XU Xian's experience in differentiating and treating prurigo nodularis based on the principle of the stagnation of <italic style="font-style: italic">yin </italic>and <italic style="font-style: italic">yang</italic>

ZHANG Hongyu; LI Yiping; LUO Wanting; KONG Qian; ZENG Xue; XIE Zheng

doi:10.16025/j.1674-1307.2025.10.014

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XU Xian's experience in differentiating and treating prurigo nodularis based on the principle of the stagnation of yin and yang

更新时间：2025-12-15

- XU Xian's experience in differentiating and treating prurigo nodularis based on the principle of the stagnation of yin and yang
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 10, Pages: 1303-1306(2025)
- 作者机构：
  
  1.中国中医科学院广安门医院皮肤科，北京 100053
  2.中国中医科学院广安门医院老年病科，北京 100053
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.10.014
  CLC：
- Received：14 October 2024，
  
  Published：25 October 2025
- 稿件说明：
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张洪雨，李一平，罗婉婷，等.许铣基于“阴阳相滞”辨治结节性痒疹经验［J］.北京中医药，2025，44（10）：1303-1306.

ZHANG Hongyu,LI Yiping,LUO Wanting,et al.XU Xian's experience in differentiating and treating prurigo nodularis based on the principle of the stagnation of yin and yang[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1303-1306.
张洪雨，李一平，罗婉婷，等.许铣基于“阴阳相滞”辨治结节性痒疹经验［J］.北京中医药，2025，44（10）：1303-1306. DOI： 10.16025/j.1674-1307.2025.10.014.

ZHANG Hongyu,LI Yiping,LUO Wanting,et al.XU Xian's experience in differentiating and treating prurigo nodularis based on the principle of the stagnation of yin and yang[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1303-1306. DOI： 10.16025/j.1674-1307.2025.10.014.

摘要

结节性痒疹是一种以瘙痒、结节为主要临床表现的心因性疾病，许铣教授从“阴阳相滞”理论探讨结节性痒疹的病因病机及诊疗思路，认为瘙痒为甚，病在阳，气郁为先，因郁致结，生湿生瘀，为阴滞于阳；结节为甚，病在阴，湿瘀胶结，因结生郁，变生气乱，属阳滞于阴；“阴阳相滞，因郁致结，因结生郁”是病情缠绵难愈、反复发作的关键。基于此提出以“顺气开郁，理血散结”的治疗原则，以缓解瘙痒和消除结节为治疗目标，结之初成，顺气开郁，截断化痰化瘀之势；结之顽坚，理血散结，免生气乱，使郁者开、结者散，以达气血冲和、阴阳相贯。

Abstract

Prurigo nodularis is a psychogenic disease characterized by itching and nodules as its main clinical manifestations. Professor XU Xian explores its etiology， pathogenesis， and diagnostic and therapeutic approaches from the perspective of the theory of

Yinyang

stagnation. He holds that when itching is more severe， the disorder lies in

yang

. Specifically，

stagnation arises first， and sta

gnation leads to knotting， generating dampness and blood stasis， which constitutes

yin

stagnation within

yang

. When nodules are more prominent， the disorder lies in

yin

. Specifically， dampness and blood stasis congeal and bind， and knotting gives rise to stagnation， which further leads to

disorder， representing

yang

stagnation within

yin

. "

Yinyang

stagnation， stagnation causing knotting， and knotting causing further stagnation" is the key to the lingering， recurrent nature of the disease. On this basis， the therapeutic principle of "promoting

to relieve stagnation and regulating the blood to disperse nodules" is proposed， with the goals of alleviating itching and eliminating nodules. At the initial stage of nodule formation， promoting

to relieve stagnation prevents the progression toward phlegm and blood stasis. When nodules become stubborn and indurated， regulating the blood to disperse nodules prevents

disorder， allowing stagnation to be relieved and knots to be dispersed， thereby achieving harmony between

and blood and mutual integration of

yin

and

yang

关键词

Keywords

references

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⁰

XU Xian's experience in differentiating and treating prurigo nodularis based on the principle of the stagnation of yin and yang

DOI：10.16025/j.1674-1307.2025.10.014

摘要

Abstract

关键词

Keywords

references