王俊志教授治疗慢性荨麻疹经验

Professor Wang Junzhi’s Experience in Treating Chronic Urticaria

摘要: 王俊志教授认为慢性荨麻疹以风邪久羁、湿蕴热郁、络脉瘀滞为核心，兼见脾虚湿盛、血虚风燥之候，临床常以自拟过敏汤为基本方，随证化裁。对于风团反复、瘙痒剧烈、久治不愈者，王教授尤重祛风通络、除湿止痒、凉血解毒三法并用。本文将从学术背景、病因病机、辨证要点、组方思路、加减化裁及病案举例等方面，对王俊志教授治疗慢性荨麻疹的临床经验进行总结，以期为临床辨治提供参考。

Abstract: Professor Wang Junzhi holds that the core pathogenesis of chronic urticaria lies in lingering wind pathogen, accumulated dampness and stagnant heat, as well as collateral stasis, accompanied by syndromes of spleen deficiency with abundant dampness and blood deficiency with wind-dryness. Clinically, he often uses the self-formulated Allergic Decoction as the basic prescription with modifications according to syndrome differentiation. For patients with recurrent wheals, severe pruritus and refractory conditions, Professor Wang emphasizes the combined application of three therapeutic methods: dispelling wind and unblocking collaterals, eliminating dampness to relieve itching, and cooling blood to detoxify. This paper summarizes Professor Wang Junzhi’s clinical experience in treating chronic urticaria from the aspects of academic background, etiology and pathogenesis, key points of syndrome differentiation, formula construction, modification of prescriptions and case examples, so as to provide references for clinical diagnosis and treatment.