湿疹皮炎是一种由多种内外因素引起的过敏性炎症性皮肤病，以多形性皮损（具有红斑、丘疹、水疱、糜烂、渗出、结痂、肥厚、脱屑、皲裂等多种皮损），对称分布，易于渗出，自觉瘙痒，反复发作和慢性化为临床特征。
目前，西医学尚缺乏有效的方法治疗免疫系统的疾病（如红班狼疮、湿疹皮炎、牛皮癣），只能建议病人使用抗组织胺药物、激素、生物制剂等暂时抑制湿疹皮炎。激素若使用过度，会使皮肤变薄、发皱老化、微丝血管爆裂、长毛等，反复使用最终形成“激素依赖性皮炎”。
湿疹皮炎属中医学“湿疮”、“浸淫疮”等范畴，又因发病部位而有不同名称，例如：泛发于全身，浸淫遍体的叫“浸淫疮”；身起红粟，搔痒出血的叫“血风疮”；婴儿湿疹皮炎有“干敛”、“湿敛”之分。隋代太医巢元方在《诸病源候论》中记载：“诸久疮者为风湿所乘，湿热相搏，故头面身体皆生疮”，指出 风、湿、热三邪为湿疹皮炎的致病因素。清代太医吴谦则在《医宗金鉴》描述：“此症初生如疥，瘙痒无时，蔓延不止， 抓津黄水，湿淫成片，由心火脾湿受风而成”，指出肺、心、脾这三个内脏之运化功能对皮肤和湿疹皮炎等问题有重要的关系。 因为我们的“肺主气，肺主皮毛”，如果肺出现问题，会使毛孔开合的功能失调，废物沉积在毛孔；“心主血脉”，如果心出现问题，会使推动血液运行和运送营养至全身的功能失调，从而免疫力会下降；“脾主湿”，如果脾出现问题，会使运送水液的功能失调，产生痰湿，形成湿疹皮炎。
董氏奇穴针灸是台湾董景昌创立的独特针灸方法，既源于传统的针疗方法，又有所创新而独具特色。另一方面，靳三针针灸由广州中医药大学首席教授靳瑞， 集中医经典理论和历代针灸医家临床经验之精华，所创立的岭南针灸学派，也是当今理论最成熟的针灸学派。 靳三针现已因为其神速的针灸疗效而蜚声海内外，该疗法也进入了中国“国家中医药管理局”的诊疗方案，其理、法、方、穴具有很高的学术价值。
董氏奇穴针灸治疗湿疹皮炎的特效穴为“驷马穴”,而靳三针针灸治疗湿疹皮炎的配穴为“俞穴三针”(肺俞、心俞、脾俞)加“止痒三针”。止痒三针分为三组：一是耳针的心点、脾点，可以快速止痒;二是针刺曲池、合谷两穴，用于解表消炎;三是“大椎四穴”放血，治则是清热解毒。肺俞、心俞、脾俞为肺脏、心脏与脾脏之经气输注出入之处，生理上不仅与脏腑有著特定联系，并且与脏腑的病理密切相关。通过肺俞、心俞、脾俞针灸不仅可调节脏腑之气机、疏通经脉，同时整体调节人体的阴阳气血，贯穿上下，沟通内外。头面部湿疹皮炎者加百会、前顶、神庭、新设及后顶穴，兼痰湿中阻者加中脘及丰隆穴。常规消毒后,将针刺入穴位,使之得气,针刺实症用泻法,如果伴有虚症者,可用补法。
此外，在中药的治疗上，“皮肤圣手”国医大师禤国维教授之“湿疹皮炎解毒方”，治疗各种类型湿疹皮炎，均取得良好疗效。“湿疹皮炎解毒方”之核心药味为：乌梅、莪术、土茯苓、紫草、苏叶、防风、徐长卿、甘草。乌梅滋阴解毒，莪术祛瘀解毒，土茯苓利湿解毒，紫草凉血透疹解毒，苏叶解鱼虾毒，防风祛风解毒，徐长卿通络解毒，甘草善解药毒，此方主治风湿热毒性湿疹皮炎。配合国医大师禤国维教授之“湿疹皮炎解毒方”加减用药、董氏奇穴与靳三针针灸，治疗湿疹皮炎的最佳时机应是刚发病时(急性期)，可于二个星期内可复原; 已进入慢性期病患，需要三至五个星期。进入慢性期的湿疹皮炎不是不治之症，关键是病患要有信心。
本文由中医内科专科 Jimmy Zhu医生供稿
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