席建元基于“玄府”理论运用风药治疗过敏性紫癜经验
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(1. 湖南中医药大学,湖南 长沙 410208;2. 湖南中医药大学第一附属医院,湖南 长沙 410007)

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张玉凤(2000-),女,在读硕士研究生,E-mail: 1613133209@qq.com

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基金项目: 湖南省自然科学基金部门联合基金项目(2023JJ60490);长沙市自然科学基金项目(kq2208204);湖南中医药大学国家级预研项目(2022YYZK005)


Professor Xi Jianyuan‘s Experience in Treating Anaphylactoid Purpura with Wind-Dispelling Medicinals Based on "Xuanfu" Theory
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(1. Hunan University of Chinese Medicine, Changsha 410208, China; 2. The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410007, China)

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    摘要:

    过敏性紫癜是一种常见的由IgA(Immuneglobulin A)介导的高敏性毛细血管炎症性疾病,归属于中医学“紫癜”“血症”范畴,病位涉及广泛。席建元教授基于刘完素的“玄府气液说”,结合自身临床实践提出“玄府郁闭,气机失调,脏腑失养”为本病核心病机,借风药升透之性“开玄透府”,使邪有出路,气血畅达而病愈。本文系统总结席教授基于玄府理论应用风药辨证施治,为过敏性紫癜的临床治疗提供思路。

    Abstract:

    Henoch-Sch?觟nlein purpura(HSP) is a common IgA-mediated hypersensitivity vasculitis, categorized under the traditional Chinese medicine(TCM) concepts of "purpura" and "blood syndrome" with multisystem involvement. Professor Xi Jianyuan, based on Liu Wansu‘s "Xuanfu Qi-Fluid Theory" and his own clinical experience, proposes that the core pathogenesis of HSP lies in "obstructed Xuanfu(microscopic functional pores), dysregulated Qi movement, and malnourished viscera". By leveraging the ascending and dispersing properties of wind-dispelling herbs to "open the Xuanfu and expel pathogens", he aims to restore Qi-blood circulation and achieve therapeutic efficacy. This article systematically summarizes Professor Xi‘s application of wind-mediating herbs guided by Xuanfu theory, providing insights for the clinical treatment of HSP.

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  • 收稿日期:2025-05-26
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  • 在线发布日期: 2026-03-04
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