基于玄府理论从温阳宣通法论治 白癜风

Treatment of Vitiligo with Warming Yang and Unblocking Method Based on the Xuanfu Theory

摘要: 玄府理论是中医学的重要组成部分，它不仅是外邪侵袭机体的入口，又是气血津液流通于体表的通道，还是脏腑经络功能失调后在体表所表现的病所，诸因所导致的阴阳、气血、脏腑功能失调，其病理改变通过玄府表现于皮肤。白癜风的发病病机在传统中医理论中多被认为是由于气血失和，脉络瘀阻，导致气滞血瘀，毛窍闭塞，血不荣肤。而本文基于玄府理论浅析白癜风，认为玄府郁闭后，阳气不达于玄府，阴结于不通的玄府处，所以形成白斑。故针对玄府贵开忌阖的特性，灵活运用温阳宣通法，结合调和气血、疏肝理气、补益肝肾、疏风祛湿等治法，使玄府开，阳气达，脉络通，以期为临床诊疗白癜风提供新的思路。

Abstract: The Xuanfu theory is an important part of traditional Chinese medicine (TCM). Xuanfu acts not only as the gateway for external pathogenic factors to invade the body, but also as the passage for the circulation of qi, blood and body fluids on the body surface. It is also the external lesion on the skin caused by dysfunction of zang-fu organs and meridians. Pathological changes resulting from imbalance of yin-yang, disharmony of qi and blood and visceral dysfunction can manifest on the skin through Xuanfu. In traditional TCM theories, the pathogenesis of vitiligo is mostly attributed to disharmony of qi and blood, stasis of collaterals, which further leads to qi stagnation and blood stasis, blockage of hair orifices, and failure of blood to nourish the skin. From the perspective of Xuanfu theory, this paper explores the pathogenesis of vitiligo, and holds that stagnation and blockage of Xuanfu prevents yang qi from reaching the local area, giving rise to accumulation of yin cold and eventually the formation of leukoplakia. In view of the property that Xuanfu prefers unobstruction rather than closure, the method of warming yang and unblocking is flexibly applied, combined with therapies such as regulating qi and blood, soothing the liver and regulating qi, tonifying the liver and kidney, dispelling wind and eliminating dampness. The treatment aims to open blocked Xuanfu, transport yang qi smoothly and unblock collaterals, so as to provide new ideas for the clinical diagnosis and treatment of vitiligo.