中醫藥研究論叢

211.3 異位性皮膚炎(Atopic Dermatitis)中醫文獻回顧
TJ TCM.21(1) : 29-42, 2018
異位性皮膚炎(Atopic Dermatitis)中醫文獻回顧
Review of Chinese Medicine Archives and Modern Studies about Atopic Dermatitis
黃奎曄1 林立偉1 蔡金川1,2 吳龍源1*
1 義守大學學士後中醫學系,高雄,台灣
2 財團法人義大醫院中醫部,高雄,台灣
【摘要】
異位性皮膚炎是一種慢性、反覆發作的皮膚疾病,時常從年輕時就開始侵犯身體,對於患者的生活品質、人際關係、家庭照護,都造成一定的負擔,而目前的治療方式仍以西醫為主軸。雖然西醫治療效果不錯,但也有許多患者擔心西藥所造成的副作用,因此轉而求助於中醫治療,並希望藉由根本將異位性皮膚炎完全治癒,不再發作為治療目標。
本回顧查找了古代典籍中描述接近於異位性皮膚炎的相關文獻,了解中醫是如何描述此種疾病,並試著將文獻敘述與臨床所見症狀結合在一起,讓古今醫學的連結更加緊密。另外,也翻閱了近十年的相關研究報導,發現異位性皮膚炎患者的證型以「脾虛濕熱」為最大宗,「血虛風燥」及「濕熱內蘊」則分別占了第二及第三。在相關臟腑方面,以「脾」對整個疾病的影響最大,而外邪中則以「火、熱」與「濕」分別名列一、二。
在整個文獻的回顧過程中,我們希望從中尋找合適的治療方向,希望不只能為臨床治療提供參考,也能對未來的研究能有所貢獻。
【關鍵詞】異位性皮膚炎、中醫藥、文獻回顧
Kuei-Yeh Huang1 Li-wei Lin1 Chin-Chuan Tsai1,2 Lung-Yuan Wu1*
1The school of Chinese Medicine for Post Baccalaureate, I-Shou University, Kaohsiung, Taiwan
2Department of Chinese medicine, E-DA Hospital, Kaohsiung, Taiwan
【Summary】
Atopic dermatitis (AD) is a chronic and relapsing disease which often strike a person from young ages and cause negative effects on life qualities, social networks and health care system. In our society, Western medicine is still the major therapy for AD patients to choose and the consequences are fine under most situations. However, considering the side effects of taking Western medicine for a period of time, some patients turn their eyes toward Chinese medicine for not only to alleviate those annoying symptoms but to cure AD through whole system adjustment.
In this review, we tried to realize the thinking process of Chinese medicine science through searching some of the archives and to establish a closer connection between traditional illustrations and modern symptoms. In the same time, we assembled some of modern studies in 10 years found out that the most seen pattern/syndrome is “spleen deficiency with dampness encumbrance”, which “blood deficiency and wind-dryness” at the second place and “spreading dampness-heat” takes the third. As the Viscera and Bowels part, “Spleen” plays the major role. Talking about External Pathogen, “Heat/Fire” affects most while “Dampness” is the second.
We hope to summarize a suitable therapy direction during this review process which not only to offer a reference for clinical work but to promote our future researches.
KeywordsAtopic dermatitis (AD), Chinese medicine, article review