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中医药治疗慢性湿疹的研究进展
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| 篇名： | 中医药治疗慢性湿疹的研究进展 |
| TITLE： | Research progress of traditional Chinese medicine in the treatment of chronic eczema |
| 摘要： | 慢性湿疹在我国有着较高的发病率，严重影响患者生活质量。中医药凭借辨证论治与整体观念的独特优势，通过内外兼治的方式，在慢性湿疹的治疗中得以广泛应用，并在缓解病情、降低复发率、维持病情稳定、提升患者生活质量等方面表现出了良好的效果和独特的优势。其中，内服中药（如加味龙胆泻肝汤）可通过整体调节来改善患者症状；外用中药可借助熏洗、溻渍、膏剂等药物疗法直接作用于皮损部位，亦可结合针刺、艾灸、穴位埋线、刺络拔罐等非药物疗法有效缓解相关临床症状；此外，中药内服联合外用、多种外治法整合及中西医结合等特色治疗方案在调节免疫功能、减轻皮损及瘙痒症状等方面亦表现出一定优势，这些疗法相互配合，形成内外同治的协同效应。建议未来开展更多高质量、大样本临床研究，系统证实中医药的治疗优势并深入探讨其发挥作用的具体分子机制。 |
| ABSTRACT： | Chronic eczema has a high prevalence in China， significantly impacting patients’ quality of life. Leveraging the unique advantages of pattern identification/syndrome differentiation and treatment， along with a holistic approach， traditional Chinese medicine （TCM）， which integrates internal and external therapies， has been widely applied in the management of chronic eczema. It has demonstrated significant efficacy and distinctive strengths in alleviating symptoms， reducing recurrence rates， maintaining disease stability， and enhancing patients’ quality of life. Oral administration of TCM（e.g. modified Longdan xiegan decoction） can improve patients’ clinical symptoms through systemic regulation. External use of TCM can directly act on the skin lesion with the help of steaming and washing， hydropathic compress， ointment and other forms. At the same time， it can effectively relieve the clinical symptoms of chronic eczema by combining with non-drug therapies such as acupuncture， moxibustion， acupoint catgut embedding， blood-letting puncture and cupping. In addition， characteristic therapies such as oral administration of TCM combined with external treatment， a combination of various external treatments and a combination of Chinese and Western medicine have also demonstrated certain advantages in regulating immune function， alleviating skin lesions， and relieving itching symptoms. These therapies cooperate with each other， creating a synergistic effect that treats both the symptoms and the root cause simultaneously. It is suggested that more high-quality， large-scale clinical research should be conducted in the future to systematically confirm the therapeutic advantages of TCM and further explore the specific molecular mechanism of action. |
| 期刊： | 2026年第37卷第06期 |
| 作者： | 张霞；饶志粒；刘霞；沈萍；王琴 |
| AUTHORS： | ZHANG Xia，RAO Zhili，LIU Xia，SHEN Ping，WANG Qin |
| 关键字： | 中医药；慢性湿疹；内服；外治；中西医结合 |
| KEYWORDS： | traditional Chinese medicine； chronic eczema； oral administration； external treatment； combination of Chinese and |
| 阅读数： | 7 次 |
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