基于“形寒寒饮则伤肺”探讨辛味药在阳虚型白癜风治疗中的应用

Exploration on the Application of Pungent Herbs in the Treatment of Vitiligo in Patients with Yang Deficiency Based on the Theory of “Cold and Dampness Injure the Lung When One Feels Cold and Drinks Cold Liquids”

摘要: 白癜风的主要表现为皮肤局部色素脱失，阳虚型白癜风患者的主要病机为外有风寒湿邪侵袭肌表，内在中阳不足。“形寒寒饮则伤肺”理论起源于《黄帝内经》，外感寒邪以及饮食寒凉均会损伤肺阳。辛味药能行、能散，且温里药大多具有辛味，可凭其辛散的特性，既能解表，也可温里。基于“形寒寒饮则伤肺”理论，在治疗阳虚型白癜风患者时，既要解表散寒，同时也要注重温散里寒，应善于辨证使用辛味药物，凭借其能散能行的特点使白斑趋于消散。

Abstract: The main manifestation of vitiligo is local depigmentation of the skin. In the case of yang deficiency type vitiligo, the main pathogenesis is the external invasion of wind, cold and damp pathogens on the muscle surface, and the internal deficiency of middle yang. The theory of “cold and dampness injure the lung when one feels cold and drinks cold liquids” originated in the Huangdi Neijing. Exposure to cold and cold food and drinks can damage lung yang. Pungent herbs can move and disperse, and most warm-interior drugs have a pungent taste, which can be used to both dispel exterior cold and warm the interior by virtue of their pungent and dispersive properties. Based on the theory of “cold and dampness injure the lung when one feels cold and drinks cold liquids”, when treating yang deficiency type vitiligo patients, treatment should be both dispersing exterior cold and warming interior cold. The use of pungent herbs should be skillfully differentiated, using their ability to disperse and move to make the white patches gradually disappear.