中文摘要：

中医皮肤病有其独特辨证体系,临证中既要整体察病,密切关注与患者发病相关的内外因,又要详审其皮损特性,整体辨证与局部辨证相结合,辨病与辨证相参,方能有效立法遣方用药。中药性能有四气、五味、升降浮沉、归经,根据中药药性理论,可以指导临床合理用药。过敏性皮肤病致敏物虽种类万千,对无系统症状者患者仍多从皮损特征辨证。我们在多年临床中将致敏物与中药类比,在治疗过敏性皮肤病时可通过确定致敏物＂中医属性＂辨证施治,指导临床治疗,临床疗效明显提高。皮肤科临床常见致敏物有水产品、化学物质、寄生虫及昆虫、中药、西药等,分别以大虾、酒精、蠕形螨、白果、阿司匹林为例,探讨其四气五味、升降浮沉、归经、阴阳五行属性,以指导过敏性皮肤病治疗。

英文摘要：

In the treatment of dermatology diseases,the traditional Chinese medical（TCM） has unique syndrome differentiation principles.We should not only observe the clinical manifestations in entirety and the body＇s internal and external causes which are associated with the pathogenesis of the disease,but also the property of the lesions.Combine the overall syndrome differentiation with local syndrome differentiation,and disease diagnosing and syndrome identifying and so the prescription would be more effective.Property of traditional Chinese medical herbs includes four properties,five tastes,ascending-descending-floating-sinking,channel tropism.According to the theory of traditional Chinese herbs,it contributes doctors to use drugs rationally.The allergens that caused allergic dermatosis have a large number of types.For the treatment of patients without systemic symptoms,it often useslocal syndrome differentiation based on the characteristics of lesion.In the treatment of allergic dermatosis,we based the properties of allergens to guide syndrome differentiation and clinical efficacy improved significantly.The author presented several allergens that were common in clinic,including aquatic products,chemicals,parasites,insect,traditional Chinese medicine,western medicine,such as prawns,alcohol,demodex,ginkgo,aspirin.The purpose of the article is to study the property of allergens based on the theory offour properties,five tastes,ascending-descending-floating-sinking,channel tropism,Yin-Yang and five elements,and to guide the treatment of allergic dermatosis.