基于“津液–血络”理论的脾虚湿蕴型慢性 唇炎证治探析

Exploration of Syndrome Differentiation and Treatment of Chronic Cheilitis of Spleen Deficiency with Dampness Accumulation Type Based on the “Jin-Ye and Blood Collaterals” Theory

摘要: 慢性唇炎为临床常见复发性唇部病证，尤以脾虚湿蕴型多见，证候表现复杂，燥湿夹杂、虚实互见，治疗常显乏力。本文基于《内经》“津液–血络”理论，结合脾虚湿蕴型慢性唇炎的临床表现与病程特征，提出“津液布散障碍–血络渗灌失职”为其核心病机主线，并据此归纳出“津布不畅–血络壅阻–津血双亏”三层辨证结构。文章进一步分析各层次证候特征与治法要点，强调调津护络贯穿全程，并探讨外治调护在标本兼顾中的协同作用，试图构建一个病机明确、层次清晰、调治一体的系统辨治框架，为该证的理论深化与临床施治提供参考。

Abstract: Chronic cheilitis is a common and recurrent lip disorder in clinical practice, particularly prevalent in the spleen-deficiency with dampness-accumulation pattern. It presents with complex symptoms involving both dryness and dampness, deficiency and excess. Based on the classical theory of “Jin-Ye and Blood Collaterals” from the Huangdi Neijing, this study identifies “disordered Jin-Ye distribution and impaired Blood perfusion” as the central pathological mechanism. Accordingly, a three-layer syndrome-differentiation framework is proposed: impaired fluid distribution (Jin stagnation), collateral obstruction (Blood heat and stasis), and dual deficiency of Jin and Blood. Each phase is analyzed in terms of syndrome features and corresponding therapeutic principles. Furthermore, the paper emphasizes the continuous role of external therapy and lifestyle regulation throughout disease progression. This framework provides a structured and integrative approach for syndrome pattern diagnosis and treatment planning in chronic cheilitis.