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1、南京中醫(yī)藥人學(xué)碩上學(xué)位論文摘要現(xiàn)代醫(yī)學(xué)認(rèn)為痤瘡是發(fā)生于顏面、胸、背等處的一種毛囊、皮脂腺的慢性炎癥性疾病。中醫(yī)痤瘡屬肺風(fēng)粉刺范疇,此外古籍還有鼓、面皰、酒鼓、粉刺、面粉渣、酒刺、粉化瘡等諸多稱謂,古代諸醫(yī)家認(rèn)為痤瘡的病因有風(fēng)熱外襲、肺經(jīng)郁熱、胃腸積熱、毒熱互結(jié)、血瘀痰結(jié)、血熱偏盛、沖任失調(diào)、陰虛不足等。現(xiàn)代臨床中西醫(yī)結(jié)合治療,效果顯著。中醫(yī)中藥在現(xiàn)代臨床治療中的地位是非常重要的。而歷代古籍著作,無疑是指導(dǎo)痤瘡中醫(yī)治療的資料庫。歷代醫(yī)家在從先秦到清末的二千多年時(shí)間里,通過長期的臨床觀察和實(shí)踐摸索,總結(jié)了豐富的辨證用藥經(jīng)驗(yàn),逐漸完善了對痤瘡病證的病因病機(jī)、發(fā)病特點(diǎn)和辨證施治的認(rèn)識(shí),并積累了大
2、量的文獻(xiàn)資料。本文在全面系統(tǒng)搜集有關(guān)痤瘡古代文獻(xiàn)資料的基礎(chǔ)上,對所得資料進(jìn)行了系統(tǒng)地分析、整理、分類、統(tǒng)計(jì)。不僅可借鑒這些行之有效的辨證治療經(jīng)驗(yàn),而且對啟發(fā)臨床工作者的思路是非常有益的。主題詞:痤瘡;古籍文獻(xiàn);系統(tǒng)整理ABSTRACrABSTRACTModernmedicinearguethatacneisakindofchronicpilosebaceousdisease,whichoftenhappensonface,chest,backareface,chest,backetc.Theetiologyissecretedexcessiveandrogencausepilosebac
3、eousabnormalregulation,excessivesebumsecretion,abnormalkeratinizationoffolliculosebaceous,microorganism,bacterialinfection,cytokine,immunization,geneticsetc.Ancientdocumentarguethatacnehaveothernames,suchasZa,F(xiàn)enci,Jiuza,Mianpaoetc.Ancientdoctorsholdthattheetiologicalfcctorsaresuperficiesattacked
4、bywind—heat,exuberanceoflungheat,dampness—heatofstomachandintestine,intermingledheatandtoxicitystasis,intermingledphlegmandbloodstasis,bloodheat,disharmonyofChongandConceptionChannels,yindeficiencyofliverandkidneyandSOon.Today,integratedtraditionalmedicineandwesternisthemostcommonlyusedmethodincl
5、inicalmedicine.Chinesemedicinehaveveryimportantposition.Nodoubt,ancientdocumentissignificantdatabank.Duringthemorethan2000years,frompre—qindynastytolateqingdynasty,pastdynastiesdoctorshaveconcludedrichexperience,includingetiologyandpathogesis,onsetcharacteristics,Syndromediffertreatment,byabundan
6、tclinicalobservationandpracticalprobe.Theauthorofthispaperhavecollectedtheancientinformationaboutacnesystematicallyandcomprehensively,andsystemicallyanaiysised,tidiedup,classified,andstatisticed.Notonlywecanreferencetheeffectivesyndromediffertreatmentexperiences,butalso,itisverytoenlightenmentthe
7、thinkingofclinicaldoctor.Thispaperisdividedintofiveparts.Thefirstpart,theauthorintroducesthedefinitionandtheancientnameinancientdocument,,andquotessomeoriginaltextsaboutit.Inthesecondpart,theauthordiscussestheetiologyp