中医外治法治疗玫瑰痤疮研究进展

Research Progress on External Therapies of Traditional Chinese Medicine in the Treatment of Rosacea

摘要: 玫瑰痤疮是常见的皮肤科疾病，在全球的发病率为5.46%，临床上以颜面中部以皮肤潮红毛细血管扩张及丘疹脓疱为主要特点。其病易反复发作，病程迁延，缺乏特效治疗。临床上常以“中西医协同、内外同治”联合治疗，其中中药面膜、中药水剂、洗剂、火针、放血疗法等疗效显著。本文通过查阅近些年中医外治法治疗玫瑰痤疮的相关文献，观察其研究证据并进行分析，以期为临床中玫瑰痤疮的中医外治工作提供理论支持。

Abstract: Rosacea is a common dermatological disorder with a global prevalence of 5.1%, clinically characterized by central facial erythema, telangiectasia, papules, and pustules. The disease is prone to recurrence, has a prolonged course, and lacks specific therapeutic interventions. Current clinical management often adopts an integrated approach combining traditional Chinese medicine (TCM) and Western medicine, emphasizing both internal and external treatments. This review focuses on the external therapies of TCM for rosacea, including acupuncture, bloodletting, herbal masks, and topical applications, aiming to summarize their mechanisms and efficacy. By analyzing evidence from randomized controlled trials and observational studies, this article evaluates the role of TCM external therapies in reducing inflammation, improving microcirculation, and alleviating symptoms. The findings aim to provide theoretical support for optimizing clinical protocols and promoting the integration of TCM external therapies in rosacea management.