从“阳明主面”论治湿热体质痤疮的学术传承  

Experience heritage study on treating acne of the pattern of damp-heat constitution with the theory of ‘Yangming channel governs facial area'

作　　者：英孝[1] 倪诚[1] 董伟[1] 丁晓颖[2] 何丽清 张丹丹[1] 王舢泽 梁嘉玲[1] 缪立辉 

机构地区：[1]北京中医药大学基础医学院,北京100029 [2]北京市朝阳区八里庄社区卫生服务中心,北京100025

出　　处：《中华中医药杂志》2014年第12期3692-3694,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81373504);北京市自然科学基金项目(No.7132125)~~

摘　　要：中医辨治痤疮主要按照丘疹、脓疱、囊肿、结节、瘢痕五期辨证论治,虽然暂时解决了证候问题,但痤疮容易复发,难以根治。倪诚教授根据王琦教授提出的"体病相关""体质可调"理论,从"阳明主面"立论,认为湿热体质是痤疮发病的主要土壤、湿热郁伏阳明气血是痤疮的病机要点、清利湿热、凉血透邪是面部痤疮的主要治法,并传承王琦教授"辨体-辨病-辨证相结合"的诊疗模式,自拟双清消痤汤治疗痤疮取得良好疗效。In traditional Chinese medicine （TCM）, the course of acne was divided into 5 phases including papule, bleb, cyst, nodule and scar so as to better carry out therapies. This method had helped to establish disease patterns for acne, yet it contributed not as much to a radical treatment. Based on the theories of ‘interactive body constituent and diseases＇and ‘controllable body constituents＇, professor NI Cheng made a point from the perspective of ‘Yangming channel governs facial area＇, and proposed the opinion that the body constituent of damp heat was the cradle of acne, and the pathomechanism was that the Yangming channel obstructed by damp heat. So clearing heat and promoting dieresis and cooling blood for promoting eruption were the principal therapies for facial acne. With the guidance of diagnosis-treatment model of ‘constitution differentiation, disease differentiation and syndrome differentiation in combination＇ proposed by professor WANG Qi, Professor NI formulated Shuangqing Xiaocuo Decoction for the disease, which had shown favorable efficacy.

关 键 词：湿热体质 痤疮 阳明主面 主病主方 双清消痤汤 

分 类 号：R275.9[医药卫生—中西医结合]