从脏腑风湿理论探讨痤疮的辨治  

Discussion on differentiation and treatment of acne based on the theory of “zang-fu viscera rheumatism”

作　　者：陈曦[1] 仝小林[2] CHEN Xi;TONG Xiaolin(Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]长春中医药大学附属医院,长春130021 [2]中国中医科学院广安门医院,北京100053

出　　处：《吉林中医药》2022年第9期1037-1039,共3页Jilin Journal of Chinese Medicine

基　　金：全国中医药创新骨干人才项目(国中医药人教函[2019]128号)。

摘　　要：脏腑风湿理论由仝小林教授根据《黄帝内经》“伏邪”和“痹病”提出,临床中很多疾病的始动因素皆与风寒湿伏于脏腑相关。根据脏腑风湿理论,我们认为反复发作的痤疮多为中阳不足、寒湿中阻、郁久化热或表气郁闭、玄府失司所致,故治疗上可以在温补中焦、散寒除湿的同时兼清热利湿、理气化痰、活血化瘀,并配合开闭宣肺、解表祛邪等方法治疗,以期为本病的治疗提供更有意义的辨治思路。The theory of zang-fu viscera rheumatism is put forward by Professor Tong Xiaolin based on the notions of “hidden pathogen” and “bi syndrome” in Huangdi Neijing.He maintains that the initiating factors of many diseases in clinic are related to pathogenic factors of wind,cold and dampness,which lurk in the zang-fu viscera.According to this theory,it is believed that recurrent acne is mostly caused by the deficiency of yang in the middle jiao,which leads to cold and dampness retaining there,and prolonged stagnation transforming into heat or qi blockade on the surface of the body,resulting in the functions failure in orifices.Therefore,the disease can be treated by clearing heat and promoting diuresis,regulating qi-flowing for eliminating phlegm,promoting blood circulation for removing blood stasis,as well as by warmly invigorating the middle jiao,dispelling cold and removing dampness,while in the meantime combined with relieving qi block by ventilating lung qi and relieving superficies syndromes to eliminate pathogenic factors.This paper means to discuss the theory to provide a more meaningful idea for the differentiation and treatment of the disease.

关 键 词：脏腑风湿 痤疮 仝小林 温补中焦 开闭宣肺 

分 类 号：R758.733[医药卫生—皮肤病学与性病学]