| 吴美达,贺莉雅,曾秋菊,等.廖列辉从中焦虚寒治疗面部黑变病撷要[J].浙江中医药大学学报,2022,46(8):909-912, 920. |
| 廖列辉从中焦虚寒治疗面部黑变病撷要 |
| LIAO Liehui‘s Experience in Treating Facial Melanosis from Deficiency Cold of Middle-Jiao |
| DOI：10.16466/j.issn1005-5509.2022.08.018 |
| 中文关键词: 中焦虚寒 面部黑变病 中西医结合 阴阳 皮肤病理学 大建中汤 温中祛寒 验案 |
| 英文关键词: deficiency cold of middle-Jiao facial melanosis integrated Chinese and western medicine Yin and Yang dermatopathology Dajianzhong Decoction warming middle-Jiao and dispelling cold proven case |
| 基金项目:国家中医药管理局中医学术流派传承工作室建设项目-岭南皮肤病流派传承工作室(LP0119045)；国家中医药管理局禤国维国医大师传承工作室建设项目(国中医药办人教发[2015]24号)； |
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| 中文摘要: |
| [目的] 介绍廖列辉主任医师从中焦虚寒治疗面部黑变病的临床经验。 [方法] 通过跟师学习、随访患者、记录医案以及查阅文献的方式，归纳总结廖师治疗本病的学术观点和临床方案，并举典型医案加以佐证。[结果] 廖师认为面部黑变病的病位外在面部而内在脾胃，病性为气血不荣与不通，导致阳虚寒凝，毒瘀成斑。本病内因为脾胃虚弱无以上承气血，使面部气血不荣；外因为黑素等阴寒之邪大量沉积于皮肤，困阻经络，使面部气血不通。针对其病因病机，治斑首重后天之本，倡导从中焦虚寒治疗，以大建中汤内服，促进黑素代谢过程；斑消后缓图先天之本，选用金匮肾气丸，以补肾气为要，两本兼顾，疗效持久。所举医案中患者为老年女性，辨为中焦虚寒证，治疗上温中祛寒、解毒散斑，先以大建中汤内服祛斑，后以金匮肾气丸久服固本，疗效颇佳。[结论] 廖师将中医的阴阳理论与皮肤病理学有机结合，临床上运用仲圣原方大建中汤，治疗面部黑变病疗效显著，在一定程度上丰富了现代中医对面部黑变病的认识和治疗经验，值得借鉴与推广。 |
| 英文摘要: |
| [Objective] To introduce Professor LIAO Liehui‘s clinical experience in the treatment of facial melanosis from deficiency cold of middle-Jiao. [Methods] Through clinical learning， following up patients， recording the basis and reviewing literature， the academic viewpoints and clinical plan of Professor LIAO were summarized， and a medical case was cited. [Results] Professor LIAO believes that the location of facial melanosis is external to the face and internal to the spleen and stomach， and the nature is deficiency and stagnant movement of Qi and blood， which leads to deficiency of Yang， coagulation of cold， and the cold toxin stasis forms plaques. On the one hand， facial melanosis is caused by the weakness of the spleen and stomach without bearing Qi and blood upward， so that the facial Qi and blood are not glorious. On the other hand， evils of Yin and cold such as melanin are deposited in the skin， blocking the channels and collaterals， which cause the facial Qi and blood blockage. In view of its etiology and pathogenesis， it is suggested to treat the deficiency and cold of middle-Jiao， and promote melanin metabolism by taking Dajianzhong Decoction internally. After spot disappearing， focus on tonifying kidney Qi and cure the congenital foundation slowly with Jingui Shenqi Pill. Taking into account both the spleen and kidney， so that the curative effect is lasting. In the medical case， the elderly female patient was diagnosed as middle-Jiao deficiency cold syndrome， with treatment of warming middle-Jiao and dispelling cold， detoxicating and removing freckle. First taking Dajianzhong decoction to remove spots， and then taking Jingui Shenqi Pill to fix the original， the curative effect was satisfied. [Conclusion] Professor LIAO combines the theory of Yin and Yang of traditional Chinese medicine with dermatopathology， and clinically uses Zhongjing‘s original formula Dajianzhong Decoction in treating facial melanosis， which has a significant effect and enriches the understanding and treatment experience of facial melanosis in modern Chinese medicine to some extent. His experience is worthy of reference and promotion. |
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