杨素清运用角药治疗结节性痒疹经验

Yang Suqing’s Experience in Treating Prurigo Nodularis with Key Drugs

摘要: 结节性痒疹是慢性炎症性皮肤病变，瘙痒不止，病程较长，难以根治，严重危害患者的身心健康。杨素清教授根据结节形成过程，认为气痰瘀毒虚始终贯穿其发病过程。以此为辨证要点，运用角药进行论治，疏利三焦气机，打破气郁–热郁–风动的恶性循环，到覆盖痰生成，痰凝滞，痰结块全链条，从病理产物出发，清火解毒以釜底抽薪，化痰软坚而消痂于无形。于脏腑言，行断源–破结–消癥治疗链，实现脾健痰自消，络通结自散之效。从中药特点出发，其虫蚁搜剔，锐药破坚，草木清解之力，可破毒瘀胶结之死局。杨素清教授重视补三成、通七分的原则治疗结节性痒疹。

Abstract: Prurigo nodularis is a chronic inflammatory skin disorder characterized by persistent itching and a long course of disease, which is difficult to cure and seriously endangers the physical and mental health of patients. Professor Yang Suqing, based on the formation process of nodules, believes that qi, phlegm, blood stasis, toxins and deficiency always run through the entire pathogenesis. Taking this as the key point of syndrome differentiation, he uses key drugs for treatment, promoting the qi movement of the three jiao, breaking the vicious cycle of qi stagnation-heat stagnation-wind movement, covering the entire chain from phlegm generation, phlegm stagnation to phlegm nodules. Starting from the pathological products, he clears heat and detoxifies to remove the root cause, and resolves phlegm and softens hardness to eliminate scabs without leaving a trace. In terms of the zang-fu organs, he implements a treatment chain of cutting off the source—breaking up nodules—eliminating symptoms, achieving the effect of strengthening the spleen to eliminate phlegm and unblocking the collaterals to disperse nodules. Starting from the characteristics of traditional Chinese medicine, the power of insects and ants to search and pick, sharp drugs to break up hardness, and plants to clear heat and detoxify can break the deadlock of the interwoven toxins and blood stasis. Professor Yang Suqing attaches great importance to the principle of supplementing three parts and promoting circulation in seven parts in the treatment of prurigo nodularis.