1.首都医科大学附属北京中医医院皮肤科,北京 100010
2.中日友好医院皮肤科,北京 100029
王文洁,女,28岁,博士研究生。研究方向:中西医结合治疗皮肤病。
孙丽蕴,E-mail:doctorsunny@sina.cn
收稿:2024-12-31,
纸质出版:2026-02-25
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王文洁,刘怀伟,查舒颖,等.基于“阳化气,阴成形”理论探析调和阴阳、清热活血法辨治斑块型银屑病血瘀证经验[J].北京中医药,2026,45(2):250-252.
WANG Wenjie,LIU Huaiwei,ZHA Shuying,et al.Experience of differentiation and treatment of plaque psoriasis with blood stasis syndrome through yin-yang harmony and heat-clearing and blood-activating methods based on "yang transforming qi while yin constituting form"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):250-252.
王文洁,刘怀伟,查舒颖,等.基于“阳化气,阴成形”理论探析调和阴阳、清热活血法辨治斑块型银屑病血瘀证经验[J].北京中医药,2026,45(2):250-252. DOI: 10.16025/j.1674-1307.2026.02.019.
WANG Wenjie,LIU Huaiwei,ZHA Shuying,et al.Experience of differentiation and treatment of plaque psoriasis with blood stasis syndrome through yin-yang harmony and heat-clearing and blood-activating methods based on "yang transforming qi while yin constituting form"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):250-252. DOI: 10.16025/j.1674-1307.2026.02.019.
斑块型银屑病的特点为皮损呈斑块状、鳞屑肥厚、病程迁延。中医学称其为“白疕”,常见证型为血瘀证,核心病机为阴阳失调、血分瘀热。基于“阳化气,阴成形”理论,燕京赵氏皮科流派孙丽蕴教授提出“动态平调阴阳”治则,施以清热、活血、调阴阳策略,据此创制秦藤活血方(由秦艽、苦参、白花蛇舌草、鸡血藤、忍冬藤、钩藤组成)。其中清热以秦艽透表热、白花蛇舌草清血毒、苦参泻里热,阻断热邪传变;活血以鸡血藤温通生新、忍冬藤凉散瘀热,寒温并用通络;调平以钩藤平肝潜阳、调和阴阳。针对阳虚寒凝证,可去苦参以防伤阳,酌情加桂枝、附子温阳通脉,桃仁、红花破瘀润燥,形成“温阳散寒-清透伏热-活血破瘀”调和,兼顾“阳中求阴”与“祛邪不伤正”原则。
Plaque psoriasis is characterized by plaque-shaped skin lesions, thickened scaling, and a prolonged disease course. In traditional Chinese medicine (TCM), it is referred to as
Bai Bi
, with blood stasis being the most common syndrome. The core pathogenesis is characterized by
yin-yang
imbalance and stasis heat in the blood aspect. Based on the theory that "
yang
transforming
qi
while
yin
constituting form", Professor SUN Liyun of the
Yanjing
ZHAO's
Dermatology School proposed the therapeutic principle of "dynamic regulation and balancing of
yin
and
yang
", adopting strategies of clearing heat, activating blood, and regulating
yin
and
yang
. Accordingly, she formulated
Qinteng Huoxue Formula
, composed of
Gentianae Macrophyllae Radix
,
Sophorae Flavescentis Radix, Hedyotis Diffusae Herba, Spatholobi Caulis, Lonicerae Japonicae Caulis
, and
Uncariae Ramulus cum Uncis
. For heat clearing,
Gentianae Macrophyllae Radix
disperses exterior heat,
Hedyotis Diffusae Herba
clears blood toxins, and
Sophorae Flavescentis Radix
drains interior heat, thereby blocking the transmission and transformation of pathogenic heat. For activating blood circulation,
Spatholobi Caulis
warms and unblocks the channels to promote the generation of new blood, while
Lonicerae Japonicae Caulis
cools and disperses stasis heat; the combined use of warm and cold drugs facilitates the unblocking of the collaterals. For regulation and balance,
Uncariae Ramulus cum Uncis
pacifies the liver, subdues
yang
, and harmonizes
yin
and
yang
. In cases of yang deficiency with cold congealment, Sophorae Flavescentis Radix may be omitted to prevent damage to
yang qi
, and
Cinnamomi Ramulus
and
Aconiti Lateralis Radix Praeparata
may be added as appropriate to warm
yang
and unblock the vessels, together with
Persicae Semen
and
Carthami Flos
to break stasis and moisten dryness. This forms a harmonizing approach characterized by "warming
yang
and dispersing cold, clearing and venting latent heat, and activating blood to resolve stasis", embodying the principles of "seeking
yin
within
yang
" and "eliminating pathogenic factors without injuring healthy
qi
"
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韩雁鹏 , 王希 , 姚敏 , 等 . 基于“阳化气,阴成形”探讨水肿病的中医证治 [J ] . 北京中医药 , 2022 , 41 ( 2 ): 171 - 172 .
姜河延 , 周之贤 , 王郅轶 , 等 . 基于“阳化气,阴成形”探讨慢性肺源性心脏病的病机与防治 [J ] . 北京中医药 , 2024 , 43 ( 11 ): 1316 - 1318 .
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