摘要
迟华基教授基于《内经》理论和中医传统思维,认为痤疮的基本病机是本虚标实,本虚是脾气亏虚、土不生金,标实是风热袭肺、湿热蕴脾。在诊断时尤重望诊和问诊,有利于全面把握病机,提高疗效。治疗当标本兼顾,寒热并用,应调补脾肺、充实卫气以图本,疏风清热利湿以除标,病程长者加用化痰散结、活血通络之品,并根据痤疮发病部位不同加用引经药。
Basing on the theory and traditional Chinese medicine（TCM） thinking paradigm of The Yellow Emperor’s Inner Classic,Professor CHI Huaji holds that the primary disease mechanism for acne is deficient root and excessive branch. Deficient root means the deficiency of spleen qi,and fails to generate the lung,while the excessive branch is wind and heat attacking the lung,with accumulation of damp and heat in the spleen. Listening and smelling as well as inquiry are especially important for they are helpful for fully grasping the disease mechanism and improving curative effect. It should be looked into both its root cause and symptoms of acne,which consideration is given to both cold and heat drugs for tonifying spleen and lung and enriching wei-qi in radical treatment,or clearing wind,heat and dampness in symptomatic treatment.For the patients with the a longer course of disease,the drugs of dispersing phlegm and stagnation,or those of activating blood circulation and dredging collaterals will been added. And according to the different location of acne on face,the channel ushering drugs are added accordingly.
作者
杜颖初
鲁明源
DU Yingchu;LU Mingyuan(College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355, Chin)
出处
《山东中医杂志》
2018年第5期395-397,共3页
Shandong Journal of Traditional Chinese Medicine
基金
国家中医药管理局迟华基全国名老中医药专家传承工作室(编号:520786)
关键词
迟华基
痤疮
诊疗
本虚标实
CHI Huaji
acne
diagnosis and treatment
deficient root and excessive branch
