皮肤瘙痒症
Alias风瘙痒
Traditional Chinese Medicine Definition
In traditional Chinese medicine, pruritus is known as "wind itching," a condition categorized under dermatological diseases. According to the classical text "Internal Medicine in Traditional Chinese Medicine," it is described as: "Wind itching is characterized by intolerable itching of the skin, relentless scratching, bleeding upon scratching, dry skin, and may be accompanied by symptoms such as restlessness and insomnia." This condition is often attributed to the invasion of wind pathogen, internal heat, and malnutrition of the skin.
In clinical practice of traditional Chinese medicine, the core pathogenesis of pruritus is the invasion of wind and internal heat. Common triggers include irregular diet, emotional disturbances, and improper balance of work and rest. During diagnosis, attention should be paid to the following key points:
1. Cold and heat, deficiency and excess: Wind-heat syndrome presents with intermittent exacerbation of itching, worse upon exposure to heat; blood deficiency and liver hyperactivity syndrome is characterized by itching predominantly at night and dry skin.
2. Key points for differentiation: Observe the onset time, intensity of itching, and accompanying symptoms.
Overall treatment approach: In clinical practice, the treatment of pruritus in traditional Chinese medicine often focuses on expelling wind and clearing heat, nourishing blood and calming the liver, and removing wind and moistening dryness. By adjusting the internal and external environment of the body, restoring the balance of Qi and blood, the aim is to alleviate itching. Traditional Chinese medicine believes that the adjustment should be tailored to the specific constitution and condition of the patient, utilizing a comprehensive approach that includes internal herbal medicine, external applications, and therapies such as acupuncture and cupping.
Common Syndrome Types and Key Points of Differentiation
风热血热证
Main Manifestations：瘙痒阵发性加剧,遇热更甚
Management Approach：疏风清热,凉血止痒
血虚肝旺证
Main Manifestations：瘙痒以夜间为主,皮肤干燥
Management Approach：养血平肝,祛风润燥
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
For patients with pruritus, it is essential to carefully differentiate whether the condition is due to wind, dampness, heat, or dryness, and to apply the respective methods of expelling wind, removing dampness, clearing heat, and moistening dryness.
— 朱永兵 中医执业医师
Guidance for Nearby Treatment
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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)