Hangzhou Kezhentang TCM Clinic
National Standard Code
BWP
GB/T 15657-2021
Category
皮肤科病证

Traditional Chinese Medicine Definition

Allergic purpura, also known as purpura wind, falls under the category of dermatological diseases in traditional Chinese medicine (TCM). According to the classic text "Internal Medicine of Traditional Chinese Medicine," allergic purpura is caused by the invasion of wind-heat, which damages the meridians and collaterals, leading to the uncontrolled flow of blood. The condition is characterized by purple-red ecchymoses on the skin, accompanied by symptoms such as itching and pain.

过敏性紫癜在中医临床中,其核心病机为风热侵袭,损伤脉络,血溢脉外。常见诱因包括饮食不节、情志不畅、劳倦过度等。辨证时需注意区分以下关键点:

1. 寒热虚实:风热伤络证以紫癜色红、发病急、瘙痒为主,属实证;阴虚火旺证则以紫癜反复、低热盗汗为特征,属虚证。

2. 病位:病变多见于皮肤,也可累及关节、肠胃等。

整体调理方向提示:中医临床中,治疗过敏性紫癜应遵循疏风清热、凉血止血的原则。对于风热伤络证,可选用疏风清热、凉血止血的方剂;对于阴虚火旺证,则宜滋阴降火、宁络止血。传统中医认为,通过调整机体阴阳平衡,达到治疗目的。

Common Syndrome Types and Key Points of Differentiation

风热伤络证

Main Manifestations:紫癜色红,发病急,瘙痒

Management Approach:疏风清热,凉血止血

阴虚火旺证

Main Manifestations:紫癜反复,低热盗汗

Management Approach:滋阴降火,宁络止血

The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.

Physician's Clinical Insights

过敏性紫癜患者,多以血热为主,清热凉血、活血化瘀常能缓解症状。

王正香 中医执业医师

Reviewed by:王正香(中医执业医师)| 2026-07-07 | Version 2

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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.

参考文献:《中医内科学》(十三五规划教材)《中医病证诊断疗效标准》(ZY/T001.1-94)《中医病证分类与代码》(GB/T 15657-2021)

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