燕赵医家学术思想在寻常痤疮治疗中的应用  

Application of academic thoughts of Yan-Zhao physicians in the treatment of acne vulgaris

作　　者：虞跃跃 严湘磊 李贺祎 张威风 王洪彬 武淑娟 齐峰 Yu Yueyue;Yan Xianglei;Li Heyi(School of Traditional Chinese Medicine,North China University of Science and Technology,Tangshan 063210,China)

机构地区：[1]华北理工大学中医学院,河北唐山063210

出　　处：《华北理工大学学报（医学版）》2024年第4期316-319,322,共5页Journal of North China University of Science and Technology：Health Sciences Edition

基　　金：河北省高等教育教学改革研究与实践项目(编号:2022 GJJG209);河北省研究生精品课程建设项目(编号:KCJPX2023028)。

摘　　要：寻常痤疮(AV)是最常见的皮肤科疾病之一,因其迁延遗留的并发症给患者造成精神压力和经济负担。中医药在寻常痤疮的治疗中展现出强有力的优势,本文主要阐述河间学派、易水学派和中西汇通学派对AV病因、病机的认识及治疗思路:河间学派以刘完素为代表,主张“火热论”,认为肺经蕴热加之风邪侵袭而致气血郁滞、面部络脉闭塞致肺经风热型AV,治则以用寒凉、辛散药物清火解郁;易水学派以李东垣为核心人物,提出“从脾胃论治百病”,认为AV多因过食辛辣肥甘厚味导致湿热内蕴脾胃,上熏于面部而发,故治疗以补脾升阳为关键;汇通学派张锡纯融汇中西医学,擅用清热解毒、活血化瘀等药物治疗痈疮,对因病邪迁延日久而热邪炼液成痰,痰瘀凝滞于肌肤的痰瘀结聚型AV颇具临床意义。Acne vulgaris(AV)is one of the most common dermatological diseases,causing mental stress and economic burden to patients due to its lingering complications.Traditional Chinese medicine(TCM)has demonstrated strong advantages in the treatment of AV.This article mainly elaborates on the understanding and treatment ideas of the etiology and pathogenesis of AV from the Hejian School,Yishui School,and Zhongxi Huitong School:The Hejian School,represented by Liu Wansu,advocates the"heat theory,"believing that the accumulation of heat in the lung meridian combined with the invasion of wind pathogens leads to stagnation of qi and blood and blockage of facial meridians,resulting in lung meridian wind-heat type AV.The treatment principle is to use cold and pungent herbs to clear heat and resolve stagnation.The Yishui School,with Li Dongyuan as its core figure,proposes treating various diseases from the perspective of"treating the spleen and stomach."It believes that AV is often caused by excessive consumption of spicy and greasy foods,leading to internal damp-heat in the spleen and stomach,which manifests on the face.Therefore,the key to treatment is to strengthen the spleen and promote yang.The Huitong School,represented by Zhang Xichun,integrates Chinese and Western medicine and is adept at using heat-clearing and detoxifying,blood-activating,and stasis-dissolving drugs to treat carbuncles.It has significant clinical implications for treating the phlegm-stasis type AV,which is caused by the prolongation of pathogenic factors and the transformation of heat into phlegm,leading to the stagnation of phlegm and blood in the skin.

关 键 词：燕赵医家 寻常痤疮 河间学派 易水学派 汇通学派 

分 类 号：R275[医药卫生—中医皮科]