实用皮肤病学杂志
實用皮膚病學雜誌
실용피부병학잡지
JOURNAL OF PRACTRCAL DERMATOLOGY
2014年
1期
46-49
,共4页
蔡一歌%金力%娄卫海%李伟凡
蔡一歌%金力%婁衛海%李偉凡
채일가%금력%루위해%리위범
银屑病,寻常性,顽固性%经络%皮部%分布规律
銀屑病,尋常性,頑固性%經絡%皮部%分佈規律
은설병,심상성,완고성%경락%피부%분포규률
Psoriasis,vulgaris,recalcitrant%Meridians and collaterals%Cutaneous regions%Regulation,distribution
目的：应用中医学十二皮部理论观察顽固性寻常性银屑病的主要皮损分布部位，分析其在十二皮部的分布规律以及血热证、血瘀证、血燥证3个基本证型之间皮损所在皮部的分布规律，为进一步完善银屑病辨证论治理论、提高临床疗效奠定理论基础。方法对顽固性寻常性银屑病患者皮损所在皮部进行观察，将主要皮损部位描画于“皮损所在皮部研究观察表”，记录患者皮损所在的皮部。总结皮损在十二皮部出现的频数及百分率，并进行排序，分析其在十二皮部的分布规律以及不同证型间皮损所在皮部的分布规律。结果顽固性寻常性银屑病皮损在十二皮部分布的频率差异具有统计学意义（P＜0.05），皮损主要分布在足太阳膀胱经皮部、足阳明胃经皮部、足少阳胆经皮部、足厥阴肝经皮部和足太阴脾经皮部。顽固性寻常性银屑病各证型（血热证、血燥证、血瘀证）之间皮损在十二皮部分布的频率差异，以及各证型与总体相比较皮损在十二皮部分布的频率差异，尚均未发现具有统计学意义（P＞0.05）。结论顽固性寻常性银屑病皮损在十二皮部的分布具有一定规律性，足太阳膀胱经、足阳明胃经、足少阳胆经、足厥阴肝经和足太阴脾经等皮部皮损分布较多，提示以上经络脏腑可能与顽固性寻常性银屑病具有一定相关性；顽固性寻常性银屑病皮损在十二皮部的分布与银屑病“从血论治”的分型尚无明显相关性。
目的：應用中醫學十二皮部理論觀察頑固性尋常性銀屑病的主要皮損分佈部位，分析其在十二皮部的分佈規律以及血熱證、血瘀證、血燥證3箇基本證型之間皮損所在皮部的分佈規律，為進一步完善銀屑病辨證論治理論、提高臨床療效奠定理論基礎。方法對頑固性尋常性銀屑病患者皮損所在皮部進行觀察，將主要皮損部位描畫于“皮損所在皮部研究觀察錶”，記錄患者皮損所在的皮部。總結皮損在十二皮部齣現的頻數及百分率，併進行排序，分析其在十二皮部的分佈規律以及不同證型間皮損所在皮部的分佈規律。結果頑固性尋常性銀屑病皮損在十二皮部分佈的頻率差異具有統計學意義（P＜0.05），皮損主要分佈在足太暘膀胱經皮部、足暘明胃經皮部、足少暘膽經皮部、足厥陰肝經皮部和足太陰脾經皮部。頑固性尋常性銀屑病各證型（血熱證、血燥證、血瘀證）之間皮損在十二皮部分佈的頻率差異，以及各證型與總體相比較皮損在十二皮部分佈的頻率差異，尚均未髮現具有統計學意義（P＞0.05）。結論頑固性尋常性銀屑病皮損在十二皮部的分佈具有一定規律性，足太暘膀胱經、足暘明胃經、足少暘膽經、足厥陰肝經和足太陰脾經等皮部皮損分佈較多，提示以上經絡髒腑可能與頑固性尋常性銀屑病具有一定相關性；頑固性尋常性銀屑病皮損在十二皮部的分佈與銀屑病“從血論治”的分型尚無明顯相關性。
목적：응용중의학십이피부이론관찰완고성심상성은설병적주요피손분포부위，분석기재십이피부적분포규률이급혈열증、혈어증、혈조증3개기본증형지간피손소재피부적분포규률，위진일보완선은설병변증론치이론、제고림상료효전정이론기출。방법대완고성심상성은설병환자피손소재피부진행관찰，장주요피손부위묘화우“피손소재피부연구관찰표”，기록환자피손소재적피부。총결피손재십이피부출현적빈수급백분솔，병진행배서，분석기재십이피부적분포규률이급불동증형간피손소재피부적분포규률。결과완고성심상성은설병피손재십이피부분포적빈솔차이구유통계학의의（P＜0.05），피손주요분포재족태양방광경피부、족양명위경피부、족소양담경피부、족궐음간경피부화족태음비경피부。완고성심상성은설병각증형（혈열증、혈조증、혈어증）지간피손재십이피부분포적빈솔차이，이급각증형여총체상비교피손재십이피부분포적빈솔차이，상균미발현구유통계학의의（P＞0.05）。결론완고성심상성은설병피손재십이피부적분포구유일정규률성，족태양방광경、족양명위경、족소양담경、족궐음간경화족태음비경등피부피손분포교다，제시이상경락장부가능여완고성심상성은설병구유일정상관성；완고성심상성은설병피손재십이피부적분포여은설병“종혈론치”적분형상무명현상관성。
Objective Through observing the location of lesions of recalcitrant psoriasis vulgaris on twelve cutaneous regions, analyze the regulation of lesions distribution and the regulation between three different Chinese medicine patterns of psoriasis vulgaris (blood heat pattern, blood stasis pattern and blood dryness pattern), to establish the basis of the perfection of the theory of syndrome differentiation and treatment in psoriasis and make the better therapeutic effect. Methods Observe the location of the lesions of recalcitrant psoriasis vulgaris. Draw the main parts of lesions on the graph of twelve cutaneous regions and mark which cutaneous regions they were in. Summarize the lesions’ frequency of occurrence on twelve cutaneous regions and sequence the percentage of frequency of occurrence. Analyze the regulation of distribution of lesions in the twelve cutaneous regions and the regulation in different patterns. Results The frequency difference of lesions distribution of recalcitrant psoriasis vulgaris on cutaneous regions was statistically significant (P<0.05). Lesions are mainly distributed in the bladder meridian, stomach meridian, gallbladder meridian, liver meridian and spleen meridian. The distribution ratios of the lesions of different patterns of recalcitrant psoriasis vulgaris (blood heat pattern, blood stasis pattern and blood dryness pattern) and ratios which compared to the overall were not statistically signiifcant (P>0.05). Conclusion These ifndings suggest that there is some regularity in the distribution of lesions of recalcitrant psoriasis vulgaris in twelve cutaneous regions;there is no signiifcant correlation between the distribution of lesions of recalcitrant psoriasis vulgaris in the twelve cutaneous regions and different TCM patterns by blood.
