基于玄府理论探析阳和汤在阳虚寒凝型痤疮治疗中的应用  

Application of Yanghe Decoction in Treatment of Acne with Yang Deficiency and Cold Condensation Based on Xuanfu Theory

作　　者：钱还珠 左小红 Qian Huanzhu;Zuo Xiaohong(School of Basic Medical Sciences,Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China;School of Ophthalmology,Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China.)

机构地区：[1]成都中医药大学基础医学院,四川成都611137 [2]成都中医药,四川成都611137

出　　处：《成都中医药大学学报》2025年第2期48-51,共4页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：四川省科技厅青年基金项目(2023NSFSC1801);成都中医药大学“杏林学者”学科人才科研提升计划苗圃人才专项(MPRC2023035)。

摘　　要：痤疮是皮肤科最常见的疾病之一,属于中医学“面疱”“肺风粉刺”“粉刺”等范畴。其发生多与火热、寒湿、气滞、血瘀等有形之邪熏蒸肌肤相关。近年的研究表明,玄府闭塞、气液壅滞是痤疮的基本病机。临床上运用阳和汤治疗阳虚寒凝型痤疮可以形、气均补,既能补玄府结构之体,又能辛散开郁畅玄府功能之用,使气血充足、玄府通畅、邪气透达,痤疮随之而愈。本文基于玄府理论,从玄府是功能和结构的统一体的观点出发,阐述痤疮病机及运用阳和汤治疗阳虚寒凝型痤疮的证治机理,并附临证验案一则,以期为临床用药提供参考。Acne is one of the most common diseases in dermatology,belonging to the category of“facial blisters”“Lung Wind acne”and“pimples”in Chinese medicine.Its occurrence is mostly related to Fire and Heat,Cold and Dampness,stagnation of Qi,Blood stasis and other tangible evils fumigating the skin.Recent studies have shown that occlusion of Xuanfu and congestion of Qi and Fluid are the basic mechanisms of acne.Clinically,the use of Yanghe Decoction in treating acne with Yang deficiency and Cold condensation can not only replenish the structure of the Xuanfu by replenishing the form and Qi,but also dispel pungent and open the depression to smooth the function of the Xuanfu;so that Qi and Blood will be sufficient,the Xuanfu will be smooth,and the evil will be penetrated,and the acne will be healed accordingly.Based on the theory of Xuanfu and the view that Xuanfu is the unity of function and structure,this paper expounds the pathogenesis of acne and the mechanism of treating acne with Yang deficiency and Cold coagulation by Yanghe Decoction with a clinical case,in order to provide reference for the clinical use of medication.

关 键 词：玄府理论 阳和汤 痤疮 阳虚寒凝 皮肤病 

分 类 号：R261[医药卫生—中医外科学] R223.1[医药卫生—中医学]