浙江中医药大学学报2025，Vol.49Issue(4)：452-455,4.DOI:10.16466/j.issn1005-5509.2025.04.010
"开鬼门""洁净府""去菀陈莝"治疗免疫性皮肤病临床经验
The Clinical Experience of Treating Immune-Mediated Dermatoses with the Methods"Open Pores""Clean Organs"and"Loosen Stools"
摘要
Abstract
[Objective]Through case analysis,to illustrate the importance of the three methods"open pores","cleaning organs"and"loosen stools"in the treatment of immune-mediated dermatoses.[Methods]Three cases of immune-mediated dermatoses treated by LI Zhengfu were compiled.The etiology,pathogenesis and clinical medication rules at different stages of the disease were analyzed,and the clinical experiences of applying the methods"open pores","clean organs"and"loosen stools"from Neijing were summarized.[Results]The initial pathogenesis of immune-mediated dermatoses involves the stagnation of pathogenic factors on the surface,closure of pores and disharmonious Yingwei.The treatment focus is on the"open pores"method,which involves opening the lung Qi to dispel evil.During the course of the disease,pathological products such as phlegm dampness,water retention and blood stasis may be developed.The treatment focus shifts to the"clean organs"and"loosen stools"methods,aiming to resolve dampness,promote urination and activate blood circulation to eliminate pathogenic factors.Case one was addiction rash(wind cold restricting superficial),treated by dispelling wind and dispersing cold,solving the superficial wet,with Mahuang Xinren Yiyi Gancao Decoction and Guizhi Mahuang Half-Half Decoction;Case two was muscle numbness(triple-Jiao dampness and heat),treated by clearing heat and dampness,relieving triple-Jiao,with revised Haoqin Qingdan Decoction and Sanren Decoction;Case three was psoriasis(hot and toxic blood stasis),treated by clearing heat and cooling blood,dispelling wind and smoothing collateral,with revised Simiao Yong'an Decoction.Three medical cases respectively validated the significant efficacy of the three methods.[Conclusion]The etiology and pathogenesis of immune-mediated dermatoses in traditional Chinese medicine are complex,and the disease course is prolonged.Clinically,flexible application of the three methods"open pores""clean organs"and"loosen stools"for syndrome differentiation and treatment is recommended.关键词
免疫性皮肤病/病因病机/开鬼门/洁净府/去菀陈莝/临床经验/医案Key words
immune-mediated dermatoses/etiology and pathogenesis/open pores/clean organs/loosen stools/clinical experience/medical records分类
医药卫生引用本文复制引用
曹楚楚,范凯杰,李正富.."开鬼门""洁净府""去菀陈莝"治疗免疫性皮肤病临床经验[J].浙江中医药大学学报,2025,49(4):452-455,4.基金项目
科技部国家重点研发计划项目子课题(2018YFC1704102) （2018YFC1704102）
浙江省中青年临床名中医培养项目(浙中医药[2022]7 号)Sub-project of the National Key Research and Development Program of the Ministry of Science and Technology(2018YFC1704102) （浙中医药[2022]7 号）
Zhejiang Province Young and Middle-Aged Clinical Famous TCM Training Project(Z.TCM.[2022]7) （Z.TCM.[2022]7）
