王引兰 黄宁

    【摘 要】 斑是皮肤病最常见的一种原发性皮损，部分以炎症性斑为主要皮损表现的皮肤病具有起病突然，发展迅速，病情易深重的特点，中医药治疗此类疾病可以根据病患体质，四诊合参进行辨证施治，既可有效缓解症状，又可防止病情传变，改善预后。文章从“斑为阳明热毒”理论探讨部分炎症性斑皮肤病的病因病机，并总结了肖定远教授治疗此类疾病的临证经验。肖定远教授认为，此类皮肤病病机多为阳明热毒炽盛，热迫营血，血络被灼，外溢发于肌表，从而表现为红斑，常以清热解毒凉血为治疗大法，并随症加减，疗效显著。

    【关键词】 斑为阳明热毒；猩红热型药疹；日光性皮炎 丹毒

    【中图分类号】R249? 【文献标志码】 A? 【文章编号】1007-8517(2024)02-0092-04

    DOI：10.3969/j.issn.1007-8517.2024.02.zgmzmjyyzz202402020

    Analysis on The Differentiation and Treatment of Skin Diseases Based on “Erythema are Caused by Yangming Toxic Heat”

    WANG Yinlan1 HUANG Ning2*

    1.Fujian University of Traditional Chinese Medicine，Fuzhou 350122，China;

    2.The Second Peoples Hospital Affiliated to Fujian University of Traditional Chinese Medicine，Key Laboratory of

    Fujian Province Universities for Dermatology of Integrated Traditional Chinese and WesternMedicine，Fuzhou 350001，China

    Abstract：Macule is the most common primary skin lesion in skin diseases.Some skin diseases characterized by inflammatory plaques have the characteristics of sudden onset，rapid development，and susceptibility to severe illness.Traditional Chinese medicine can treat such diseases based on the patients physique and the combination of four diagnostic methods ......