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周蕾, 庞博, 陈岩.基于相火学说浅析玫瑰痤疮证治[J].湖南中医药大学学报英文版,2025,45(4):725-730.[Click to copy
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| 基于相火学说浅析玫瑰痤疮证治 |
| 周蕾,庞博,陈岩 |
| (中国中医科学院广安门医院, 北京 100053) |
| 摘要: |
| 以相火学说为指导，探讨玫瑰痤疮的病机及治则治法，认为玫瑰痤疮的核心病机为相火妄动，君火不明、肝郁化火、脾土不足、肾失封藏均为引发相火妄动之因，提出敛藏相火为该病治疗总则。针对君火不明、相火上亢，治宜清心养心、敛降相火，方予升阳汤；针对肝郁化火、相火郁滞，治宜疏肝解郁、理气清火，方予柴胡清肝散；针对脾土不足、相火离位，治宜升阳健脾、厚土伏火，方予升阳益胃汤；针对肾失封藏、相火浮越，治宜补肾潜阳、引火归元，方予引火汤。附验案一则，以期为玫瑰痤疮的诊疗提供新思路。 |
| 关键词: 玫瑰痤疮 相火学说 引火汤 病因病机 辨证论治 朱丹溪 |
| DOI：10.3969/j.issn.1674-070X.2025.04.021 |
| Received:August 01, 2024 |
| 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（HLCMHPP2023010）。 |
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| Pattern differentiation and treatment of rosacea based on the theory of ministerial fire |
| ZHOU Lei, PANG Bo, CHEN Yan |
| (Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China) |
| Abstract: |
| Based on the theory of ministerial fire, the pathogenesis, therapeutic principles and methods of rosacea are discussed. The core pathogenesis of rosacea lies in the reckless stirring of ministerial fire, caused by factors such as the diminished sovereign fire, liver qi stagnation transforming into fire, spleen deficiency, and the kidney's failure in sealing and storing. It is proposed that the overarching principle for treating this condition is to restrain and subdue the ministerial fire. For the condition of diminished sovereign fire and hyperactive ministerial fire, the treatment principle should focus on clearing and nourishing the heart while subduing and restraining the ministerial fire. The recommended formula is Shengyang Decoction., For stagnated ministerial fire caused by liver qi stagnation transforming into fire, the treatment principle is to soothe the liver, resolve stagnation, regulate qi, and clear fire. The recommended formula is Chaihu Qinggan Powder. For displaced ministerial fire caused by spleen deficiency, the treatment principle is to raise yang, strengthen the spleen, and subdue fire. The recommended formula is Shengyang Yiwei Decoction. For floating ministerial fire resulting from kidney's failure in sealing and storing, the treatment principle is to tonify the kidney, subdue yang, and guide the fire back to its source. The recommended formula is Yinhuo Decoction. A case report is attached to provide new ideas for the diagnosis and treatment of rosacea. |
| Key words: rosacea ministerial fire theory Yinhuo Decoction etiology and pathogenesis pattern differentiation and treatment ZHU Danxi |
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