“体质辨识”结合“对穴”治疗痤疮经验分享
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摘要
[目的]探讨莫晓枫将"体质辨识"与"对穴"相结合治疗痤疮的临床经验。[方法]通过学习莫师对于"体质辨识"及"对穴"理论的认识,收集整理莫师治疗痤疮的医案,总结莫师在治疗痤疮时的临床经验,并以临床典型病例加以佐证。[结果]莫师认为痤疮的治疗不可脱离患者自身的体质。不同体质的患者易患不同证型的痤疮,由于患者体质的不同,不同证型的痤疮又会有不同的独特表现。在辨识患者体质的基础上,针对不同体质的调节,莫师则采用"对穴"针刺之法。治病求本,取得了较好的疗效。所列举医案具体展示了上述莫师的诊疗方法。[结论]莫晓枫运用"体质辨识"理论辨别患者体质、再通过"对穴"针刺之法对患者的体质进行调节、从而治疗痤疮的诊疗思路,值得医者借鉴和推广。
[Objective] To explore the clinical experience of MO Xiaofeng in treating acne with "physical identification" and "double acupoints". [Methods]By learning MO's understanding of "physical identification" and "double acupoints" theory, collect and organize the medical treatment of acne, summarize the clinical experience of MO in the treatment of acne, and prove it with typical clinical cases. [Results] MO believes that the treatment of acne cannot be separated from the patient's own constitution. Different physique patients are prone to different types of acne. Due to different physiques, different types of acne have different unique manifestations. On the basis of identifying the patient's physique, for the adjustment of different physiques, MO used the"double acupoints". [Conclusion] MO Xiaofeng used the theory of "physical identification" and applied the "double acupoints" acupuncture on the constitutional adjustment to treat acne,it is worthy of reference and promotion by doctors.
[Objective] To explore the clinical experience of MO Xiaofeng in treating acne with "physical identification" and "double acupoints". [Methods]By learning MO's understanding of "physical identification" and "double acupoints" theory, collect and organize the medical treatment of acne, summarize the clinical experience of MO in the treatment of acne, and prove it with typical clinical cases. [Results] MO believes that the treatment of acne cannot be separated from the patient's own constitution. Different physique patients are prone to different types of acne. Due to different physiques, different types of acne have different unique manifestations. On the basis of identifying the patient's physique, for the adjustment of different physiques, MO used the"double acupoints". [Conclusion] MO Xiaofeng used the theory of "physical identification" and applied the "double acupoints" acupuncture on the constitutional adjustment to treat acne,it is worthy of reference and promotion by doctors.
引文
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[2]李灿新,成改霞,蔡东华,等.寻常痤疮分级与辨证的流行病学研究[J].中医药学刊,2006,24(11):2056-2057.
[3]杨岚,李元文,曲剑华.痤疮辨证分型的文献研究[J].北京中医药,2015,34(6):472-473.
[4]鞠强.口服异维A酸治疗痤疮的研究[J].临床皮肤科杂志,2015,44(1):58-61.
[5]项蕾红.中国痤疮治疗指南(2014修订版)[J].临床皮肤科杂志,2015,44(1):52-57.
[6]王政洁,陈力.寻常痤疮中医体质学研究进展[J].河南中医,2014,34(5):979-981.
[7]吴谦.医宗金鉴[M].北京:人民卫生出版社,2006:466.
[8]朱震亨.格致余论[M].施仁潮,整理.北京:人民卫生出版社,2005:24.
[9]王琦.9种基本中医体质类型的分类及其诊断表述依据[J].北京中医药大学学报,2005,28(4):1-8.
[10]刘亚南,黄青,赵慧娟.318例寻常痤疮患者中医体质类型分析[J].中医杂志,2015,56(3):223-227.
[11]田佩洲.吕景山.对穴列缺-后溪临证举隅[J].世界中西医结合杂志,2013,8(11):1097-1098.
[12]扁鹊.难经[M].北京:中国医药科技出版社,2018:29.
[13]汤昌华.试析合谷-太冲对穴[J].吉林中医药,2010,30(8):701-702.
[14]王振国,杨金萍.圣济总录校注[M].上海:上海科学技术出版社,2016:745.
[15]陈小丽,岳增辉,刘丽,等.足三里穴的古今应用与研究[J].针灸临床杂志,2016,32(7):80-83.