梅成教授应用董氏奇穴治疗慢性湿疹经验

Professor Mei Cheng’s Application of Dong’s Special Acupoints in Treating Chronic Eczema

摘要: 湿疹是皮肤科常见病，属于迟发性变态反应性疾病，有多种表现形式包括但不限于红斑、浸润、渗出，若是治疗不佳，会增加麟屑生成、色沉、龟裂等的风险，若病情严重会给患者生活和情志方面造成重大不利影响。梅成教授从“脏藏于内，象见于外”的角度讨论治疗慢性湿疹的经验。梅成教授认为血热为其主要病机。血分有热，外蒸皮肤，外感风湿，风湿热相互搏结，则发为湿疮。再有血热则内风生成，风袭肌表，则剧烈瘙痒。梅成教授从清心凉血以除血热，健脾运湿，以除湿邪，来论治慢性湿疹。临床应用效果较佳。现试着从心脾这一角度，加以运用董氏奇穴之指驷马穴、后枝穴、分枝穴来治疗湿疹，希望为临床提供参考。

Abstract: Eczema is a common dermatological condition, classified as a delayed hypersensitivity disorder. It manifests in various forms including, but not limited to erythema, infiltration, and exudation. Inadequate treatment can increase the risk of scaling, hyperpigmentation, and fissures. Severe cases can significantly adversely affect patients’ daily lives and emotional well-being. Professor Mei Cheng discusses his experience in treating chronic eczema from the perspective of “the viscera residing internally, with manifestations appearing externally”. Professor Mei believes that blood heat is its primary pathogenesis. When heat is present in the blood level, it steams outward to the skin; combined with external contraction of wind-dampness, wind, dampness, and heat contend with each other, leading to the development of damp sores (eczema). Furthermore, blood heat generates internal wind, and when wind assaults the muscle surface, it causes intense itching. He treats chronic eczema by clearing the heart and cooling the blood to eliminate blood heat, and by fortifying the spleen and moving dampness to remove dampness pathogens. This approach has achieved good results in clinical application. This article now attempts to apply the Dong’s Extraordinary Points, Zhi Si Ma acupoint, Hou Zhi acupoint, and Fen Zhi acupoint, from the perspective of treating the heart and spleen, hoping to provide a reference for clinical practice.