The Clinical Experience of Treating Immune-Mediated Dermatoses with the Methods"Open Pores"Clean Organs"and"Loosen Stools"
10.16466/j.issn1005-5509.2025.04.010
- VernacularTitle:"开鬼门""洁净府""去菀陈莝"治疗免疫性皮肤病临床经验
- Author:
Chuchu CAO
1
;
Kaijie FAN
;
Zhengfu LI
Author Information
1. 浙江中医药大学附属金华中医院 浙江,金华 321000;浙江中医药大学附属第二医院范永升全国名中医工作室金华中医院站
- Publication Type:Journal Article
- Keywords:
immune-mediated dermatoses;
etiology and pathogenesis;
open pores;
clean organs;
loosen stools;
clinical experience;
medical records
- From:
Journal of Zhejiang Chinese Medical University
2025;49(4):452-455
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]Through case analysis,to illustrate the importance of the three methods"open pores","cleaning organs"and"loosen stools"in the treatment of immune-mediated dermatoses.[Methods]Three cases of immune-mediated dermatoses treated by LI Zhengfu were compiled.The etiology,pathogenesis and clinical medication rules at different stages of the disease were analyzed,and the clinical experiences of applying the methods"open pores","clean organs"and"loosen stools"from Neijing were summarized.[Results]The initial pathogenesis of immune-mediated dermatoses involves the stagnation of pathogenic factors on the surface,closure of pores and disharmonious Yingwei.The treatment focus is on the"open pores"method,which involves opening the lung Qi to dispel evil.During the course of the disease,pathological products such as phlegm dampness,water retention and blood stasis may be developed.The treatment focus shifts to the"clean organs"and"loosen stools"methods,aiming to resolve dampness,promote urination and activate blood circulation to eliminate pathogenic factors.Case one was addiction rash(wind cold restricting superficial),treated by dispelling wind and dispersing cold,solving the superficial wet,with Mahuang Xinren Yiyi Gancao Decoction and Guizhi Mahuang Half-Half Decoction;Case two was muscle numbness(triple-Jiao dampness and heat),treated by clearing heat and dampness,relieving triple-Jiao,with revised Haoqin Qingdan Decoction and Sanren Decoction;Case three was psoriasis(hot and toxic blood stasis),treated by clearing heat and cooling blood,dispelling wind and smoothing collateral,with revised Simiao Yong'an Decoction.Three medical cases respectively validated the significant efficacy of the three methods.[Conclusion]The etiology and pathogenesis of immune-mediated dermatoses in traditional Chinese medicine are complex,and the disease course is prolonged.Clinically,flexible application of the three methods"open pores""clean organs"and"loosen stools"for syndrome differentiation and treatment is recommended.
