Professor MA Lili's Thought and Experience of Treating Chronic Urticaria Through Spleen Theory / 浙江中医药大学学报

ABSTRACT

[Objective]To summarize Professor MA Lili's academic thoughts on treating chronic urticaria based on the spleen theory,providing references for clinical practice.[Methods]Through collecting and recording outpatient medical records,sorting out Professor MA's experience of treating chronic urticaria based on the spleen theory,summarizing the etiology and pathogenesis of the disease and the rule of prescription,and taking a medical case to prove it.[Results]Professor MA believes that the core pathogenesis of chronic urticaria is spleen deficiency and pathogenic invasion of human body.The chronic urticaria belongs to deficiency in origin and excess in superficislity,and the main inducement is spleen deficiency leading to disharmony between Ying-Qi and Wei-Qi,stagnation of dampness,stagnation of liver Qi.In treatment,Professor MA uses the methods of tonifying and transporting to invigorate the spleen,such as harmonizing Ying-Qi and Wei-Qi,clearing dampness by transporting the spleen,and regulating the liver Qi by tonifying the spleen.At the same time,she will use different treatments for different patients,individualized treatment is her unique experience.In this case,the patient was diagnosed as spleen deficiency and stagnation of dampness based on the patient's old age and recurrent rash.The treatment method was to remove dampness by transporting the spleen,eliminating the pathogenic factors and relieving itching,and paid attention to the deficiency in the later stage.This medication was flexible according to the change of the condition,with significant curative effect.[Conclusion]Professor MA treats chronic urticaria with a diagnosis and treatment philosophy centered around the spleen,therefore the experience derived is worthy of reference and promotion.