李晶 张念志 汪诗清 朱笑笑

    【摘 要】 皮肤瘙痒症是临床常见的皮肤病，多发于老年人，现代医学治疗存在难以根治、不良反应明显的问题，而中医药治疗因其不良反应小、患者依从性高逐渐被广泛运用，若辨证施治准确，往往取得满意疗效。文章总结张念志教授辨证治疗皮肤瘙痒症的经验，张念志教授认为皮肤瘙痒症早期常因正气不足，外感风、湿、热邪所致，久病往往耗伤阴液，致阴虚、血虚、血瘀。临证四诊合参，对于湿热型风瘙痒，选用龙胆泻肝汤合升降散治疗疗效确切。

    【关键词】 老年性皮肤瘙痒症;湿热证;经方;名医经验

    【中图分类号】R249.2/.7? 【文献标志码】 A? 【文章编号】1007-8517(2022)02-0089-03

    Application of ZHANG Nianzhi in Treating Skin Pruritus with Longdan Xiegan Decoction and Shengjiang Powder

    LI Jing1 ZHANG Nianzhi2* WANG Shiqing1 ZHU Xiaoxiao1

    1.Graduate School of Anhui University of Traditional Chinese Medicine，Hefei 230038，China;

    2. The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine，Hefei 230038，China

    Abstract：Skin pruritus is a common clinical skin disease， mostly in the elderly， modern medical treatment is difficult to cure， and obvious adverse reactions， and traditional Chinese medicine treatment is gradually widely used because of its small adverse reactions， high patient compliance， if the syndrome differentiation is accurate， often achieve satisfactory results. This article summarizes Professor Zhang Shenzhis experience in the treatment of skin pruritus based on syndrome differentiation. Zhang Shi believes that skin pruritus is often caused by deficiency of vital qi ......