分期辨治痤疮的经验  

Experience in treating acne with periodic dfferentiated therapy

作　　者：张丽萍 刘铜华[2] 王芬 华静 王磊 贾晓蕾 ZHANG Liping;LIU Tonghua;WANG Fen;HUA Jing;WANG Lei;JIA Xiaolei(Beijing University of Chinese Medicine Third Afliated Hospital,Bejing 100029,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]北京中医药大学,北京100029

出　　处：《中华中医药杂志》2025年第3期1230-1233,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(No.国中医药人教函【2022】76号)。

摘　　要：刘铜华教授认为痤疮的病因包括外邪侵袭(风热、湿热、风寒、寒湿)、饮食不节(过食肥甘厚腻或辛辣之品或饮酒无度)、情志内伤、体质赋(火热内盛,或脾肾亏虚,或肾阴亏虚),将痤疮的治疗分为两期,早期以实证为主,后期可出现虚实夹杂。早期表现为肺热炽盛、心肝火旺、湿热内蕴、寒湿郁表、痰瘀互结;后期以虚实夹杂、寒热错杂为主,具体可分为气血亏虚、阴虚火旺、寒热错杂3种证型。在临证中依据痤疮的不同表现特点,辨证施治,获得了较好的临床疗效。Professor LIU Tonghua believes that the causes of acne include external pathogen invasion(wind-heat,damp-heat,wind-cold,damp-cold),improper diet(overeating rich and oily or spicy foods or drinking excessively),emotional trauma,and constitutional predispositions(hot fire within,or deficiencies of the spleen and kidneys,or deficiencies of kidney yin).He divides the treatment of acne into two phases,with the early phase characterized by predominantly real syndromes and the later phase potentially featuring a mixture of both real and false syndromes.The early phase presents with lung heat fiaring up,heart and liver fire surging,damp-heat accumulating within,damp-cold stagnating at the superficies,phlegm and blood stasis intertwined;the later phase is characterized primarily by a mixture of both real and false syndromes,with specific manifestations of qi and blood deficiency,yin deficiency with fire aggravation,and cold and heat intermingled.In clinical practice,professor LIU has achieved good therapeutic effects by applying different treatment strategies based on the distinctive features of acne.

关 键 词：痤疮 名医经验 寒热错杂 虚实夹杂 刘铜华 

分 类 号：R275[医药卫生—中医皮科]