| 陈双钰,李佳扬,陈必华,等.裘生梁基于“扶土抑木，开玄通府”论治痤疮经验浅析[J].浙江中医药大学学报,2024,48(12):1604-1607. |
| 裘生梁基于“扶土抑木，开玄通府”论治痤疮经验浅析 |
| Analysis of QIU Shengliang’s Experience in Treating Acne Based on the Principles of “Supporting Earth and Suppressing Wood， Opening the Xuanfu” |
| DOI：10.16466/j.issn1005-5509.2024.12.020 |
| 中文关键词: 痤疮 扶土抑木 玄府 肝脾不调 粉刺 名医经验 医案 裘生梁 |
| 英文关键词: acne supporting earth and suppressing wood Xuanfu liver-spleen disharmony pimple famous doctor’s experience medical records QIU Shengliang |
| 基金项目:浙江省新苗人才计划项目(2023R410006) |
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| 中文摘要: |
| [目的] 总结裘生梁主任基于“扶土抑木，开玄通府”论治痤疮的临证经验，为临床提供参考。[方法] 通过临床跟诊、整理医案、查阅古籍并结合现代文献，分析裘师对痤疮病机的认识，明确诊治思路，并附临床医案加以验证。[结果] 裘师认为，痤疮的病机在于肝脾不调、火郁玄府，主张以“扶土抑木，开玄通府”为治疗思路，健脾化湿，调和肝脾，宣通玄府，自拟健脾化湿方，并佐以疏肝、宣通之药灵活辨证加减。所附验案经辨证分析，属粉刺(脾虚湿蕴证)，治以健脾化湿、疏肝理气、开玄通府兼安神，以自拟健脾化湿方为主方，随证加减，取得显著效果。[结论] 裘师基于“扶土抑木，开玄通府”治疗痤疮，疗效显著，为中医药诊治痤疮提供了新思路，值得进一步推广运用。 |
| 英文摘要: |
| [Objective] To summarize Chief Physician of traditional Chinese medicine QIU Shengliang’s clinical experience in treating acne based on the principles of “supporting earth and suppressing wood， opening the Xuanfu” and to provide a reference for clinical practice. [Methods] By following clinical rounds， organizing medical cases， consulting ancient texts and analyzing modern literature， the pathogenesis of acne was examined to clarify the diagnosis and treatment approach， supplemented by a clinical case for verification. [Results] Dr. QIU believes that the pathogenesis of this disease lies in the disharmony between the liver and spleen， with fire stagnation in the mysterious mansion. He advocates using the treatment principle of “supporting earth and suppressing wood， opening the Xuanfu” to strengthen the spleen and transform dampness， harmonize the liver and spleen， and open the mysterious mansion. He has formulated a spleen-strengthening and dampness-transforming prescription， supplemented with liver-soothing and mansion-opening herbs， adjusted formula according to syndrome differentiation. In the attached clinical case， by syndrome differentiation and analysis， the patient was diagnosed as acne (spleen deficiency and dampness evidence)， treated to invigorate the spleen， relieve the liver and regulate Qi， open the Xuanfu and calm the mind， with the self-formulated spleen-strengthening and dampness-transforming prescription adjusted according to the symptoms， achieving significant results. [Conclusion] Dr. QIU’s treatment of acne based on the principles of “supporting earth and suppressing wood， opening the Xuanfu” has shown remarkable efficacy， providing a new approach for the clinical treatment of acne in traditional Chinese medicine， worthy of further promotion and application. |
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