李斌教授治疗银屑病血燥证经验探微

摘 要 李斌教授认为，血燥证是银屑病退行期的重要证型，其基本病机为血热阳浮，血亏化燥，治疗上将凉血潜阳法与柔肝养血、滋阴敛阳法并举，临证基本方由外科六号方加乌梅、南沙参、生地、白芍和麦冬制成。李斌教授善从肝论治，巧用归芍、乌梅五味之对。本文介绍李斌教授治疗银屑病血燥证谴方用药之经验，以飨同道。

关键词 李斌教授 银屑病 血燥证 临证经验

中图分类号：R275.1； R249 文献标志码：A 文章编号：1006-1533（2022）13-0040-03

引用本文 张颖， 周蜜， 蒯仂， 等. 李斌教授治疗银屑病血燥证经验探微[J]. 上海医药， 2022， 43（13）： 40-42； 95.

LI Bin’s medication experience in the treatment of psoriasis with blood dryness syndrome

ZHANG Ying1， 2， ZHOU Mi1， 2， KUAI Le1， 2， LUO Ying1， 2， CHEN Jie1， 2， XU Rong1， 2， WANG Yifei1， 2， LI Xin1， 2， CHEN Yiran1， 2， LUO Yue3（1. Department of Dermatology， Yueyang Hospital of Integrated Traditional Chinese and Western Medicine， Shanghai University of Traditional Chinese Medicine， Shanghai 200437， China； 2. Institute of Dermatology， Shanghai Academy of Traditional Chinese Medicine， Shanghai 200437， China； 3. Department of Traditional Chinese Medicine Dermatology， Shanghai Dermatology Hospital， Tongji University， Shanghai 200443， China）

ABSTRACT Blood dryness is considered as the kernel syndrome in the extinction stage of psoriasis vulgaris based the medication experience of professor LI Bin and its basic pathogenesis is blood heat and Yang floating and blood deficiency and dryness. The promoting and removing blood stasis and cooling blood and latent Yang treatment are combined with enriching liver and blood and nourishing Yin and limiting Yang. Surgical No. 6 formula modified with Prunus mume， Adenophprae Ae Radix， Radix Rehmanniae Praeparata， Paeoniae Radix Alba， and Ophiopogon japonicus is selected as the basic formula. In particular， professor LI Bin attaches importance to the treatise on the disease of the skin from liver， and is ingenious about using the pairs of Angelicae Sinensis Radix and Paeoniae Radix Alba， as well as Prunus mume and Schisandrae Chinensis Fructus. Professor LI Bin’s clinical expertise in the treatment of psoriasis vulgaris with blood dryness syndrome is introduced in this paper for peer sharing.

KEy wORDS LI Bin； psoriasis； blood dryness syndrome； medication experience

银屑病在中医学中被称为白疕、干癣、燥癣，其迁延难愈，常与心血管疾病、慢性阻塞性肺疾病[1]、糖尿病、肿瘤等共患[2]，严重影响患者的生活质量。（剩余5937字）