艾儒棣运用清热护阴法分期辨治面部激素依赖性皮炎经验

AI Rudi's Experience in Differentiating and Treating Facial Hormone-dependent Dermatitis by Stages Using the method of Clearing Heat and Protecting Yin

总结艾儒棣教授运用清热护阴法治疗面部激素依赖性皮炎的临证经验。认为其关键病机为热毒蕴结、阴亏络阻,临证以“热盛”与“阴亏”为着眼点,主张“半从热治,半从阴疗”为治疗总则,并进行分期论治。急性期半从凉血散风以治热、半从护液润肤以固阴,方以凉血消风散加减化裁;慢性期半从清解余毒以治热、半从养阴通络以固阴,方以玄麦甘桔汤合二至丸随症加减;同时重视内外并治,强调日常防护在疾病治疗中的重要性。

This paper summarized the clinical experience of AI Rudi in the treatment facial hormone-dependent dermatitis with the method of clearing heat and protecting yin.It is believed that the key pathogenesis is the heat toxin accumulation,yin depletion and collaterals obstruction.The clinical treatment should focus on“heat exuberance”and“yin depletion”.It is advocated that“half treatment is from heat and half from yin”is the general principle,and the treatment is staged.In the acute phase,the treatment is half from cooling blood and dispersing wind to dispel heat pathogen,and half from protecting fluid and moisturizing skin to strengthen yin;and the modified Liangxue Xiaofeng Powder(凉血消风散)could be used.In the chronic phase,half treatment is from clearing residual toxin to eliminate heat pathogen,and half from nourishing yin and unblocking collaterals to strengthen yin,for which Xuanmai Ganju Decoction and Erzhi Pills(玄麦甘桔汤合二至丸)can be used and modified according to the symptoms.At the same time,we should pay attention to the simultaneous internal and external treatment,and emphasize the importance of daily protection in the treatment of the disease.