首页|中医辨证论治痤疮的临床研究进展

中医辨证论治痤疮的临床研究进展

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痤疮是皮肤科临床常见疾病,具有病程慢、易复发等特点,严重时可影响患者的心理健康和社会生活.近年来随着人们生活水平的提高,痤疮的患病率逐年升高,发病的年龄也不仅局限在青少年.因其具有损容性,故痤疮的预防与治疗越来越受到人们的重视.西医认为痤疮的主要发病原因是雄激素的作用使皮脂分泌增多及毛囊皮脂腺导管角化异常,治疗时多采用口服或外用维A酸类药物及抗生素;外用过氧化苯甲酰和果酸类药物;或光动力疗法、激光疗法、红蓝光照射等物理疗法.但西医治疗存在禁忌证多、疗效不明确、易产生耐药性和易复发等诸多不良反应,临床应用受到很大限制.中医认为痤疮多与外感六淫、七情内伤、饮食不节、劳累过度等有关,导致痰、气、湿、热、瘀郁于肌肤,发为痤疮.治疗时多从整体出发,选择个体化的治疗方案.中医药在治疗痤疮时积累了丰富的理论和实践经验,对控制病情、减少复发、改善全身伴随症状,提高生活质量确有疗效,具有不良反应小,标本兼顾的优点.笔者检索中国知网、万方等数据库中相关文献,对近年来中医各位医家从病因病机到辨证论治痤疮的经验进行归纳整理,意在为中医临床治疗痤疮提供借鉴和参考.
A review on treating acne in TCM based on TCM syndrome differentiation
Acne is a common clinical disease in dermatology,with the characteristics of slow course and easy recurrence,which can affect the mental health and social life of patients in serious cases.In recent years,with the improvement of people's living standards,the prevalence of acne has gradually increased,and the age of onset is not limited to teenagers.More and more people pay attention to the prevention and treatment of acne because of its disfigurement.Western medicine believes that the main causes of acne are increased sebum secretion and abnormal keratosis of follicular sebaceous glands due to the effect of androgens.Oral or topical retinoids and antibiotics are usually used for treatment.Topical drugs include topical benzoyl peroxide and hydroxy acids.Photodynamic therapy,laser therapy,red and blue light irradiation and other physical therapy were used individually.However,Western medicine has many adverse reactions such as contraindications,unclear efficacy,easy to produce drug resistance and easy to relapse,and its clinical application is greatly limited.Traditional Chinese medicine believes that acne is mostly related to six external emotions,seven internal injuries,improper diet,overwork and so on,resulting in phlegm,Qi(气),humidity,heat,stasis in the skin,resulting in acne.TCM treatment often starts from the overall perspective and choose personalized treatment plans.TCM has accumulated rich theoretical and practical experience in the treatment of acne.It has a definite therapeutic effect on controlling the condition,reducing recurrence,relieving systemic accompanying symptoms,and improving quality of life.It has the advantages of minimal ad-verse reactions and targeting both the root causes and the symptoms.Through searching the literature in databases such as CNKI and Wanfang,the author summarizes and sorts out the experience of TCM doctors on acne from etiology and pathogenesis to syndrome differentiation and treatment in recent years,aiming to provide reference for TCM clinical treatment of acne.

AcneEtiology and pathogenesisSyndrome differentiation and treatmentResearch progress

燕欣雨、顾炜

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辽宁中医药大学,辽宁 沈阳,110000

辽宁中医药大学附属医院,辽宁 沈阳,110000

痤疮 病因病机 辨证论治 研究进展

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(3)
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