
浏览全部资源
扫码关注微信
首都医科大学附属北京中医医院皮肤科,北京 100010
Received:17 March 2025,
Published:25 June 2025
移动端阅览
王倩,邓丙戌,蔡念宁,等.苍肤洗剂干纸巾外用治疗手足癣的临床观察[J].北京中医药,2025,44(6):717-720.
WANG Qian,DENG Bingxu,CAI Nianning,et al.Clinical observation on the external use of Cangfu Lotion with dry tissues for the treatment of tinea manuum and pedis[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):717-720.
王倩,邓丙戌,蔡念宁,等.苍肤洗剂干纸巾外用治疗手足癣的临床观察[J].北京中医药,2025,44(6):717-720. DOI: 10.16025/j.1674-1307.2025.06.009.
WANG Qian,DENG Bingxu,CAI Nianning,et al.Clinical observation on the external use of Cangfu Lotion with dry tissues for the treatment of tinea manuum and pedis[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):717-720. DOI: 10.16025/j.1674-1307.2025.06.009.
目的
2
观察名老中医赵炳南经验方“苍肤洗剂”干纸巾外用治疗手足癣的临床疗效及安全性。
方法
2
选择2022年1月—2023年12月本院皮肤科门诊收治的手足癣患者144例。采用前瞻性、随机、对照研究,按照随机数字表法将入选病例分为A、B、C组。A组采用苍肤洗剂水煎剂治疗,B组采用苍肤洗剂干纸巾治疗,C组采用特比萘芬乳膏治疗。3组均以1周为1疗程,连续治疗2周。对比3组疗效,治疗前后皮损面积、瘙痒程度评分、皮损严重程度评分,真菌清除率,不良反应,复发率。
结果
2
3组总有效率比较,差异无统计学意义(
P
>
0.05)。治疗后,3组皮损面积、瘙痒程度评分、皮损严重程度评分均较治疗前改善(
P
<
0.01)。治疗后,3组间皮损面积、皮损严重程度评分比较,差异有统计学意义(
P
<
0.05);进一步两两比较,A组皮损面积小于B组(
P
<
0.05),A、B组皮损严重程度评分均低于C组(
P
<
0.01)。3组真菌清除率、不良反应发生率比较,差异均无统计学意义(
P
>
0.05)。A组、B组复发率低于C组,但差异无统计学意义(
P
>
0.05)。
结论
2
苍肤洗剂外用治疗手足癣疗效确切,且无明显不良反应;干纸巾这一专利技术应用于中药外治,提升了便携度。
Objective
2
To observe the clinical efficacy and safety of the external application of
Cangfu Lotion
with dry tissues, a traditional Chinese medicine (TCM) formula based on the experience of renowned physician ZHAO Bingnan, in the treatment of tinea manuum and pedis.
Methods
2
A prospective, randomized, controlled study was
conducted involving 144 patients with tinea manuum and pedis treated at the Dermatology Outpatient Department of Beijing Hospital of Traditional Chinese Medicine from January 2022 to December 2023. Patients were randomly assigned by a random number table to Group A, Group B, or Group C. Group A was treated with
Cangfu Lotion
decoction soaking, Group B received dry tissues soaked in
Cangfu Lotion
for daily application, and Group C was treated with topical terbinafine cream. Each group underwent treatment for one week per course, for two consecutive courses. The efficacy was compared among the three groups by evaluating lesion area, itching severity score, lesion severity score, fungal clearance rate, adverse reactions, and recurrence rate before and after treatment.
Results
2
There was no statistically significant difference in the total effective rate among the three groups (
P
>
0.05). After treatment, lesion area, itching severity score, and lesion severity score were significantly improved in all three groups compared to those before treatment (
P
<
0.01). Significant differences were found among the three groups in lesion area and lesion severity score after treatment (
P
<
0.05). Pairwise comparison showed that the lesion area in Group A was smaller than that in Group B (
P
<
0.05), and lesion severity scores in Groups A and B were lower than those in Group C (
P
<
0.01). No statistically significant differences were found among the groups in fungal clearance rate or incidence of adverse reactions. Recurrence rates in Groups A and B were lower than in Group C, but the difference was not statistically significant (
P
>
0.05).
Conclusion
2
External application of
Cangfu Lotion
is effective and safe in treating tinea manuum and pedis. The patented dry tissue technology applied in TCM external treatment i
mproves convenience and portability.
杜霞 . 真菌耐药机制及治疗对策的研究进展 [J ] . 感染、炎症、修复 , 2022 , 23 ( 1 ): 61 - 64 .
方婷婷 , 何伊能 , 王慧 , 等 . 浅部真菌病治疗中存在的问题及中医治疗对策 [J ] . 中国真菌学杂志 , 2023 , 18 ( 1 ): 38 - 41 .
高璐 , 吴建美 , 刘登宇 , 等 . 中药合剂对皮肤浅部真菌的体外抑菌作用 [J ] . 中国皮肤性病学杂志 , 2022 , 36 ( 1 ): 32 - 36 .
周涛 , 徐文俊 , 张镜 , 等 . 苍肤洗剂联合酮康唑乳膏治疗角化过度型足癣的疗效观察 [J ] . 中医药导报 , 2018 , 24 ( 6 ): 54 - 55,59 .
李锋 . 阿维A胶囊联合盐酸特比萘芬乳膏治疗鳞屑角化型手足癣疗效观察 [D ] . 南充 : 川北医学院 , 2024 .
王瑞平 . 随机对照临床试验设计中的样本量估算方法 [J ] . 上海医药 , 2023 , 44 ( 1 ): 48 - 52 .
中国手癣和足癣诊疗指南(基层实践版 2020 )[J ] . 中国真菌学杂志 ,2020, 15 ( 6 ): 325 - 330 .
CHANYACHAILERT P , LEEYAPHAN C , BUNYARATAVEJ S . Cutaneous fungal infections caused by dermatophytes and non-dermatophytes: an updated comprehensive review of epidemiology, clinical presentations, and diagnostic testing [J ] . J Fungi(Basel) , 2023 , 9 ( 6 ): 669 .
郑筱萸 . 中药新药临床研究指导原则 [M ] . 北京 : 中国医药科技出版社 , 2002 : 299 - 302 .
王海亮 , 李博琪 , 许洋 , 等 . 手足癣中医外治法研究进展 [J ] . 中国民间疗法 , 2024 , 32 ( 7 ): 112 - 115 .
薛东运 . 复方苦参汤外洗治疗角化过度型足癣的临床疗效 [J ] . 中国中西医结合皮肤性病学杂志 , 2022 , 21 ( 1 ): 49 - 51 .
李国香 . 自拟除癣外洗方治疗角化过度型手足癣的临床及体外抑菌实验研究 [J ] . 中国民间疗法 , 2021 , 29 ( 2 ): 71 - 74 .
赵炳南 , 张志礼 . 简明中医皮肤病学 [M ] . 北京 : 中国中医药出版社 , 2014 : 298 .
杨岚 , 曲剑华 . 赵炳南外治洗方的临证辨析应用 [J ] . 北京中医药 , 2016 , 35 ( 4 ): 320 - 322 .
王倩 , 蔡念宁 , 周冬梅 , 等 . 苍肤洗剂外洗治疗角化性湿疹60例临床观察 [J ] . 北京中医药 , 2018 , 37 ( 6 ): 510 - 512
周涛 , 邓丙戌 , 周冬梅 , 等 . 赵炳南外洗方苍肤洗剂治疗湿滞临证发挥 [J ] . 北京中医药 , 2019 , 38 ( 10 ): 953 - 955 .
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备 11010102006710号