北京中医药大学学报2025，Vol.48Issue(4)：542-546,5.DOI:10.3969/j.issn.1006-2157.2025.04.011
基于玄府-络脉理论辨治荨麻疹性血管炎
Differentiation and treatment of urticarial vasculitis based on the theory of Xuanfu-collateral theory
摘要
Abstract
Urticarial vasculitis is a skin disease with urticaria-like lesions and a histopathological pattern of leukocytoclastic vasculitis.It is considered a"hidden rash"in traditional Chinese medicine.Xuanfu is the portal that regulates qi,blood,fluid,and the ascending,descending,exiting,and entering of nutrition qi and defensive qi.Collaterals are the pathways for the circulation of qi and blood.The two accompany each other,connecting zang-fu organs,reaching the surfaces of the skin,hair,and external body,circulating qi and fluid,and moistening and protecting the skin.Based on the theory of Xuanfu-collateral,this study aimed to clarify the etiology,pathogenesis,and treatment method of urticarial vasculitis.External assault by wind and Xuanfu blockage are believed to be the initiating factors of this disease.The malnutrition of Xuanfu and collaterals and accumulated dampness-heat are important links in the occurrence and development of urticarial vasculitis.It spreads from Xuanfu to the collaterals,and blockage of the collaterals is the immanent trend of this disease.Clinically,by closely adhering to the core pathogenesis of blockage of Xuanfu-collateral,treatment method such as using wind medicinals to open Xuanfu with pungent and dispersing properties,using the method of supplement deficiency and removing the blockage,and using medicinals to promote blood circulation and remove blood stasis to unblock the blocked collaterals.The herbs are flexibly added or subtracted to unblock Xuanfu and collaterals,harmonize qi and blood,thus all symptoms can be relieved.We hope that this study will provide new ideas for the treatment of urticarial vasculitis with traditional Chinese medicine.关键词
荨麻疹性血管炎/玄府/络脉/皮肤微循环Key words
urticarial vasculitis/Xuanfu/collaterals/skin microcirculation分类
中医学引用本文复制引用
刘珂依,田野,杜悦,西子晔,章昊旻,卢思思,李鑫,李玲玲..基于玄府-络脉理论辨治荨麻疹性血管炎[J].北京中医药大学学报,2025,48(4):542-546,5.基金项目
北京市科技计划项目(No.Z221100007422102) （No.Z221100007422102）
第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号) Beijing Science and Technology Plan Project(No.Z221100007422102) （国中医药人教函[2022]1号）
