Discussion on the pathogenesis and treatment of acne in adolescent women based on the Fuyang theory
Acne is a chronic inflammatory disease that often occurs on the face with pustules,cysts,nodules,papules and other lesions as the main clinical manifestations.Moreover,studies have found that with the changes of social rhythm and diet structure,adolescent females have become the frequent population of acne,which seriously affects their physical and mental health.Therefore,the treatment of acne is an urgent problem to be solved.As the mechanism of acne occurrence is not clear in modern medicine,there is no perfect treatment system at home or abroad,and antibiotic treatment is easy to destroy the skin microecology and prone to recurrent acne.Traditional Chinese medicine believes that the direct cause of acne is the depression of Qi(气)and blood.The earliest records of acne can be traced back to Huangdi NeiJing(《黄帝内经》),and its diagnosis and treatment theory has been perfected day by day through the development of successive doctors.This paper discusses the interpretation of acne based on the new perspective of Fuyang(伏阳)theory,and proposes that Fuyang caused by depression is the key pathogenesis of acne,and believes that Fuyang is the disease of Shaoyang(少阳).Moyuan(膜原)is the location of this disease,which is caused by depression,and is cured by openness.Its fundamental lies in the liver and spleen two viscera,or because of liver stagnation,or because of spleen deficiency and abundant dampness.TCM treatment of acne needs to grasp the program of deficiency and abundance,cold and heat for comprehensive examination,to correctly judge the severity of the patient's deficiency or abundance,cold or heat.Reconciliation is the key of curing acne,eliminating evil without harming good,and protecting good without promoting evil.The article shared the successful experience of treating adolescent female acne with the method of reconciliation by medical records,in order to open up new ideas for clinical diagnosis and treatment.
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