枇杷清肺饮加减治疗痤疮64例(中英对照专业论文).doc

枇杷清肺饮加减治疗痤疮64例 （中英对照论文） 顾炜 ( 辽宁中医学院 邮编：110032 ) [关键词]: 枇杷清肺饮；痤疮；中医药治疗 痤疮是指颜面、胸背﹑肩等处发生炎症性丘疹、挤之有米粒碎样的白色粉质物质，初起为针尖大小位于毛囊口，有的呈黑头丘疹，若继续发展可产生脓疱、结节、囊肿、甚至疤痕。皮疹可散在分布，也可密集。病程缓慢，好发青春期的青年男女，所以又叫“青春痘”，属中医“粉刺”、“肺风粉刺”的范畴。临床较多见，本病虽有自愈倾向，但许多患者产生心理障碍，影响工作和学习。西医治疗通常采用对症处理以抗生素消炎为主，效果均不理想。近年来笔者采用枇杷清肺饮加减治疗痤疮64例，疗效满意，现报告如下。 The 64 cases of curing acne by taking the detergent lung with loquat Acne means that there are inflammatory papules on face, chest, back or shoulder, and there is white dusty substance like broken granule if you press it. At first, they are very little and at the edge of follicular pili, some of them are black papules, some days later, maybe become pustule, node, cyst, even scar. The rash sometimes are distributed separately, sometimes are dense. The time of this disease’s progress is very long ,most of the patients are adolescent, so here is another name “pimple”, belongs to the “acne”, “lung feng acne” of Traditional Chinese Medicine .This is a common disease, and with the tendency of natural cure, but many sufferer result in psychogenic barrier and disturb their work and study. The method of western Medicine to treat the disease is using imipenem to reduce inflammation, but the effectiveness are not marked. Those years, the author had been mainly adapting the detergent lung with loquat to cure 64 cases of acne. This disease belongs to the acne of Traditional Chinese Medicine. Most because of the unreasonable food habit, eat bitter food too much, fall ill again because of infecting fentgxie, detergent and cure the disease which is caused by damp-heat of lung and stomach, and help to detoxify. 临床资料 1.1一般资料 本组64例均选自门诊患者，其中男30例，女34例；年龄最小12岁，最大39岁；病程最短2个月，最长5年。皮疹部位：颜面64例，合并胸部10例，合并背部21例。 1.2诊断标准 全部病例均按照《中医病症诊断疗效标准》粉刺的诊断依据进行诊断。 2、治疗方法 枇杷清肺饮组成：枇杷叶15g，北沙参10g，黄芩10g，黄连6g，栀子10g，桑白皮10g，金银花15g，连翘15g，升麻10g，皂刺5g，赤芍6g，芦根15g, 甘草5g。 加减法：皮损色红明显者加生地10g，丹皮6g；结节囊肿者加浙贝母12g，夏枯草15g；脓疱加蒲公英15g，野菊花15g；皮脂溢出多者加山楂15g，白花蛇舌草15g；色素沉着加桃仁10g，丝瓜络6g；大便干者加大黄3g。水煎服，每日1剂。先用