Page 139 - 《中国药房》2026年6期

中医药治疗慢性湿疹的研究进展
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张 霞 ，饶志粒，刘 霞，沈 萍，王 琴（重庆中医药学院附属第一医院/重庆市中医院药剂科，重庆
#
400021）

中图分类号 R965 文献标志码 A 文章编号 1001-0408（2026）06-0817-06
DOI 10.6039/j.issn.1001-0408.2026.06.21

摘 要 慢性湿疹在我国有着较高的发病率，严重影响患者生活质量。中医药凭借辨证论治与整体观念的独特优势，通过内外兼
治的方式，在慢性湿疹的治疗中得以广泛应用，并在缓解病情、降低复发率、维持病情稳定、提升患者生活质量等方面表现出了良
好的效果和独特的优势。其中，内服中药（如加味龙胆泻肝汤）可通过整体调节来改善患者症状；外用中药可借助熏洗、溻渍、膏剂
等药物疗法直接作用于皮损部位，亦可结合针刺、艾灸、穴位埋线、刺络拔罐等非药物疗法有效缓解相关临床症状；此外，中药内服
联合外用、多种外治法整合及中西医结合等特色治疗方案在调节免疫功能、减轻皮损及瘙痒症状等方面亦表现出一定优势，这些
疗法相互配合，形成内外同治的协同效应。建议未来开展更多高质量、大样本临床研究，系统证实中医药的治疗优势并深入探讨
其发挥作用的具体分子机制。
关键词 中医药；慢性湿疹；内服；外治；中西医结合

Research progress of traditional Chinese medicine in the treatment of chronic eczema

ZHANG Xia，RAO Zhili，LIU Xia，SHEN Ping，WANG Qin（Dept. of Pharmacy， the First Affiliated Hospital of
Chongqing University of Chinese Medicine/Chongqing Traditional Chinese Medicine Hospital， Chongqing
400021， China）

ABSTRACT Chronic eczema has a high prevalence in China， significantly impacting patients’ quality of life. Leveraging the
unique advantages of pattern identification/syndrome differentiation and treatment， along with a holistic approach， traditional
Chinese medicine （TCM）， which integrates internal and external therapies， has been widely applied in the management of chronic
eczema. It has demonstrated significant efficacy and distinctive strengths in alleviating symptoms， reducing recurrence rates，
maintaining disease stability， and enhancing patients’ quality of life. Oral administration of TCM（e.g. modified Longdan xiegan
decoction） can improve patients’ clinical symptoms through systemic regulation. External use of TCM can directly act on the skin
lesion with the help of steaming and washing， hydropathic compress， ointment and other forms. At the same time， it can
effectively relieve the clinical symptoms of chronic eczema by combining with non-drug therapies such as acupuncture，
moxibustion， acupoint catgut embedding， blood-letting puncture and cupping. In addition， characteristic therapies such as oral
administration of TCM combined with external treatment， a combination of various external treatments and a combination of
Chinese and Western medicine have also demonstrated certain advantages in regulating immune function， alleviating skin lesions，
and relieving itching symptoms. These therapies cooperate with each other， creating a synergistic effect that treats both the
symptoms and the root cause simultaneously. It is suggested that more high-quality， large-scale clinical research should be
conducted in the future to systematically confirm the therapeutic advantages of TCM and further explore the specific molecular
mechanism of action.
KEYWORDS traditional Chinese medicine； chronic eczema； oral administration； external treatment； combination of Chinese and
Western medicine

慢性湿疹（chronic eczema，CE）由急性湿疹、亚急性
Δ 基金项目 国 家 自 然 科 学 基 金 青 年 科 学 基 金 项 目（No.
82304833） 湿疹反复发作不愈转化而成，是皮肤科常见炎症性皮肤
＊第一作者 中药师，硕士。研究方向：中药药效、中药药理与毒理 疾病之一 。我国 CE 发病率高，一般人群患病率约为
[1]
学研究。E-mail：2447369208@qq.com
[2]
[3]
7.5% ，儿童患病率为 7.22%～20.64% 。CE 临床表现
# 通信作者 主任中药师，博士。研究方向：中药药理与新药研发。
E-mail：wqin1127@cdutcm.edu.cn 以皮肤苔藓样变为主，患部皮肤呈浸润性暗红斑，常附
中国药房 2026年第37卷第6期 China Pharmacy 2026 Vol. 37 No. 6 · 817 ·