摘要
[目的]总结魏跃钢教授治疗阳郁寒凝型痤疮的经验。[方法]通过跟师临证和收集整理魏跃钢教授治疗阳郁寒凝型痤疮的医案,分析魏教授对阳郁寒凝型痤疮中医病因病机的认识,总结辨治阳郁寒凝型痤疮的临床经验,并举案例佐证。[结果]魏跃钢教授认为,阳郁寒凝型痤疮的发病机制为阳虚和阳郁:素体阳虚,又感受风寒湿之邪阻塞经脉,少阳枢机不利,阳虚阳郁相互影响,致使阳气不能输布,阴血不能濡养,久则上热下寒、寒热错杂。治疗中当以温阳为主,兼顾解郁,在肾气丸合小柴胡汤的基础上进行加减,自拟温阳解郁消痤汤治疗此病。所举验案运用此方,既温阳散寒又行气解郁,标本兼顾,疗效显著。[结论]魏跃钢教授从"阳虚、阳郁"角度切入辨治阳郁寒凝型痤疮,自拟温阳解郁消痤汤,其经验值得借鉴和推广。
[Objective] To summarize Professor WEI Yuegang＇s experience in treating Yangyu Hanning acne. [Methods]Through collecting medical record from outpatient clinics, Prof. WEI Yuegang＇s understanding of Yangyu Harming acne and experience of Yangyu Hanning acne syndrome differentiation and treatment were analyzed and summarized.[Resuhs]Prof. WEI Yuegang believes that the pathogenesis of Yangyu Hanning acne is Yang deficienay and Yang depression, Yang is deficient in the body, and the cold dampness blocks meridians, dysfunction of Shaoyang, Yang deficiency and Yang depression influence each other, Yang cannot supply and distribute, Yin cannot moisten, affter a long time it leads to heat in the upper and cold in the lower, or cold heat complex. In the treatment, we should give priority to warming yang and give consideration to the solution of depression, Prof. WEI Yuegang added and subtract on the basis of the Shenqi Pill and Xiaochaihu Decoction, and formulated Wenyang Jieyu Xiaocuo Decoction for treating the disease. Wenyang Jieyu Xiaocuo Decoction can both warm Yang and dispel cold and resolve Qi stagnation in the provided medical record, so the case achieved good results. [Conclusion]Prof. WEI Yuegang＇s treatment experience of Yangyu Hanning acne has satisfactory clinical efficacy and is worth to use for reference and promotion.
作者
赵菁
魏跃钢
ZHAO Jing, WEI Yuegang(Nanjing University of TCM, Nanjing（210029）,China)
出处
《浙江中医药大学学报》
CAS
2018年第9期731-734,共4页
Journal of Zhejiang Chinese Medical University
关键词
痤疮
阳虚
阳郁
温阳解郁
阳郁寒凝
医案
魏跃钢
经验
acne
Yang deficiency
Yang depression
warming Yang to reconcile depression
Yang depression and cold coagulation
consilia
WEI Yue-gang
experience
