桂枝茯苓汤加减治疗痰瘀互结型玫瑰痤疮的临证经验

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[摘要]探讨桂枝茯苓汤加减治疗痰瘀互结型玫瑰痤疮的临床运用。痰瘀互结型玫瑰痤疮的发生多由生活习惯、饮食习惯、居住地域等所致，患者多脾阳受损、气郁于内，痰湿血瘀互结而成本病。是故常用桂枝茯苓汤方化痰湿、行瘀血，加温阳、健脾、行气之药，以“温阳化痰，行气活血”之法治疗痰瘀互结型玫瑰痤疮。

[关键词]痰瘀互结；玫瑰痤疮；桂枝茯苓汤；温阳行气

[中图分类号]R758.73＋3    [文献标志码]B    [文章编号]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

玫瑰痤疮是发生于面中部的慢性炎症性疾病，主要累及毛细血管和毛囊皮脂腺单位，表现为面颊、鼻部或口周出现阵发性潮红或持久性红斑，常无明显诱因，但潮红会因温度、紫外线及情绪等因素影响，部分严重者会出现鼻部赘生物[1]。（剩余6470字）