曹毅基于坎离理论辨治阳虚型痤疮临证探微
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Brief Discussion on CAO Yi in Treating Acne of Yang Deficiency Type from Differentia⁃ tion and Treatment Based on Kan-Li Theory
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    摘要:

    痤疮是临床皮肤科常见的慢性炎症性疾病,好发于青少年。阳虚型痤疮多为反复发作、缠绵难愈 性痤疮。曹毅教授受郑钦安坎离理论启发,认为阳虚型痤疮的病机以阳虚为本,热象为标,阳郁为根、痰瘀互 结。当坎中真阳不足,阴寒渐盛,离火制约不行,坎离失济,中气不化,内生痰瘀,虚阳上乘郁面而发病。曹 毅教授提出以温补脾肾、潜阳内收,温阳解郁、痰瘀并治为治疗准则,临床上常采用金匮肾气丸或右归丸加减 方治疗,使真阳得复,守相位而不上侵面部,坎离既济,脾气健运,痰瘀无所生,则病渐愈。

    Abstract:

    Abstract:Acne is a common chronic inflammatory disease in clinical dermatology,which often occurs in teenagers. Acne of yang deficiency type is mostly recurrent,lingering and refractory one. Inspired by the Kan-Li Theory of ZHENG Qin'an,Prof. CAO Yi believes that the pathogenesis of acne of yang deficiency type is based on yang deficiency and marked by heat syndromes,and yang constraint is the root,and phlegm blended with stasis. When the true yang in Kan is deficient,yin and cold gradually get exuberant, and Li fire is not able to restrict it,so Kan and Li fail to coordinate with each other;the center qi fails to transport and transform,and phlegm and stasis are generated internally,and then deficiency fire attacks upwards to result in the binding constraint at faces, which leads to acne. Prof. CAO Yi proposes the principle of warming and supplementing the spleen and kidney, subduing yang and astringing to the internal,warming yang and resolving constraint and treating both phlegm and stasis. Clinically,modified Jingui Shenqi Pills or Yougui Pills are often used to treat the disease,and to restore true yang and maintain ministerial fire,so it can not attack upwards to faces. Because of coordination between Kan and Li,healthy spleen qi can transport,and there is no chance for the generation of phlegm and stasis,and thus the disease can be cured.

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江桦栋,蔡慧君,曹毅.曹毅基于坎离理论辨治阳虚型痤疮临证探微[J].新中医,2023,55(15):189-192

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  • 在线发布日期: 2023-08-13
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