桂枝茯苓湯加減治療痰瘀互結(jié)型玫瑰痤瘡的臨證經(jīng)驗

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[摘要]探討桂枝茯苓湯加減治療痰瘀互結(jié)型玫瑰痤瘡的臨床運用。痰瘀互結(jié)型玫瑰痤瘡的發(fā)生多由生活習慣、飲食習慣、居住地域等所致，患者多脾陽受損、氣郁于內(nèi)，痰濕血瘀互結(jié)而成本病。是故常用桂枝茯苓湯方化痰濕、行瘀血，加溫陽、健脾、行氣之藥，以“溫陽化痰，行氣活血”之法治療痰瘀互結(jié)型玫瑰痤瘡。

[關(guān)鍵詞]痰瘀互結(jié)；玫瑰痤瘡；桂枝茯苓湯；溫陽行氣

[中圖分類號]R758.73＋3    [文獻標志碼]B    [文章編號]1008-6455（2023）04-0108-04

A Brief Analysis of the Experience of Addition and reduction of Guizhi Fuling Soup in Treating Phlegm and Blood Stasis Type Acne Rosacea

LIN Siwei1，DING Hui2

（1.Clinical Medical College of Acupuncture and Moxibustion of Guangzhou TCM University，Guangzhou 510000，Guangdong，China; 2.Department of Dermatology，the First Affiliated Hospital of Guangzhou University of Chinese Medicine，Guangzhou 510000，Guangdong，China）

Abstract： This article mainly introduced the clinical experience in treating phlegm and blood stasis type acne rosacea by using Guizhi Fuling soup. The occurrence of phlegm and blood stasis type acne rosacea is mainly caused by living habits， dietary habits， living areas and other reasons， resulting in the damage of spleen Yang， qi stagnation in the inside， and then resulting in mutual phlegm and blood stasis so that cause this disease. Therefore， Guizhi Fuling soup is usually used to remove phlegm dampness and blood stasis， and is combined with warming yang， invigorating spleen and activating qi. The method of “warming Yang reduces phlegm， activating Qi and promoting blood circulation” is used to treat phlegm and blood stasis type acne rosacea.

Key words： phlegm and blood stasis; acne rosacea; Guizhi Fuling soup; warming yang for activating qi flowing; clinical experience

玫瑰痤瘡是發(fā)生于面中部的慢性炎癥性疾病，主要累及毛細血管和毛囊皮脂腺單位，表現(xiàn)為面頰、鼻部或口周出現(xiàn)陣發(fā)性潮紅或持久性紅斑，常無明顯誘因，但潮紅會因溫度、紫外線及情緒等因素影響，部分嚴重者會出現(xiàn)鼻部贅生物[1]。（剩余6470字）