| 宋春侠,徐立伟,权兴苗,等.张德英从痰论治痤疮验案举隅[J].浙江中医药大学学报,2024,48(1):50-54. |
| 张德英从痰论治痤疮验案举隅 |
| ZHANG Deying’s Cases of Treating Acne from Phlegm |
| DOI：10.16466/j.issn1005-5509.2024.01.008 |
| 中文关键词: 痤疮 痰 病因病机 治疗 验案 名医经验 |
| 英文关键词: acne phlegm etiology and pathogenesis treatment medical cases famous doctor’s experience |
| 基金项目:河北省中医药管理局中医药类指令性计划项目(2021199) |
|
| 摘要点击次数: 1479 |
| 全文下载次数: 723 |
| 中文摘要: |
| [目的] 总结张德英教授从痰证角度治疗痤疮的特色及经验。[方法] 通过跟随张教授门诊临证学习，整理张教授治疗痤疮的病案，选取三则典型验案，结合中医经典理论，分析、总结张教授对痰证理论的独到见解及临床经验。[结果] 张教授从当今人们的体质状况及痤疮发病特点出发，指出痤疮的病因病机为痰热或痰火上犯头面胸等处，局部肉腐而发病。根据痰浊生于中焦脾胃，为土家实邪，在治疗上可以通过泻土降浊、繁木制土、化土生金的方法达到化痰的目的，再加以清热药物，从而清化上焦痰热之邪，使痤疮得以治愈。同时需注意到五行相互关系，痰浊太盛则易克伐肾水而致肾虚，在治疗上祛痰降浊为先，痰浊去除后再补益肾水方可有效，甚或有些患者不需补肾，而肾自慢慢恢复。[结论] 张教授对痰证理论认识独特，指出痤疮病机多为痰火或痰热郁于肌表，肉腐而成。治疗当以清化痰热为主。痰为土家之邪，化痰之法除泻土之外，根据五行理论，还有繁木制土、生金消土之法，其临床疗效显著，值得临床推广应用。 |
| 英文摘要: |
| [Objective] To summarize the characteristics and experience of Professor ZHANG Deying in treating acne from the perspective of phlegm syndrome. [Methods] By following the clinical study of Professor ZHANG’s clinic， the medical records of acne treatment were sorted out， three typical cases were selected， and combined with the classical theories of traditional Chinese medicine， the unique insights and clinical experience of Professor ZHANG on phlegm syndrome theory were analyzed and summarized. [Results] According to the physical condition of people and the characteristics of acne， Professor ZHANG points out that the etiology and pathogenesis of acne are phlegm heat or phlegm fire invading the head， chest and causing local flesh rot. According to the spleen and stomach of middle-Jiao， the phlegm is a pathogenic factor of soil. In the treatment， the purpose of reducing phlegm can be achieved by reducing soil， multiplying wood to reduce soil and producing metal to eliminate soil， and then using heat-clearing drugs to clear the evil of upper-Jiao phlegm heat and cure acne. At the same time， it should be noted the relationship among the five elements， the phlegm is too excessive， easy to block the kidney water and cause kidney deficiency， the first treatment is reducing phlegm， after the removal of phlegm， tonifying the kidney can be effective， even some patients do not need to be tonified the kidney， and the kidney will slowly recover. [Conclusion] Professor ZHANG has unique understanding of the theory of phlegm syndrome， pointing out that the pathogenesis of acne is mostly phlegm fire or phlegm heat stagnation in the muscle surface， and the flesh rot. The main treatment should be to clear phlegm heat. Phlegm is the pathogenic factor of soil. Besides the method of reducing soil， according to the theory of five elements， there are also methods of multiplying wood to reduce soil and producing metal to eliminate soil. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |