脱敏煎加减治疗荨麻疹(营卫不和证)的临床研究

Clinical Study on Tuominjian for the Treatment of Urticaria (Syndrome of Disharmony between Ying and Wei)

摘要: 荨麻疹是临床常见皮肤病，急性期常有自限性。西医治疗荨麻疹首先应发现并去除病因，治疗用药首选第二代非镇静抗组胺药，必要时可加量或联合用药。中医基于“治病必求于本”“标本兼治”的理论指导，通过对本病进行辨证论治，提出“营卫失和”为荨麻疹发病的基本病机，治宜调和营卫、脱敏止痒，以脱敏煎为主方进行加减行个体化方药调配，以提高临床疗效，达到缓解荨麻疹患者的临床症状，其主要适用于营卫不和型荨麻疹患者。笔者根据相关的参考文献和数据总结分析了脱敏煎治疗营卫不和型荨麻疹的临床研究进展，为中医药治疗荨麻疹提供思路。

Abstract: Urticaria is a common clinical skin disease, often self-limiting in the acute phase. Western medicine treatment of urticaria should first find and remove the cause of the disease, the treatment of drugs preferred second-generation non-sedating antihistamines, if necessary, can be increased or com-bined drugs. Based on the theoretical guidance of “treating the disease must be sought at the root” and “treating both the symptoms and the root cause”, Chinese medicine proposes that “Ying and Wei are out of harmony” as the basic pathogenesis of urticaria through the diagnosis and treatment of the disease. The treatment is to harmonise Ying and Wei, desensitise and relieve itching, and the Tuomin Decoction is the main formula for individualised prescription and drug mixing to improve the clinical efficacy and alleviate the clinical symptoms of patients with urticaria, which is mainly applicable to patients with Ying and Wei disharmony-type urticaria. The author summarized and analyzed the clinical research progress of Tuomin Decoction in the treatment of Ying Wei dishar-mony type urticaria based on relevant references and data, providing ideas for the treatment of ur-ticaria with traditional Chinese medicine.