基于甘温除热理论辨治阳虚火浮型痤疮经验介绍

[中图分类号］R275.9 [文献标志码］A [文章编号]0256-7415（2025）03-0204-05

DOI：10.13457/j.cnki.jncm.2025.03.037

Experience of Jl Yunxi in Syndrome Differentiating and Treating Acne of Yang Deficiency and Floating Fire Type Based on Theory of Using Sweet and Warm Medicinals to Remove Heat

CUIYusheng1，CAIHuijun² Instructor：JI Yunxi³ 1.Xixi HospitalofHangzhou，HangzhouZhejang310o23；2.DepartmentofGeneralPractice，ShulanHangzhou HospitalAffliatedto ShulanInterationalMedicalScholofZhejiangShurenUniversity，HangzouZhejiang3o22；3.ZhejiangProvincialHospitalofCine Medicine，Hangzhou Zhejiang 310003

Abstract：Chinese medicine believes that acne is related to internal injury of seven emotions，improper diet， overworkand soon，and is closelyrelatedto pathogensis of heatandfire.ProfessorJIYunxi points out that acne patients have a constitution with yang deficiencysyndrome，so such acne can be of yang deficiency and floating fire，with yang deficiencyas itsoriginandfloatingfireasitssuperficiality.Thefloatingfireisthefirefromconstraint，whichis caused bythe internalconstraintof yang and the failureof yang tosubdue.In addition，Profesor JIbelieves thatacne is also related to pathological products such as phlegm and stasis.Therefore，when Professor JI treats acne of yangdeficiency andfloating fire type，heoften takes "usingsweetand warm medicinals toremove heat"as the method，warmingthe kidneyandasisting yang and taking into account the symptoms.His treatment warms yang to relieveconstraint and subdues yang totheinternal，anditalsoreinforces yang and inhibits yin，and treats both phlegmand stasis.In this way，the true yangcan be supplemented，and yangqi subdues in the internal withoutfloating ontheexternal，making the spleen get transport，phlegm and damp notbe generated，qimove and bloodflow，and static blood not stagnate.As a result，acne can be gradually cured and will not recur.

Keywords：Acne；Yang deficiency and floating fire；Reinforce yang type；Using sweet and warm medicinals to remove heat；Clinical experience；JI Yunxi

痤疮是一种好发于青春期，累及毛囊皮脂腺的慢性炎症性皮肤病，是临床常见的皮肤疾患之一，目前西医对痤疮的发病机制仍未完全阐明，其与遗传背景下激素诱导的皮脂腺过度分泌脂质、毛囊皮脂腺导管角化异常、痤疮丙酸杆菌等毛囊微生物增殖、炎症和免疫反应等相关。（剩余5300字）