基于相火學(xué)說淺析玫瑰痤瘡證治

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本文引用：陳巖.基于相火學(xué)說淺析玫瑰痤瘡證治[J]：湖南中醫(yī)藥大學(xué)學(xué)報，2025，45（4）：725-730.

[關(guān)鍵詞]玫瑰痤瘡；相火學(xué)說；引火湯；病因病機；辨證論治；朱丹溪 [中圖分類號]R275 [文獻標(biāo)志碼]A [文章編號]doi：10.3969/j.issn.1674-070X.2025.04.021

[Abstract]Basedonthetheoryof ministerialfire，thepathogenesis，therapeuticprinciplesand methodsofrosaceaare discused.Thecorepathogenesisofrosacealiesintherecklesstiringofministerialfirecausedbyfactorssuchasthediminished sovereignfire，liverqiagnationtransformingintofie，spleendeficiencyandthekidneysfilureinsealingandstoingIis proposedthattheoverarchingprinciplefortreatingthisconditionistorestrainandsubduetheministerialfire.Fortheconditionof diminishedsovereignfieandhyperactiveministerialfire，thetreatmentprincipleshouldfocusonclearingandnourishingthheart whilesubduingandrestrainingtheministerialfire.TherecommendedformulaisShengyangDecoction.，F(xiàn)orstagnatedmiisterial firecausedbyliveriagationasforingintofitetramentprincipleistoothethelivesolvestagnatiolatei andclearfire.TerecommendedformulaisChaihu QingganPowder.Fordisplacedministerialfirecausedbyspleendeficiencythe treatmentprincipleistoraiseyang，strengthenthespleen，andsubduefire.TherecommendedformulaisShengyangYiwei Decoction.Forfloatingministerialfireresultingfromkidneysfailureinsealingandstoring，thetreatmentpricipleistotoifythe kidney，subdueyang，andguidethefireback toitssource.TherecommendedformulaisYinhuoDecoction.Acasereportis attached to provide new ideas for the diagnosis and treatment of rosacea.

[Keywords]rosacea;ministerialfiretheory；YinuoDecoction;etiologyandpathogenesis；pattrndiffrentiationand treatment;ZHU Danxi

玫瑰痤瘡是一種累及皮膚毛細(xì)血管及毛囊皮脂腺的炎癥性皮膚病1，好發(fā)于面部中央，臨床表現(xiàn)為鼻部、口周及面頰部陣發(fā)性潮紅、持續(xù)性紅斑，或伴有丘疹、膿皰，患者自覺皮膚干燥、瘙癢、灼熱感，臨床分型以紅斑毛細(xì)血管擴張型和丘疹膿皰型多見。（剩余9159字）