Scaly dry skin is not only about blood stasis

ZHAO Hequn; XIE Liandi

doi:10.3969/j.issn.2095-6606.2023.04.020

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Scaly dry skin is not only about blood stasis

Theoretical Exploration | 更新时间：2023-08-07

- Scaly dry skin is not only about blood stasis
- Modern Chinese Clinical Medicine Vol. 30, Issue 4, Pages: 91-94(2023)
- 作者机构：
  
  1.北京中医药大学　北京　100029
  2.北京中医药大学东方医院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.04.020
  CLC： R275.02
- Published：30 July 2023，
  
  Received：28 April 2022，
- 稿件说明：
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ZHAO Hequn, XIE Liandi. Scaly dry skin is not only about blood stasis. [J]. Modern Chinese Clinical Medicine 30(4):91-94(2023)
DOI：

ZHAO Hequn, XIE Liandi. Scaly dry skin is not only about blood stasis. [J]. Modern Chinese Clinical Medicine 30(4):91-94(2023) DOI： 10.3969/j.issn.2095-6606.2023.04.020.

摘要

“肌肤甲错”源于《金匮要略·血痹虚劳篇》中“内有干血，肌肤甲错”，通常被认为是体内有瘀血的一种外候。临床实践发现“肌肤甲错”并非只见于瘀血证患者，仅凭这一症状就轻易诊断，并在治疗时一味选用活血化瘀法显得过于片面。“肌肤甲错”亦可见于黄汗、肠痈、肺痈、溢饮，以及热结中焦之证等。其病机本质为气血失荣或津液失润。通过活血化瘀、益气除湿、消痈排脓、清泻热结、解表散饮等不同治法，最终使气血运行通畅、津液输布正常，则气血津液得以荣养肌肤，“肌肤甲错”自愈。

Abstract

The term "scaly dry skin" was first seen in

Chapter for Blood Impediment and Consumptive Diseases

Jingui Yaolve

(

Essentials from the Golden Cabinet

)

which states that "blood depletion is the internal cause of scaly dry skin" . Therefore

the symptom has since been generally regarded as an external symptom of blood stasis inside the body. However

it has been discovered in clinical practices that scaly dry skin is not only found in patients with blood stasis syndrome

suggesting that it is inappropriate to provide a diagnosis based solely on this symptom alone and then choose the method of invigorating blood and removing blood stasis. Scaly dry skin can also be seen in yellow sweating

intestinal abscess

lung abscess

subcutaneous fluid retention

and the syndrome of heat accumulation in middle-

jiao

. Its pathogenesis is essentially lack of nourishment of qi and blood or insufficient body fluids unable to moisten and nourish the skin. Targeting at these patterns or diseases

various treatment methods should be adopted

such as invigorating blood and removing blood stasis

nourishing qi and eliminating dampness

removing abscess and evacuating pus

clearing away heat accumulation

and releasing the exterior and clearing retained fluid. The aim is to restore the free flow of qi and blood and normal distribution of body fluids

so that they can moisten and nourish the skin and remove the symptom of scaly dry skin as a result.

关键词

肌肤甲错瘀血中医典籍气血津液

Keywords

scaly dry skinstatic bloodTCM classicsqi blood and body fluid

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