金匮肾气丸治疗口腔溃疡、痤疮验案两则

Two Cases of Jin-Gui-Shen-Qi Pill in Treatment of Oral Ulcer,Acne

对口腔溃疡、痤疮,中医一般从实火论治,采用清热解毒、泻火滋阴等方法。然对于反复发作,且实火症状不明显的口腔溃、痤疮,结合病人具体症状,若病人有四肢不温、腰背发凉等阳虚症状,可以考虑其病机为肾阳虚衰,虚火上浮,治疗上可采用温补肾阳的方法。

Generally speaking, TCM always diagnose and treatment dental ulcers, acne from excess fire, with the methods of heat clearing and detoxification, purging fire and nourishing Yin and so on. But for the recurrent dental ulcer and acne without obvious symptoms of excess fire, we should take patents＇s pecific symptoms into consideration, such as the patient have the Yang-deficiency symptoms of no warm limbs, feeling cold in back, and other Yang deficiency symptoms. If so, the pathogenesis can be considered as deficiency of kidney-Yang and floating of deficiency fire, and accordingly, the treatment methods of warming kidney-Yang can be adopted for this kind of dental ulcer and acne.