, "zheng big wang2 bing note:" drug runners, all five lines of the sheng qi in the violent act." Illustrate the excessive pathogens or wenjie day long, all can "poison".

By the visible and the concept of "toxin factor" in neijing, and was according to its original meaning, refers to a strong pathogenic effect, toxic to the human body of evil, is different from the six evils of the special causes. "Theory of typhoid miscellaneous disease", a "cover-up" record "Yang poison" for the disease, such as, fox and cure disease and lily on synopsis of golden chamber, said: "Yang poison for the disease, face red stains such as brocade, sore throat, salivary purulent blood." "For the disease of maliciousness, face, body pain, such as rod, a sore throat." To the theory of various pathogenic symptom, also have the "method of poison" drug "poison" "food poisoning" and the "poison snakes beast" "miscellaneous poison disease syndrome", not only enrich the connotation of virus to evil, and make the etiological theory of further development. Science of seasonal febrile diseases, the warm disease toxic pathogenic theory has been dominant. In modern times many scientists also to constantly enrich and toxin factor theory, it is generally believed that "poison" for pathogens (including six, seven emotions, phlegm retention, blood stasis, etc.) accumulation cannot be evacuated, YuJiu wicked, who is more than the norm.

In addition, with the development of modern science and technology and the change of the human survival environment, there are many unknown in the past new diseases and toxic factors, such as industrial waste gas, automobile exhaust, pesticide, chemical fertilizer release of toxic gases, such as construction or decoration materials release compounds, such as the side effects of drugs, industrial wastewater discharge to water pollution, meat, poultry, eggs, auxin, fattening agent and preservative in food, various additives and noise, communications, telephone, computer, TV, ultra high frequency electromagnetic wave interference to the human body, etc., all belong to the category of "poison".

"Poison" and skin diseases

The theoretical system of TCM, "poison" evil can be inside and outside. Among them, the "toxic" refers to by outside, invades the body and cause poisoning of pathogenic factors; "Poison" refers to by the poison, while the qi and blood of viscera function and dysfunction, a product to make the body in physiological or pathological not discharge in time, accumulate accumulate in the body and im, such as manure, urine, sputum poison, poison and blood stasis, etc. The poison in the disease process, can not only increase the original condition, and can produce a new disease, more marked the complicated stage of disease.

The cause of "poison" as an independent, has its special pathogenic characteristics, such as explosive, acute, critical, infectious, refractory, refractory, etc. Four not qi often is a prerequisite for toxin factor, so the six evils of the toxin factor and can not be separated, and the six evils of the toxin factor also has similar properties, and often the six evils of the inclusions, therefore can be referred to as the "poison" wind "wet poison" poison "warm" and so on.

Wind, dampness, heat evil is one of the most common skin diseases pathogenic factors, these pathogens invasion and the human body, if not resolve in time, with the heat physical, easy to fire, accumulate and become poison. If evil to the body not hair, feeling the breath of spring, summer, warm, the fu poison from the inside out, list all hot, always, fumigation and disorders. If internal injuries seven emotions, five volunteers fire, catharsis, accumulate poison heating, can also send for skin diseases.

Have literature statistics in recent years and the Chinese medicine "poison" related with 929 references, involved 189 kinds of diseases related to "poison", mostly in the complexity, refractory disease, which discusses skin disease "poison" card related literature after big internal system disease.

"A disease caused by the" poison ", there are mainly two aspects: one is from the outside feeling, such as direct attack by warm poison evil, or indirectly by wind, cold, wet, dry evil transformation; Second, ferrite Yang excessiveness or Yin deficient, and to achieve imbalance, gas is more than the fire, the fire from endogenous, indicates a poison.

In addition to the six evils, seven emotions, such as trauma, endowment, etiology and pathogenesis, the author believed that the onset of many difficult skin and delay often associated with "toxin factor" wenjie have close relationship.

In complicated etiology and pathogenesis of skin disease, often because of illness not more repeatedly, lead to the wind, wet, heat evil stalemate refractory, the lack of poison, all can indicates stem, internal injuries viscera, hinder the qi and blood, body fluid by consumed. The worse the longer duration, accumulate poison, "poison" to cause the machine need more attention.

Systemic lupus erythematosus (sle), for example, more varied conditions, and the pathogenesis is complex, but excess, kidney Yin deficiency and blood stasis poison implication is throughout the course of the main line, from the disease of the most common clinical manifestations of "facial erythema, hot rolling, hair loss, face red tide red, waist and knee pain, pain, aggravating, dizziness, woman menstruation to be not moved, the color, dark purple to abdominal pain, or the very amenorrhoea, again and again breath of sores, skin petechiae, ecchymoses, dark red tongue or petechiae, yellow moss, pulse count" wait for a symptom, kidney Yin, blood stasis detoxification, and symptoms is the good way of suit and pathogenesis.

In addition, a variety of difficult skin disease resistance and temperament is not particularly closely. Air, water, sun, animals, such as food, medicine, metal is closely associated with human environment, biological and chemical substances, generally people contact with the above material usually won't produce pathogenic reaction, but many skin diseases patients after contact can often produce pathogenic role or aggravating illness. The hard skin disease due to temperament not resistant to gao min had spoken with the CiYuan reaction can be a victimizer "yue is poison" perfectly, especially highlight the "poison" in the important position in the complicated etiology and pathogenesis of skin diseases.

Based on this, the author thinks that, in terms of hard skin disease syndrome differentiation, in addition to dispel common pathogenic factors, attaches great importance to the poison from the etiology and pathogenesis, to cause the attention to eliminate pathogenic detoxification treatment, not only is the key to promoting TCM etiology theory in the traditional theory, but also the key of improve the curative effect.

Skin detoxifying party

"Poison" evil disease treatment, it is used for poison directly remove the evil of drugs, including use clean, and sweat, down, spit, make the toxin factor from the sweat, urine and out of the body such as the digestive tract; The second is to enhance and adjust the body's own poison resistance, to protect against poison damage to human body, namely, foster the method. Detoxification method, there are clear, drainage, cleaning solution, qing qing, QingTong, cool and refreshing, open treatment.

Generations of physicians to detoxify "toxin factor" disease and the use of the formulas have accumulated rich clinical experience. The poison of Yin and Yang, from synopsis with cohosh turtle shell soup, including cohosh, realgar qingrejiedu, the hair of the dog to medicine. The platform and the secret to outside load huanglian jiedu decoction, "disease" hot disease, the YiZong Jin Jian "disinfection of mixed drinks and so on, are commonly used detoxification s past and present, also often choose Chinese medicine dermatology, properly can treat severe, pull.

But the prescription or for cold agent or containing toxic drugs, generally only do short-term emergency purposes, long-term use will spoil one's appetite or poisoning. Therefore, need a long period of treatment in the treatment of chronic difficulty sex skin disease, still need to find another way.

Through clinical practice, the writer discovers that the intractable skin diseases exist all sorts of "toxin factor" wenjie. Such as psoriasis, intractable chronic eczema, chronic urticaria, often toxic heat and blood evil, cold dampness evil, fish and shrimp, dyspepsia poison to these closely related, toxicity, wind, etc, on the basis of syndrome differentiation built a base, to make it more widely used in the treatment of intractable skin diseases.

In the repeated practice, the author will the party named as "jiedu decoction" in the skin, composed of ebony, rhizoma zedoariae, glabrous greenbrier rhizome, radix arnebiae seu lithospermi, su leaf, windproof, paniculate swallowwort root and liquorice. Party take ebony ziyin detoxification, rhizoma zedoariae quyu jiedu, glabrous greenbrier rhizome lishi detoxification, radix arnebiae seu lithospermi cool hemodialysis rash detoxification, su leaf fish and shrimp detoxification, windproof functions of detoxification, paniculate swallowwort root t2dm with detoxification, licorice understanding toxicity. All key in detoxification, relieved the poison with poison of the intrinsic. Along with the certificate according to the weight of various toxin factor and subtract drugs, such as rhizoma anemarrhenae with ebony can strengthen of ziyin detoxification; On the stone, nine tea with rhizoma zedoariae parker can strengthen the force of huoxue jiedu; Sichuan Bi Xie, cortex dictamni, continous wormwood match China root can strengthen the force of lishi detoxification; Radix rehmanniae, fleas, lobelia, h. cordata with radix arnebiae seu lithospermi can enhance heat cool blood detoxification; Dandelion, flower of kudzuvine with su leaf can strengthen food retention these solutions and fish and shrimp force of poison; Sophora, belvedere fruit, white thistle with force of wind can strengthen the functions of detoxification; Angelica sinensis and rhizoma chuanxiong, dilong dry, whole worm match paniculate swallowwort root can strengthen the force of invigorate the circulation of t2dm with detoxification, such as clinical according to patients condition changes with the disease of add and subtract.

The medical record for 】

Ryu, male, 40 years old, because of "whole body scales sex erythema with 5 years itch, aggravating l week" on June 5, 2003 to begin. Five years ago has no obvious incentives in scalp erythema, covered with a thick fat sex crumbs, and torso and limbs stretch side appeared more invasive erythema, overburden layer thickness scales, itching, fingers, foot nails deformation, sag. In the outer court has a diagnosis of seborrheic dermatitis and psoriasis, to cortical hormone for external use and symptomatic treatment, poor curative effect, still break out repeatedly.

Carved diagnosis: whole body many invasive erythema, plaques, guttata part scales papules, confluent, in scalp hair, back and limbs stretch side obviously, shave their scales visible film phenomenon and dotted hemorrhage, refers to changes, toenail deformation, part of a thimble, beam, joint pain and pustules, upset, irritability, thirst, stool, urine yellow, red tongue, less moss, pulse count.

Syndrome differentiation:, with psoriasis vulgaris syndrome belong to blood toxic heat sheng Yin.

Treatment: cool invigorate the circulation of blood and detoxification with Yin.

Prescription: skin detoxifying tonga subtraction. Raw radix rehmanniae, radix paeoniae rubra, radix arnebiae seu lithospermi and gold millet, each 15 grams, glabrous greenbrier rhizome, ebony, angelica sinensis and rhizoma chuanxiong, rhizoma zedoariae each 10 grams, licorice root 6 grams. Agent water decoction, July 1.

Two diagnosis (on June 12, 2003) : after the drug erythema color, scales thin, part of the skin lesions subsided, dark red tongue, moss thin white, pulse count. Poison potential losses, complex fluid, no more party, keep the original party to 30 grams of ebony and salvia miltiorrhiza to reinforce qi and nourishing blood.

Three diagnosis (on June 19, 2003) : a total of 15 doses of above, the torso and limbs erythema scales basic receded, leaving scalp hair lesions, dark red tongue, moss thin white, pulse count. The defender and caulis spatholobi 30 grams to invigorate the circulation of blood.

Four diagnostic (on July 4, 2003) : above served 14 agent again, in a stable condition did not relapse. To the oral, and the effect of liuwei dihuang pill with good suit.

【 in 】 : psoriasis and psoriasis, white Pi, is a dermatologist common refractory disease, is due to illness and guest in the cou justified, panhandle do not come loose, heat and turn into poison, blocking meridians, veins road, lead to toxic heat and blood stasis and knot, the skin blood perform poorly, may not support the, outside can not thoroughly, and become dry a fault of erythema, papules, scurfy folded. Long camp blood lose money, weathering dry, make main and collateral channels, qi and blood.

Based on pathogenesis of blood stasis poison hot junction, the disease from blood stasis poison when heat treatment, cure to detoxify cool qi and blood, and to detoxify skin tonga subtraction. For blood toxic heat, su leaf departed, windproof, paniculate swallowwort root XinSanZhi medicine, radix rehmanniae, radix paeoniae rubra, gold millet, angelica sinensis, rhizoma ligustici wallichii, caulis spatholobi cool to strengthen the work of qi and blood, to reconcile blood. Now if only treated with heat cool blood detoxification method, haemorrheological nature veins, meridian more impeded, stasis of heat long, toxic heat more. If an product of large dose of promoting blood circulation to remove blood stasis, the blood, scattered poison evil water-bifurcation, in general, the disease will be heavy. So the clinical treatment of the disease, should from the poison, from stasis treatment, give priority to with qingrejiedu, detoxification don't forget to invigorate the circulation, blood begins to detoxify.