白彦萍从皮络郁热论治玫瑰痤疮经验OA

This paper summarizes professor BAI Yanping's clinical experience in treating rosacea.It is believed that stagnant heat in cutaneous collaterals serves as the core pathogenesis of rosacea,and the interbinding of static blood and heat as well as blockage of cutaneous collaterals constitute the key pathological links.The core therapeutic principles consist of nourishing blood,activating blood circulation to resolve stasis,clearing heat,relieving stagna-tion and unblocking collaterals.In clinic,Wenqing Decoction(温清饮)is adopted as the basic formula,with flexible modifications according to distinct clinical syndromes and stages of rosacea.Based on clinical syndromes,for erythe-matotelangiectatic rosacea,the treatment should focus on activating blood to unblock collaterals,clearing heat and cooling blood;for papulopustular rosacea,the treatment should focus on clearing heat and resolving toxins,and re-solving stasis and dissipating masses;for hypertrophic phymatous rosacea,the treatment should simultaneously softening hard masses,dissipating stagnation,nourishing blood and moisturizing the skin;for ocular rosacea,the treatment should prioritize clearing liver heat to improve eyesight,unblocking orifices and eliminating heat.Based on the stages,in acute phase,heat-clearing,detoxifying and blood-cooling therapies are emphasized;for protracted chronic phase,concurrent regulation of static blood and heat plus blood-nourishing and collateral-unblocking methods are applied;the consolidation stage targets invigorating the spleen and replenishing qi to strengthen vital resistance and eliminate pathogenic factors.Meanwhile,precise compatibility of aromatic medicinals,blood-level medicinals and channel-guiding medicinals is highly valued.The therapy should balance systemic regulation and local lesion care,and com-bine internal and external treatment,which may provides clinical references for TCM intervention of rosacea.