辨病辨证相结合治疗痤疮临床观察

Clinical Study on Effect of Combination of Diseases Differentiation and Syndromes Differentiation on Treating Acne

目的探索中医辨病辨证相结合治疗痤疮的有效方法。方法将107例确诊的痤疮患者随机分为中药治疗组和西药对照组两组。中药治疗组采用辨病辨证相结合的方法,运用痤疮饮加减进行治疗,西药对照组采用罗红霉素和西咪替丁治疗,7d为1个疗程,连用4个疗程后进行疗效评价。结果中药组有效率91.8%,西药组有效率72.3%。两组间比较差异有显著性(P<0.01)。结论中医辨病辨证相结合治疗痤疮可以取得较为满意的临床疗效。

Objective To explore an effective method in acne treatment by means of combination of diseases differentiation and syndromes differentiation. Methods 107 patients were randomly divided into traditional Chinese medicine （TCM） group （60 patients） and western medicine （WM） group （47 patients）. The TCM group was treated with acne decoction which could be added some Chinese herbs according to the result of syndromes differentiation. The WM group was treated with roxithromycin and cimetidine. A therapeutic course for two groups is seven days. The effect was evaluated after four therapeutic courses. Results The total effective rate was 91.8% in TCM group and 72.3% in WM group. Significant difference was found between the total effective rates of these two groups （P〈0.01）. Conclusion Combination of diseases differentiation and syn- dromes differentiation in acne treatment could acquire satisfactory clinical effect.