形气神三位一体生命观视角下的慢性湿疹中医脏腑辨治思路探讨

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关键词：慢性湿疹；形气神；心肝脾；瘙痒；皮损改变；情志改变；睡眠障碍；理论探讨 中图分类号：R275.9 文献标志码：A 文章编号：1007-3213（2025）08-2064-06 DOI：10.13359/j.cnki. gzxbtcm.2025.08.035

Abstract：Chronic eczema is clinically characterized by pruritus and skin lesions such as macules，exudation， desquamation，and lichenification.Traditional Chinese medicine（TCM）typically attributes itspathogenesis to wind，dampness，and heat pathogens，and TCM treatment for chronic eczema focused on dispeling wind， eliminating dampness，and clearing heat.However，there were fewer reports about the treatment of accompanying emotional changes and sleep disturbances in chronic eczema patients.This paper integrated the physique- qi -spirit trinitylifeviewwithzang- organ differentiation，and proposed that the disorder of spleen transportation and transformationcontributed to the pathological foundation ofchronic eczema，while the dysfunctionof heart and liver was the factorthatsignificantly influenced disease progresionafteranalyzing the clinicalfeatures of chronic eczema. For the treatment of chronic eczema，the establishment of strategies should consider clinical characteristics， duration of disease，and skin lesion patterns.Thecombination of physique-qi-spirit regulation with heart-liverspleen treatment approaches aims to alleviate clinical symptoms，improve qualityof life，and enhance therapeutic efficacy for chronic eczema patients.

Keywords： chronic eczema; physique- qi -spirit； heart-liver-spleen；pruritus；skin lesions； emotionaldisorders；sleep disorders；theoretical exploration

湿疹是由多种内外因素引起的一种以“瘙痒、斑疹、渗出、脱屑、皮肤增厚”为特征的炎症性、复发性皮肤病，长期瘙痒和皮肤改变可影响患者身心健康。（剩余8444字）