基于津血同源从肺脾肾针刺论治特应性皮炎

关键词：针刺；特应性皮炎；津血同源；肺脾肾关联；清肺宣郁；布津畅络；补益脾肾；养血润燥中图分类号：R246.9 文献标志码：A 文章编号：1007-3213（2025）08-1970-07DOI： 10.13359/j. cnki. gzxbtcm.2025.08.021

Abstract：Basedon the theoryof“body fluid and blood sharing the same origin”，this paper reveals that the core pathogenesis of atopicdermatitis（AD）lies intheabnormaldistributionand transformationofbodyfluidand blood， which is closely related todysfunction of the lung，spleen，and kidney.Integrating modern medical research on immune regulation and skin barier function，we propose that in theearly stage of AD，due to deficient endowment，acquired lossof nutrition，insuffciencyof the spleen and kidney，and failureof the lung-defense system to protect，external pathogens stagnate in the fleshy exterior.This leads to dysfunction of the lung's governance over the skin，impaired distribution of body fluid，obstruction of qi and blood circulation，and stagnation in the skin，resulting in exudative dampness.The dampnessstagnates and transforms into heat. Acupuncture should primarily focus on clearing the lung，dispersing stagnation，distributing body fluid，and unblocking collaterals.In the middle and late stages，as lung disease affectsthe spleen and kidney，acupuncture should emphasize supplementing and tonifying the spleen and kidney，nourishing blood，and moistening dryness， while simultaneously addressing both the root and the branch.For intractable pruritus，fire needling or prickingcollateral cupping can be employed to control itching and reduce recurrence.

Keywords：acupuncture；atopic dermatitis；body fluid and blood sharing the same origin；lung-spleen-kidney association；clearing the lungand dispersingstagnation；distributing body fluidandunblocking collaterals; supplementing and tonifying the spleen and kidney；nourising blood and moistening dryness

特应性皮炎（atopicdermatitis，AD）是一种慢性、过敏性皮肤疾患，中医学病名为“四弯风”，也称“乳癣”“血风疮”等。（剩余10583字）