张兰教授以温阳法治疗消渴合并痤疮经验总结.docVIP

张兰教授以温阳法治疗消渴合并痤疮经验总结 　　摘要：由消渴病引起的并发症屡见不鲜，其中消渴合并痤疮日益增多，中医称之为肺风粉刺、暗疮等，临床上常好发于面部、胸背部，以白头粉刺、脓包、囊肿、结节多见，目前西医主要从血糖、皮肤及体内激素水平异常来分析此病病因，在治疗上多采用西药对症治疗。中医对消渴合并痤疮多采取西药降糖、中医辨证治疗的方法，疗效显著。对消渴合并痤疮的病因病机，多数医者认为主要由于肺经风热、脾胃湿热、肾虚所致，治疗过程中除控制血糖外，主要从肺、脾胃、肾进行辨证论治，配合一定的心理疗法临床疗效更为显著。吾师张兰教授认为消渴合并痤疮多由肺胃或脾胃湿热，或肝胃郁热引起，但不乏阳虚引起者，对阳虚引起的痤疮，从温补脾肾兼以化瘀解毒入手进行治疗，疗效显著。本人随导师出诊，根据自己临床所见所闻，对导师以阳虚为切入点治疗本病，体会颇深，从辨证及用药特点总结点滴经验供大家借鉴。 　　关键词：导师；消渴病合并痤疮；阳虚 　　中图分类号：R255.4 文献标识码：A 文章编号：1006-1959（2017）18-0119-02 　　Abstract：Suffering from diarrhea caused by complications are common，including diabetes combined with increasing acne，Chinese medicine called the lungs acne，acne，etc.，clinically common in the face，chest and back，with whitehead acne，pustules，cysts，nodules more common，the current Western medicine mainly from the blood sugar，skin and hormone levels in the body to analyze the etiology of the disease，the treatment of Western medicine symptomatic treatment.Traditional Chinese medicine for diabetes combined with acne，taking western medicine hypoglycemic，Chinese medicine dialectical treatment method，the curative effect is remarkable.The etiology and pathogenesis of diabetes complicated with acne，most doctors think that is mainly due to the lung by wind heat，spleen，kidney deficiency，in the course of treatment in addition to blood glucose control，mainly from the lung， spleen，kidney of TCM mental therapy combined with certain clinical curative effect is more significant.My teacher Professor Zhang Lan believes that diabetes combined with acne and more by the stomach or spleen and stomach，or liver and stomach caused by heat，but there are many caused by yang deficiency，caused by yang deficiency acne，from the warmth of the spleen and kidney to poisoning treatment，significant effect.I visit with my tutor， according to my own clinical experience，I think of the teachers yang deficiency as the starting point for the treatment of this disease，I have a deep understanding of the characteristics of syndrome differentiation and