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jie xi dai zhuang zuo zhen bian zheng lun zhi yao dian
Author(s): 
Pages: 111-112
Year: Issue:  7
Journal: Chinese Journal of Information on Traditional Chinese Medicine

Keyword:  带状疱疹辨证论治蛇串疮;
Abstract: 带状疱疹由水痘-带状疱疹病毒引起,春秋季节容易发病,皮损特点为数个簇集性水疱群、排列成带状、沿周围神经分布,可发生于皮肤任何部位且多呈单侧性,常伴有神经痛。本病属中医学“缠腰火丹”范畴。相关描述可见《外科准绳?缠腰火丹》“腰生疮,累累如珠何如,名缠腰火丹”、《外科大成?缠腰火丹》“初生于腰,紫赤如疹,或起水疱,痛如火燎”。在辨证论治方面,《医宗金鉴?外科心法要诀》比较详细:“其有干湿不同,红黄之异。属肝心二经风火者,治宜龙胆泻肝汤;属脾肺二经湿热者,治宜除湿胃苓汤。”因本病常发腰部,民间又有“缠腰龙”“缠腰蛇丹”等称呼,现临床统称“蛇串疮”。多年来,笔者通过大量临床实践,积累了一些带状疱疹内治法经验,现阐述如下。
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