| 引用本文: |
郭子健, 徐晨琛, 臧瑞, 汪青楠, 杨佼.基于“脏腑-气血-皮损”理论探讨玫瑰痤疮分型论治思路[J].湖南中医药大学学报,2025,45(8):1527-1531[点击复制] |
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| 基于“脏腑-气血-皮损”理论探讨玫瑰痤疮分型论治思路 |
| 郭子健,徐晨琛,臧瑞,汪青楠,杨佼 |
| (中国中医科学院广安门医院, 北京 100053) |
| 摘要: |
| 基于“脏腑-气血-皮损”理论，结合临床玫瑰痤疮不同分型的皮损特点，提出脏腑功能失调为发病之本、气血失和为病机枢纽、皮损形态为标象外显的论治体系。针对红斑毛细血管扩张型玫瑰痤疮，辨热、虚、瘀之象，从肝论治，治宜凉血活血或养血活血；针对丘疹脓疱型玫瑰痤疮，辨湿、毒、热之征，从肺、脾论治，治宜除湿解毒、清热凉血；针对鼻赘型玫瑰痤疮，辨痰、瘀之形，宜从肝、脾论治，治宜化痰散结、活血化瘀，佐以滋阴；针对眼型玫瑰痤疮，从肝入手，治宜清肝泻热、柔肝养血。诸法合用使气血调和，脏腑协调。将“脏腑-气血-皮损”理论与玫瑰痤疮的分型特点相结合，初步探讨玫瑰痤疮的分型证治规律，附验案一则，总结玫瑰痤疮治疗的临床经验，为中医药治疗玫瑰痤疮提供新的思路和方法。 |
| 关键词: 玫瑰痤疮 分型论治 皮损辨证 脏腑理论 气血失和 |
| DOI：10.3969/j.issn.1674-070X.2025.08.019 |
| 投稿时间：2025-05-25 |
| 基金项目:中央高水平中医医院临床研究和成果转化能力提升项目--临床科研一体化人才专项(HLCMHPP20230122);第八届青年人才托举工程项目(2022QNRC001) |
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| Classification-based treatment strategies of rosacea based on the "zang-fu organs-qi and blood-skin lesions" theory |
| GUO Zijian, XU Chenchen, ZANG Rui, WANG Qingnan, YANG Jiao |
| (Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China) |
| Abstract: |
| Based on the theory of "zang-fu organs-qi and blood-skin lesions", and in combination with the clinical characteristics of skin lesions in different subtypes of rosacea, a treatment system is proposed: dysfunction of the zang-fu organs leading to qi and blood disharmony is the root cause of the disease, disharmony of qi and blood represents the core pathogenesis,and the morphology of skin lesions is the external manifestation of the disease. For erythematotelangiectatic rosacea, it is essential to differentiate the manifestations of heat, deficiency, and stasis, with treatment focusing on the liver and employing therapeutic strategies to cool and circulate blood, or circulate and nourish blood. For papulopustular rosacea, it is essential to differentiate the manifestations of dampness, toxins, and heat, with treatment focusing on the lung and spleen and employing therapeutic strategies to eliminate dampness and remove toxins, or to clear heat and cool the blood. For phymatous rosacea, it is essential to differentiate the manifestations of phlegm and stasis, with treatment focusing on the liver and spleen and employing therapeutic strategies to transform phlegm and dissipate nodules and circulate blood and transform stasis, supplemented by nourishing yin. For ocular rosacea, treatment should focus on the liver, employing strategies to clear and reduce liver heat and to soften the liver and nourish blood. The combination of these therapeutic strategies helps to regulate and harmonize qi and blood and coordinate the zang-fu organs. By integrating the theory of "zang-fu organs-qi and blood-skin lesions" with the classification characteristics of rosacea, this study preliminarily explores the pattern differentiation and treatment principles for its various subtypes. A verified medical record is presented to summarize clinical experience in the treatment of rosacea, providing insights and approaches for the application of Chinese Medicine in rosacea management. |
| Key words: rosacea classification-based treatment pattern differentiation of skin lesions theory of zang-fu organs disharmony of qi and blood |
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