摘要
总结艾儒棣教授运用角药联合中药面膜治疗痤疮的临证经验。认为男性与女性的痤疮病机不同,治疗各异。男性痤疮以“肺-脾胃-大肠”轴功能失调为核心病机,宜三焦分治,常用忍冬藤-蕲蛇-石菖蒲疏风透热、宣散上焦,白花蛇舌草-白鲜皮-檀香清利湿热、疏调中焦,槐米-决明子-白术补润结合、通达下焦。女性痤疮以“肝肾-天癸-冲任”轴功能失衡为核心病机,宜循经分期治疗,经前期用菟丝子-郁金-羌活鱼补肾兼以疏肝,行经期用川芎-益母草-蚕沙活血以调畅血行,经后期用黄精-山萸肉-肉苁蓉养血以助阳益阴。同时重视内外合治,在中药内服的基础上联合中药面膜外敷,常用自拟香连金黄散合活血散作为中药面膜处方。
To summarize the clinical experience of Professor AI Rudi in treating acne with triple Chinese medicinal groups combined with Chinese medicinal mask.It is believed that the pathogenesis and treatment of male and female acne are different.The key mechanism of male acne is the dysfunction of the"lung-spleen and stomach-large intestine"axis,and the method of three jiao differentiation should be used.Clinically,the triple Chinese medicinal group,Rendongteng(Lonicera japonica)-Qishe(Portulaca oleracea)-Shicangpu(Acorus gramineus),can scatter wind to relieve heat,and diffuse and disperse upper jiao;group Baihua Sheshecao(Scleromitrion diffusum)-Baixianpi(Dictamnus dasycarpus)-Tanxiang(Santalum album)can clear heat and drain dampness,and regulate middle jiao;group Huaimi(Styphnolobium japonicum)-Juemingzi(Senna tora)-Baizhu(Atractylodes macrocephala)can tonify and moisten to unblock the lower jiao.The core mechanism of female acne is the imbalance of the function of the"liver and kidney-Tiangui(reproduction-stimulating essence,corresponds with the tenth heavenly stem)-Chong and ren"axis,and the method of staged tratment based on menstrual cycle should be used.Before the menstrual period,group Tusizi(Cuscuta chinensis)-Yujing(Curcuma longa)-Qianghuoyu(Hansenia forbesii)can tonify kidney and relax liver;during the menstrual period,group Chuanxiong(Rhizoma Ligustici Chuangxiong)-Yimucao(Leonurus japonicus)-Cansha(Bombycis Faeces)can invigorate blood and regulate menstrual flow;after the menstrual period,group Huangjing(Polygonatum sibiricum)-Shanyurou(Corni Fructus)-Roucongrong(Cistanche deserticola)can nourish blood,assist yang and boost yin.Meanwhile,we attached importance to the internal and external treatment.Based on the internal administration of traditional Chinese medicine,Chinese medicinal masks were used for external application,commonly used in self-prescribed Xianglian Jinhuang Powder(香连金黄散)combined with Huoxue Powder(活血散)as the prescription for Chinese medicinal mask.
作者
宋玮
何鑫
陈明岭
肖敏
艾儒棣(指导)
SONG Wei;HE Xin;CHEN Mingling;XIAO Min(Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,610072)
出处
《中医杂志》
CSCD
北大核心
2024年第9期892-897,共6页
Journal of Traditional Chinese Medicine
基金
国家中医药管理局全国名中医传承工作室建设项目(国中医药人教发[2022]5号)。
关键词
痤疮
角药
中药面膜疗法
名医经验
艾儒棣
acne
triple Chinese medicinal group
Chinese medicinal mask therapy
experience of famous doctors
AI Rudi
