文章摘要
| 陈瑾 夏晓健 彭瑶 徐敏 .夏晓健治疗妊娠合并湿疹的临床经验[J].江西中医药大学学报,2025,37(5):18-21. |
| 夏晓健治疗妊娠合并湿疹的临床经验 |
| Clinical Experience of XIA Xiaojian in the Treatment of Eczema in Pregnancy |
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| DOI：10.20140/j.2095-7785.2025.05.06 |
| 中文关键词: 妊娠；湿疹；二陈汤；消风散；夏晓健；临床经验 |
| 英文关键词: Pregnancy; Eczema; Erchen Decoction; Xiaofeng Powder; XIA Xiaojian; Clinical Experience |
| 基金项目:国家中医药管理局第七批全国老中医药专家学术经验继承工作资助项目（国中医药人教函［2022］76 号）。 |
| 作者 | 单位 | | 陈瑾 1 夏晓健 1 彭瑶 1 徐敏 2 | 1. 江西省妇幼保健院 南昌 330006；2. 江西中医药大学 南
昌 330004 |
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| 中文摘要: |
| 妊娠合并湿疹是一种特殊人群发生的湿疹。目前多认为本病是由风、湿、热、虫等邪客于肌肤，气血不和，或血虚生
风化燥，肌肤失于濡养所致。夏晓健认为，妊娠合并湿疹的病因是“虚”“湿”“风”，内湿、郁热、受风是其主要病机。妊娠
病常见脾胃虚弱，脾虚则湿邪内生，郁久化热，风邪易于侵犯人体肌表，引动体内湿热之邪发于腠理，从而导致湿疹。夏晓
健以健脾祛风除湿兼清热安胎为法，以二陈汤合消风散为基础方，结合临床实际辨证施治，常获良效。 |
| 英文摘要: |
| Eczema in pregnancy is a type of eczema occurring in a specific population. Currently, it is generally believed that this disease
is caused by pathogenic factors such as wind, dampness, heat, and parasites invading the skin, leading to disharmony between qi and blood;
alternatively, it may result from blood deficiency generating wind and dryness, which deprives the skin of nourishment. XIA Xiaojian argued
that the etiological factors of eczema in pregnancy are "deficiency", "dampness", and "wind", with internal dampness, stagnated heat, and
wind invasion as its main pathogenic mechanisms. Spleen-stomach weakness is common in pregnancy-related diseases: a deficient spleen
leads to internal generation of dampness pathogen, which may transform into heat after long-term stagnation. Meanwhile, wind pathogen
easily invades the body's skin surface, stirring up internal dampness-heat pathogen to manifest on the muscular interstices, thereby causing
eczema. Adopting the therapeutic principle of strengthening the spleen, dispelling wind, eliminating dampness, and concurrently clearing
heat to stabilize the fetus, XIA Xiaojian takes Erchen Decoction combined with Xiaofeng Powder as the basic prescription. He administers
treatment based on syndrome differentiation in clinical practice, often achieving favorable curative effects. |
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