Pathogenesis and Treatment of Atopic Dermatitis from the Theory of Pathogens Intruding Eight Weak Areas
10.13288/j.11-2166/r.2025.15.007
- VernacularTitle:从邪客“八虚”探讨特应性皮炎的病机与治疗
- Author:
Zhengwen TENG
1
;
Nan LI
1
;
Sai ZHANG
1
;
Xiaohan HANG
2
;
Fengchuan ZHANG
1
;
Yuanwen LI
1
Author Information
1. Dongfang Hospital，Beijing University of Chinese Medicine，Beijing，100078
2. Beijing Daxing District People's Hospital
- Publication Type:Journal Article
- Keywords:
atopic dermatitis;
eight weak areas;
deficiency-excess complex;
disorder of zang-fu organs
- From:
Journal of Traditional Chinese Medicine
2025;66(15):1548-1552
- CountryChina
- Language:Chinese
-
Abstract:
Based on the discussion of "eight weak areas" in The Inner Canon of Yellow Emperor （《黄帝内经》）， combined with the typical rash manifestations of atopic dermatitis， it is believed that atopic dermatitis is mostly deficiency-excess complex， and that pathogens intruding eight weak areas are the core of its pathogenesis. The external cause is exterior deficiencies， with heat， wind， dampness and other pathogenic qi attacking. The heart， lungs， kidneys out of balance， and excess pathogen are the internal cause， in which fire constraint and excessive heat are the basis of the disease， the wind invading leads to the progress of the changes， dampness obstructing channels and colla-terals make the condition persistent. Internal and external pathogens combination and retention result to the course of the disease lingering and difficult to cure. The internal treatment is to regulate zang-fu organs， and the formula could use self-prescribed modified Qingrun Tongluo Decoction （清润通络汤）， clearing heart and reducing fire in order to clear the heat and cool the blood， moistening lungs and generating metal to consolidate the exterior and dispel the wind， and nourishing kidneys and draining water to dispel the dampness and activate the collaterals. The external treatment applies maceration， fire acupuncture， wrapping to dredge the eight weak areas and regulate qi and blood in channel， so as to expel pathogens.
