总结秦振华教授运用自拟方银翘杏紫汤加减治疗皮肤瘙痒症的临证经验。秦振华教授基于中医古籍中有关瘙痒症的 相关论述并结合多年的临证实践，认为皮肤瘙痒症的发生常与外邪侵袭、气血不和、久病体虚等因素有关，其病位在皮肤， 基本病机为邪郁肌表，临证多从火热论治。治疗采用清热解毒、解肌透表、祛风止痒之法，以平血中之热，透散肌表之邪， 令热去痒止，熄风以宁肤。自拟银翘杏紫汤 （由金银花、连翘、苦杏仁、紫草、蒺藜、白鲜皮、地肤子、甘草组成） 为基础 方治疗皮肤瘙痒症；临证时，针对风、热、燥、湿毒等病邪的偏盛或血热、阴虚、气血虚的不同而以银翘杏紫汤为基础方 随证加减。银翘杏紫汤可用于临床大部分证型的皮肤瘙痒症患者，但对阳虚、气滞血瘀等所致之皮肤瘙痒，则非本方所宜。

This study summarizes Professor Qin Zhenhua’ s clinical experience in treating cutaneous pruritus using a modified self-prescribed formula，Yinqiao Xingzi Decoction. Following the viewpoints from the classical Chinese medical literature and after years of clinical practice，Professor Qin proposes that the onset of cutaneous pruritus is often associated with the attack of exogenous pathogens，disharmony of qi and blood，or debility due to prolonged illness. The disease primarily involves the skin，with the fundamental pathogenesis of pathogens stagnating in the muscular superficies. Clinically，the treatment is frequently conducted from the perspective of fire-heat syndrome， and the therapeutic methods of clearing heat and removing toxins，releasing muscles and dispersing pathogens from the superficies，and dispelling wind to relieve itching are utilized. The approaches aim to cool heat in the blood， expel pathogens from the muscular layer，eliminate heat for stopping itching，and extinguish wind for calming the skin. The basic prescription， Yinqiao Xingzi Decoction （composed of Lonicerae Japonicae Flos， Forsythiae Fructus，Armeniacae Semen Amarum，Arnebiae Radix ，Tribuli Fructus，Dictamni Cortex，Kochiae Fructus， and Glycyrrhizae Radix et Rhizoma） ，is used by modification depending on the predominance of pathogenic factors of wind，heat，dryness，or dampness-toxins，and according to the various syndromes like blood-heat，yin deficiency，or qi-blood deficiency. Yinqiao Xingzi Decoction is applicable to cutaneous pruritus with the most of clinical common syndrome types，but it is unsuitable for cases caused by yang deficiency or qi stagnation with blood stasis.

R275.9

国家中医优势专科建设项目 （国中医药医政函〔2024〕90号-667） ；福建省卫健委科技计划项目 （编号：2021zy1c35） ；福建省2022年 医疗“创双高”项目 （南财社指〔2022〕21号）