李敏 张冰

    [摘要]皮膚病是困扰人们健康的临床常见病，中医药治疗皮肤病具有独特优势。张冰教授治疗皮肤病经验丰富，疗效明确，总结出独特的识病用药经验。张冰教授认为皮肤病不同发展阶段皆有热邪作祟，其病机各异，初期常见风毒蕴结腠理，进一步发展则热毒侵入血分，继而热瘀互结不行，久则有阴血亏虚生燥等。据此总结出祛除热邪的“清法”四则，包括清透、清解、清润和清行的用药思想。用药中，以药寒凉之气为本，结合五味，气味合参，其中辛寒性味可凉散风热，辛寒还可行散瘀热;甘寒可祛热润燥;苦寒性味则可清泻里热，辨证用于不同阶段、不同证型皮肤病，医理明晰，用药精准，临床疗效显著。本文探讨张冰教授治疗皮肤病的“清法”四则的用药经验，以期为临床防治皮肤病提供参考。

    [关键词]皮肤病;热邪;清法;气味合参;用药经验

    [中图分类号] R275? [文献标识码] A? [文章编号]2095-0616(2021)23-0112-05

    Professor Zhang Bing's experience in treating dermatosis with "clearing methods" by emphasizing the medicinal propertiesl

    LI? Min? ZHANG? Bing

    1.School of Pharmacy， Shaanxi University of Chinese Medicine， Shaanxi， Xi'an 712046， China;2.School of Chinese Materia Medica， Beijing University of Chinese Medicine， Beijing 100029， China

    [Abstract] Dermatosis is a common clinical disease that threatens people's health. Traditional Chinese medicine has unique advantages in treating dermatosis. Professor Zhang Bing has rich experience in treating skin diseases， with definite curative effect. He has summed up his unique experience in recognizing disease and using drugs. Professor Zhang thought that dermatosis was caused by pathogenic heat in different stages of development ......