基于“玄府–气液–络脉”理论探讨高原皮肤病中医病机及治疗思路

Exploration of the Pathogenesis and Treatment Strategy of Skin Diseases in Plateau Areas in Traditional Chinese Medicine Based on the Theory of “Xuanfu-Qi and Fluids-Collaterals”

摘要: 皮肤组织因高原环境而产生病理变化所导致的皮肤病被称为高原皮肤病，受特殊自然环境、饮食习惯、医疗水平等因素的影响，导致其病程迁延，治疗难度大。本文从“玄府–气液–络脉”理论深究其病机，认为高原皮肤病发病基础在于玄府之变，病情进展关键在于气液怫郁不通，病情恶化严重在于络脉瘀滞。基于此提出治疗高原皮肤病应以“宣、通、养”为纲，以“开宣玄府，通泻郁结，养血益气”为主要治法，兼以活血、行气等法，攻补兼施，以期为高原皮肤病的临床治疗提供理论依据及参考思路。

Abstract: Skin diseases caused by pathological changes in skin tissue due to the high-altitude environment are called high-altitude dermatosis. Affected by factors such as the special natural environment, dietary habits, and medical level, the course of the disease is prolonged and the treatment is difficult. This article delves deeply into the pathogenesis from the theory of “Xuanfu-Qi and fluids-Collaterals”, and holds that the basis of the onset of skin diseases on the plateau lies in the changes of Xuanfu, the key to the progression of the disease lies in the stagnation and obstruction of qi and fluid, and the severe deterioration of the disease lies in the stasis of collaterals. Based on this, it is proposed that the treatment of skin diseases at high altitudes should follow the principle of “promoting, unblocking and nourishing”, with the main treatment method being “opening the Xuanfu area, promoting and purging stagnation, nourishing blood and benefiting qi”, supplemented by methods such as promoting blood circulation and regulating qi, and combining attack and tonification, in order to provide a theoretical basis and reference ideas for the clinical treatment of skin diseases at high altitudes.