基于“阳化气，阴成形”理论探析寻常型银屑病血瘀证
Study on Syndrome of Blood Stasis in Psoriasis Vulgaris Based on “Yang Transforming Qi and Yin Forming”

寻常型银屑病的证型可概括为三种，分别为血瘀证、血热证、血燥证，其中属血瘀证银屑病病程日久、难治且难愈，“阳化气，阴成形”理论出自《黄帝内经》，总结了阴阳运动变化的基本规律。基于此，我们认为皮肤病的发生其根本在于全身阴阳化生失常，故可表现在局部病变，体现在皮肤上。阳虚失其温化，气虚统摄无权，引发血行乏力、固护不周，进而导致阴成形失常，包括脏腑虚损、精微物质生成受阻及痰饮瘀血等有形病理产物的积聚留滞。临证应以温阳法为核心：补气，为血液运行提供动力；改善阳虚阴盛的体内环境；祛除痰湿瘀滞等阴邪，畅通气血运行的通道。应用“阳化气，阴成形”理论指导寻常型银屑病血瘀证治疗，有助于拓宽治疗思路。
The syndromes of psoriasis vulgaris can be summarized into three types, namely, the syndrome of blood stasis, the syndrome of blood heat, and the syndrome of blood dryness. Among them, the syndrome of blood stasis has a long course and is difficult to treat and recover. “Yang transforming qi and yin forming” comes from Huangdi Neijing, which summarizes the basic rules of the movement of yin and yang. Based on this, we believe that the occurrence of skin diseases is fundamentally due to systemic abnormalities of yin and yang, and therefore can be manifested in local lesions and manifested on the skin. Hypoxia loses its warmth, and hypoxia does not have the right to regulate blood flow, which leads to weak blood flow and poor maintenance, which in turn leads to hypoxia forming abnormalities, including damage to the internal organs, the production of fine substances, and the accumulation and retention of tangible pathological products such as phlegm drinking and bruising. The epigram should be centered on a warm-and-positive method: rejuvenating the body and providing fuel for blood circulation; improving the internal environment of hypoxia and fertility; eliminating the evils such as spleen, dampness and bruising, and clear the passage of air and blood. “Yang transforming qi, yin forming” to guide the treatment of psoriasis vulgaris syndrome of blood stasis is helpful to broaden the treatment ideas.