基于玄府–营卫–气液理论辨治结节性痒疹撷要

Differentiation and Treatment of Prurigo Nodularis Based on Xuanfu-Yingwei-Qiye Theory: An Overview

摘要: 结节性痒疹是一种慢性炎症性皮肤病，基于玄府–营卫–气液理论辨治发现结节性痒疹以玄府郁闭为始动环节，营卫失调为发展因素，气液壅滞为加重结果；三郁胶结，玄络病损为其核心病机，辨证可分为为湿热内蕴证、血虚风燥证、气滞血瘀证、肝郁化火证。在治疗方面以开通玄府为主，外治及生活调护为辅，从多环节多方面改善病情缓解症状，为临床治疗结节性痒疹提供新思路。

Abstract: Prurigo nodularis is a chronic inflammatory skin disease. Based on the theory of sweat pore (Xuanfu)-nutrient and defensive Qi (Yingwei)-Qi and fluid, it is found that the initial link of prurigo nodularis is the blockage of Xuanfu, the development factor is the imbalance of Yingwei, and the aggravating result is the stagnation of Qi and fluid. The core pathogenesis is the combination of three stagnations and the damage of Xuanfu and collaterals. Syndrome differentiation can be divided into four types: internal accumulation of damp-heat, blood deficiency with wind-dryness, Qi stagnation and blood stasis, and liver depression transforming into fire. Treatment focuses on opening Xuanfu, supplemented by external therapy and nursing care, to improve the condition and alleviate symptoms from multiple aspects, providing new ideas for clinical treatment of prurigo nodularis.