Differentiation acne appropriate first at the Yin and Yang

ZhangYingDong jinzhong city in Shanxi Province third people's hospital

China's traditional Chinese medicine reported

        Acne, Chinese medicine called "lung wind acne," "JiuCi", "face blister" etc, good hair at the face. Though the early days of pimples, white head or blackhead, pustular, later can appear nodules, cysts, pore bulky, scar and pigmentation, the serious influence appearance. Traditional Chinese medicine from the heat treatment method, the author clinical can see, QiuZhi patients to heat the mainly is not much, so as the theory of "complexion location don't get Yin and Yang" decree, that should be the first points differentiation acne Yin and Yang.

        For discussion of ancient literature, acne

        Now by traditional Chinese medicine clinical after tang dynasty more influence debate, specific to acne, literature so said: "the surgical authentic · lung wind acne wine ÷þ nasal eighty-one," yue: "acne, ÷þ nose of lung of spleen, always all blood hot YuZhi cannot come loose... internal and loquat leaves pill, radix scutellariae clear lung drinks." The surgical dacheng · lung wind JiuCi "yue:" lung wind by pulmonary blood hot YuZhi not born JiuCi also." The YiZong JinJian · surgical method gist "yue:" this card of the lung and blood hot into each hair. In the nose, break up a knot in one's heart, form if Shu crumbs, red swelling and pain, broken out, all day long white powder juice into white crumbs, form if Shu m white crumbs. Appropriate internal and external "pipa qingfei beverage scattered, slowly from the reverse power also." But in many of the "blood hot" said there are unique in the view, such as "the surgical rev. The xuan" yue "lung gas is not clear, by the wind and into, or cold water, blood cleanser and condensation into", and with the grain asked · angry tongtian theory "of the" sweat out wet, but Cuo see life...... the sweat when the wind, cold thin for °•, yu is Cuo "quite have the origin.

        Han han dynasty and the traditional Chinese medicine for cold cool before the disease is very important, and as The Times of change and climate of the subject matter overdo, tang and after tang dynasty of traditional Chinese medicine (TCM) for warm pathogenic pay more and more attention to. This is in reference to the vast multitude of TCM literature material must clear disciplines background changes. How to deal with today's ancient Chinese medicine clinical problem? The author thinks that there are two principles, one is the change, the towering ancient and modern; The second is see disease shall prevail, not an stubborn.

        Don't ignore causes acne in "Yin" side

        TCM syndrome differentiation of acne, Yin and Yang, and the west of the grading of dermatology acne is in harmony. Western commonly used two acne classification method for Pillsbury method and Gollnick (1998) method. The two methods are put in severe acne degree into four levels, respectively ¢ñ degree, ¢ò degree, ¢ó degree, ¢ô degrees and mild, moderate, and severe, very serious. The author of two kind of Yin and Yang to classification method of classification, and found that the ¢ñ Pillsbury method for ¢ò degree and ¢ó degrees, ¢ô degree respectively, in the depth of the lesion site, such as ¢ò degrees in sex is only shallow pustular, ¢ó degrees appear in inflammatory skin rash of deep; Gollnick method with her lesions form for grading basis, mild, moderate only acne and papule pustules, and severe, very serious suffered nodules, cysts DouDaoHe scar. The trace, the author will disease of a simple shallow, her lesions with no significant stagnation acne and papule pustular primarily for Yang cause acne card acne; And will be a deep in the disease, her lesions to have significant stagnation of nodules, cysts DouDaoHe mainly cause acne scar for Yin card acne.

        In fact, the TCM literature also most mentioned the acne form a "Yin" side. The grain asked, "said" yu is Cuo "; The surgical orthodox school, "said" blood hot YuZhi cannot come loose "; The surgical dacheng, "said" pulmonary blood hot YuZhi can "; The surgical rev. The xuan, "said" blood setting and become ". Among them the mention of the "yu", "YuZhi", "setting" are not meaning, that is the author of the so-called "Yin card" meaning. But unfortunately, the enormous influence on later generations of the YiZong JinJian ", and only "Yang card". "This card of the lung and blood hot into" the causes acne said very important "Yin" side of the block in the sight of the patient for future generations.

        Identify causes acne "yu" and "hot" what is heavy, is by no means an armchair strategist, its directly related to the direction of the treatment of choice. ¢ñ degrees with acne acne is given priority to, how hot and heavy light blue; ¢ò degrees acne inflammation of the shallow to give priority to, for the performance of the red hot pain, fever drugs heavy, but cannot ignore yu; ¢ó degrees acne disease a turn to deep, in order to appear for features nodules on the appearance sometimes less than ¢ò instead of inflammation obvious, but when treatment to melt the nodules are formed (" classic "cloud" of Yin and Yang gas forming "), to ¢ò degrees than to treat acne spend more time and patience, do not think only of heat treatment, do more to think of open [yu, the odds of drug use WenTong more; ¢ô degrees for acne lesions type of DaChengZhe with acne, also called jialing river acne, to appear cyst and scar for features, disease in a deep, when treatment for WenQing away can all be to, especially to mention is for and qi stagnation, blood stasis, TanNing all became poisonous ¢ô degrees acne, will often use guns JiaZhu, whole xie, insect drugs to go there open yu.

        Acne is dividing differentiation

        In the ancient literature esteem the pipa qingfei beverage is only applicable to ¢ñ degrees acne, but for ¢ñ doctor degree acne the proportion of patients with tiny, so the use of very little. ¢ñ degrees acne patients to choose and buy more at some external use drugs and cosmetics. This period should not to control the oil for the treatment of the objective, because the skin of greasy state is the body of the whole situation of local reflect, other than on medication to control the give oil, can only lead to more control of the oil situation appear. If there is convenient of choose and buy "pipa qingfei beverage proprietary Chinese medicine appears, will be ¢ñ degrees acne patients the Gospel.

        ¢ò degrees acne the author use WenJiu take wind the holy pill therapy, or based on five tastes disinfection drinking water evenly Fried uniform, with drugs to the most effective micro sweat. Mentioned in the literature of the external use reverse for local inflammatory acne scattered special curative effect, can according to local skin dry wet state choose different tone, tone, tea oil, vinegar and the wine tone. But now available on the market can't buy reverse the spread of medicine.

        ¢ó degrees by the acne guizhi poria cocos pills and insurance and pill cooperate to take, tongue no obvious hot like pulse WenJiu can take. Cassia twig poria cocos pill to guizhi square, medicinal partial temperature, if not to the acne Yin card clear understanding, healers who dare to use fear this square. Yang yi Yin card difficult for card, ¢ó degree and ¢ô degrees acne are Yin card, the doctor and the patient to reach consensus, treatment must have patience and concentration, not eager to hope for success, or more haste, less speed.

        ¢ô degrees acne and physical relationship more closely. According to the author ZhaoBingNa lesions in whole worm party, XianFang for drinks, rhubarb «¥ insect wandeng to add and subtract, and according to the constitution only circular machine to play it, because of it for Yin card, so no matter how to differentiation, and when WenTong forget. The author for seven years ago a 20-year-old woman, acne repeated several years, Yang syndrome has no narrates, clinical face far view when without her lesions, but to handle but like old trees of the skin, elastic nothing all day. Its population is dry and can't drink, drink is made Sou, tongue pulse have no hot like to kidney shot and five lingya mainly scattered party treatment, April and more, gasification and facial elastic average middle recovery. Several years after the follow-up, healthy body, her lesions not to attack.

        All above are based on acne lesions of mainly of roughly differentiation, aims to remind the doctor can not be ignored Yin card acne. Acne treatment is not so simple, the more difficult to cure patients need more body overall state support, easy to be can depend more on disease differentiation, syndrome differentiation in lesions, and complex of refractoriness and physical, diet, sleep, menstruation, mood and working rhythm, etc have relations, from the four diagnostic methods of traditional Chinese medicine and CanJiang upright.