痤疮中医理论溯源.PDF

zy@cjocm.cn 中医临床研究 010 CJCM 中医临床研究 2013 年第 5 卷 第 7 期 -1- 痤疮中医理论溯源 Tracing to the source of the TCM theory of acne 李秀玉 王晓静 腰向颖 （海军总医院，北京，100037） 中图分类号：R758.73 ＋3 文献标识码：A 文章编号：1674-7860 （2013 ）07-0001-02 【摘 要】 时代不同，痤疮名称有别。唐宋以前一般称之为 “粉刺”、 “面皰”、 “面皶疱”、 “面粉渣”、 “皰疮”等； 明代以后称 “酒刺”、 “粉花疮”、 “肺风粉刺”。俗称 “壮疙瘩”、 “青春痘”、 “粉刺”、 “暗疮”等。早在两千多年前的 《内经》中就有关于“痤”的记载，以后晋、隋、唐、明、清代医家对此均有论述。枇杷清肺饮是至今临床常用的治疗痤疮的古 代良方，值得提出的是，不少文章认为 “枇杷清肺饮”出自清•吴谦《医宗金鉴•外科心法要诀•肺风粉刺》，但从时间顺序上看， 清•祁坤《外科大成》（刊于 1665 年）载此方在先，而《医宗金鉴》（刊于1742 年）载此方在后，且二者药味、剂量完全相同， 推论该方当为吴谦借用祁坤之方。 【关键词】 痤疮；中医；溯源 【Abstract 】 The name of Acne is different in diverse dynasties. It generally referred to “acne”, “pimple”, “comedo”, “acne on the face”, “pemphigus foliapeas” before the Tang and Song Dynasty; it was called as “whelk”, “acne suffered by females” and “acne vulgaris” after the Ming Dynasty. It was commonly known as “comedo”, “whelk”, “pimple” and “acne” etc. Two thousand years ago, the acne was recorded in the Inner Canon of Huangdi, and physicians of the Jin, Sui, Tang, Ming and Qing Dynasty discussed it in their writings. Clearing away the lung-heat with the loquat is an excellent ancient recipe so far commonly used in clinical acne treatment. It is worth mentioning that “the loquat can clear away the lung-heat” stems from Golden Mirror of Medicine • WaiKe XinFa YaoJue • acne vulgaris wrote by Wu Qian of the Qing Dynasty in many articles. However, from the point of time order, Waike Dacheng (published in 1665) by Qi Kun of the Qing Dynasty recorded this prescription early, while Golden Mirror of Medicine (published in 1742) recorded it lately. Besides, the smell and dose of the two prescriptions are same, therefore, we can infer that Wu Qian quoted the prescription from Qi Kun. 【Keywords 】 Acne; TCM; Traceability doi:10.