基于"体用关系"从肝脾论治痤疮OA
Treatment of Acne from Liver and Spleen Based on Property-Function Relationship
痤疮为常见的损美性皮肤病.肝脾"体阴用阳",肝之体以藏血为本,其用以疏泄开郁为基;脾之体以安和统血为源,其用以运化输营为基.二者生理上密切相关,病理上相互影响,肝脾体用失谐则导致气血运行紊乱,湿郁胶着,腠理闭塞,皮肤屏障稳态失衡发生痤疮.痤疮发病中"湿邪"是主要病理因素,"郁态"贯穿痤疮致病的全过程.在治疗上,可根据肝脾生理特点,施以柔润之药养体,辛散之药调用,舒化"郁态",恢复"稳态",阴阳同调,谐和体用.
Acne is a common skin disease that affects appearance.The liver and spleen are characterized by yin in property and yang in function.The liver governing blood storage has the function of promoting the free flow of qi and relieving depression.The spleen promoting harmony and controlling blood has the function of transforming and transporting nutrients.These two organs are closely connected physiologically and influence each other pathologically.Disharmony between the liver and spleen leads to disordered blood and qi circulation,dampness stagnation,closure of striae and interstice,and imbalance of the skin barrier homeostasis,resulting in acne.In the pathogenesis of acne,dampness is a major pathological factor,and stagnation is present throughout the entire disease process.In treatment,considering the physiological characteristics of the liver and spleen,nourishing medicines can be used to moisten and support the body,while pungent and dispersing medicines can be used to regulate the function,resolve depression,and restore homeostasis.This approach harmonizes yin and yang and balances the functions and properties of organs.
王亚萍;孙波;侯红斌;傅娟;卢相月;张换换;张锦;王耀东
甘肃省妇幼保健院/甘肃省中心医院内分泌科(甘肃 兰州 730070)甘肃省妇幼保健院/甘肃省中心医院内分泌科(甘肃 兰州 730070)甘肃省妇幼保健院/甘肃省中心医院内分泌科(甘肃 兰州 730070)甘肃省妇幼保健院/甘肃省中心医院内分泌科(甘肃 兰州 730070)甘肃省妇幼保健院/甘肃省中心医院内分泌科(甘肃 兰州 730070)甘肃省妇幼保健院/甘肃省中心医院内分泌科(甘肃 兰州 730070)甘肃省妇幼保健院/甘肃省中心医院内分泌科(甘肃 兰州 730070)甘肃省妇幼保健院/甘肃省中心医院中医科(甘肃 兰州 730070)
肝脾体用关系痤疮
liver and spleenrelationship between property and functionacne
《基层中医药》 2026 (1)
73-78,6
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