CAJ | 학술논문

银屑病是古代病名以“癣”为主的易于复发的慢性炎症性皮肤病，其发病除与自身气血津液变化相关，还与外感六淫关系密切。本文从外感六淫角度对与病因病机和治疗相关的古医籍进行整理，发现银屑病病因包括外因风、寒、湿、热四邪与内因血虚、血燥，其治疗以祛风、清热、润燥三大治法为主，从而归纳病机为风毒客于腠理，入内灼伤营血，血燥不荣于外，治疗上可以透风解毒、养血润燥、凉血活血为治法，兼察病患脏腑气血功能状态，以期为银屑病现代临床防治提供借鉴和依据。
은설병시고대병명이“선”위주적역우복발적만성염증성피부병，기발병제여자신기혈진액변화상관，환여외감육음관계밀절。본문종외감육음각도대여병인병궤화치료상관적고의적진행정리，발현은설병병인포괄외인풍、한、습、열사사여내인혈허、혈조，기치료이거풍、청열、윤조삼대치법위주，종이귀납병궤위풍독객우주리，입내작상영혈，혈조불영우외，치료상가이투풍해독、양혈윤조、량혈활혈위치법，겸찰병환장부기혈공능상태，이기위은설병현대림상방치제공차감화의거。
Psoriasis is a recrudescent chronic inflammatory dermatosis which is called“tinea”in ancient times. Its pathogenesis is not only associated with changes in the blood and body fluids, but also has close connection with external infection of six evil factors. This article sorted data of pathogenesis and treatment from the perspective of external infection of six evil factors, and discovered that pathogenesis of psoriasis includes external factors of four evils of wind, cold, damp and heat and internal factors of blood deficiency and blood dryness. Ancient treatment was based on dispelling wind, clearing away heat and moistening dryness. The pathogenesis can be summarized as follows:wind and poison attack skin and hinder blood production. The treatment can be “let in air for detoxification, enrich blood and moister dryness, cooling and activating blood”, blood and functional status of organs of patients should be observed, with a purpose to provide references and basis for modern clinical prevention and treatment of psoriasis.