纪云西基于甘温除热理论辨治阳虚火浮型痤疮经验介绍  

Experience of JI Yunxi in Syndrome Differentiating and Treating Acne of Yang Deficiency and Floating Fire Type Based on Theory of Using Sweet and Warm Medicinals to Remove Heat

作　　者：崔宇胜 蔡慧君 纪云西(指导)[3] CUI Yusheng;CAI Huijun;JI Yunxi(Xixi Hospital of Hangzhou,Hangzhou Zhejiang 310023;Department of General Practice,Shulan Hangzhou Hospital Affiliated to Shulan International Medical School of Zhejiang Shuren University,Hangzhou Zhejiang 310022;Zhejiang Provincial Hospital of Chinese Medicine,Hangzhou Zhejiang 310003)

机构地区：[1]杭州市西溪医院,浙江杭州310023 [2]浙江树人学院树兰国际医学院附属树兰杭州医院全科,浙江杭州310022 [3]浙江省中医院,浙江杭州310003

出　　处：《新中医》2025年第3期204-208,共5页New Chinese Medicine

摘　　要：中医学认为,痤疮与七情内伤、饮食不节、劳累过度等相关,且与热、火密切相关。纪云西教授指出,痤疮中亦有阳虚之体,此类痤疮当属阳虚火浮型,阳虚乃其本,浮火为其标。而此浮火,究其根本为郁火,实为阳郁于内,阳气不潜而致。此外,纪教授认为,痤疮与痰、瘀等病理产物亦相关。由是纪教授治疗阳虚火浮型痤疮常以“甘温除热”为法,温肾助阳,兼顾标症;温阳解郁,潜阳内收;扶阳抑阴,痰瘀并治。真阳得补,阳气内潜而不浮散于外;脾气健运,痰湿不生;气行血畅,瘀血不滞;痤疮渐愈而不复也。Chinese medicine believes that acne is related to internal injury of seven emotions,improper diet,overwork and so on,and is closely related to pathogensis of heat and fire.Professor JI Yunxi points out that acne patients have a constitution with yang deficiency syndrome,so such acne can be of yang deficiency and floating fire,with yang deficiency as its origin and floating fire as its superficiality.The floating fire is the fire from constraint,which is caused by the internal constraint of yang and the failure of yang to subdue.In addition,Professor JI believes that acne is also related to pathological products such as phlegm and stasis.Therefore,when Professor JI treats acne of yang deficiency and floating fire type,he often takes"using sweet and warm medicinals to remove heat"as the method,warming the kidney and assisting yang and taking into account the symptoms.His treatment warms yang to relieve constraint and subdues yang to the internal,and it also reinforces yang and inhibits yin,and treats both phlegm and stasis.In this way,the true yang can be supplemented,and yang qi subdues in the internal without floating on the external,making the spleen get transport,phlegm and damp not be generated,qi move and blood flow,and static blood not stagnate.As a result,acne can be gradually cured and will not recur.

关 键 词：痤疮 阳虚火浮型 扶阳 甘温除热 临床经验 纪云西 

分 类 号：R275.9[医药卫生—中西医结合]