中醫觀點看結節性紅斑（erythema nodosum）的病因及治療

Etiology and Treatment of Erythema Nodosum: Chinese Medicine Perspective

林高士(Shih-Kao Lin)

《台灣中醫臨床醫學雜誌》 18卷2期 (2012/06) Pp. 18-25

https://doi.org/10.6968/TJCCM.201206.0018

摘要

結節性紅斑（erythema nodosum）是一種皮下脂肪中隔脂層炎（panniculitis），臨床表現常是急性發作、腫脹疼痛、非潰瘍性之紅色丘疹，一般常見於下肢伸側，好發於20-30歲的年輕女性。大部分的病人發病原因不明，少數可以查出一些感染症如鏈球菌感染、結核菌感染，某些胰臟相關病變，以及一些免疫疾病如全身性紅斑狼瘡等，通過對結節性紅斑好發於小腿的這一特徵，我們在中醫古代文獻中發現相似描述，如：“三里發”“濕毒流注”等等，並在此討論病機病因及中醫的治療。

關鍵字

結節性紅斑 ； 濕熱 ； 中醫

並列摘要

Erythema nodosum is a type of panniculitis, often manifests as acute onset, swelling, painful, non-ulcerated red lumps. It is quite common in the extension side of the lower extremities in 20 to 30 years old female.Most patients' onsets of Erythema nodosum are not clear yet. Some of them might be related to certain infectious diseases such as streptococcal infection, TB, certain pancreatic diseases, and some immune deficiencies such as SLE etc. Because erythema nodosum often takes place in the lower extremities, we found similar descriptions in Chinese Medicine archives such as ”san li fa” and ”stagnation of dampness and toxin”. This article discusses the etiology, mechanism and Chinese medicine treatment of erythema nodosum.

並列關鍵字

Erythema nodosum ； Damp heat ； Chinese medicine