| 引用本文: |
丁姗姗,王晓旭,侯艺涵,王思晴,张广中.从抗抑郁角度论治银屑病[J].湖南中医药大学学报,2022,42(5):815-819[点击复制] |
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| 从抗抑郁角度论治银屑病 |
| 丁姗姗,王晓旭,侯艺涵,王思晴,张广中 |
| (北京中医药大学研究生院, 北京 100029;首都医科大学附属北京中医医院, 北京 100010) |
| 摘要: |
| 现代医学“神经-内分泌-免疫”网络学说证实了银屑病炎症反应可引发中枢炎症反应，从而加重抑郁症状。中医理论则认为银屑病患者或因心火亢盛，灼伤脉络；或因外感六淫邪气，致肺气失宣，营卫失和；或因有形之邪阻滞经脉，肝疏泄不及，导致气机阻遏、血脉瘀滞等，发为皮疹并发展、加重抑郁。因此，治疗伴抑郁症状的银屑病，可从心、肺、肝辨证论治，并加强心理干预。初步建立银屑病伴抑郁症状的诊疗思路，为提升银屑病的中医临床疗效，探寻银屑病心身同治的方式作出有益尝试。 |
| 关键词: 银屑病 抑郁 神经免疫学说 心火亢盛证 肺热壅盛证 肝郁气结证 心身同治 |
| DOI：10.3969/j.issn.1674-070X.2022.05.020 |
| 投稿时间：2021-10-20 |
| 基金项目:国家自然科学基金项目（81974572）。 |
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| Treatment of psoriasis from the perspective of anti-depression |
| DING Shanshan,WANG Xiaoxu,HOU Yihan,WANG Siqing,ZHANG Guangzhong |
| (Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China;Beijing Hospital of Troditional Chinese Medicine, Capital Medical University, Beijing 100010, China) |
| Abstract: |
| The "neuro-endocrine-immune" network theory of modern medicine has confirmed that the inflammatory response of psoriasis can trigger the central inflammatory response, which can aggravate the symptoms of depression. Traditional Chinese medicine theory holds that patients with psoriasis may burn the vein due to hyperactivity of heart fire; or due to exogenous six pathogenic factors, resulting in lung Qi loss of publicity and camp and defense loss of harmony; or because the visible evil blocks the meridians, the liver is not enough to dredge, resulting in the suppression of Qi and blood stasis, resulting in skin rash and aggravating depression. Therefore, when treating psoriasis with depressive symptoms, we can treat it according to the syndrome differentiation of heart, lung and liver, and strengthen psychological intervention. Initially establish the diagnosis and treatment idea of psoriasis with depression, and make a beneficial attempt to improve the clinical efficacy of traditional Chinese medicine and explore the way of simultaneous treatment of mind and body of psoriasis. |
| Key words: psoriasis depression neuroimmune theory exuberance of heart fire syndrome lung-heat congestion syndrome liver Qi depression syndrome simultaneous treatment of mind and body |
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