中医内外协同治疗湿热瘀阻型大学生痤疮的疗效观察

Observation on the Curative Effect of TCM Internal and External Synergistic Therapy in Treating Acne of Damp-Heat Stasis Type in College Students

摘要: 目的：探讨中医内外协同疗法对湿热瘀阻型大学生痤疮的临床疗效。方法：选取广东云浮中医药职业学院医务室就诊的诊断为湿热瘀阻型痤疮的学生68例，随机分为观察组和对照组。观察组给予中药方剂内服加药液面膜外敷治疗，对照组给予与观察组相同的中药方剂内服治疗。治疗4周后比较两组患者治疗前后皮损改善情况及临床疗效。结果：观察组总有效率达94.1%，明显高于对照组的76.6%，患者中医证候积分明显降低(P < 0.05)。结论：中医内外协同疗法治疗湿热瘀阻型大学生痤疮疗效确切，可改善皮损及全身证候，值得临床推广。

Abstract: Objective: To investigate the clinical efficacy of an integrated internal and external Traditional Chinese Medicine (TCM) therapy for college students with acne of the dampness-heat stasis obstruction pattern. Methods: Sixty-eight students diagnosed with acne of the dampness-heat stasis obstruction pattern at the medical clinic of Guangdong Yunfu College of Traditional Chinese Medicine were selected and randomly divided into an observation group and a control group. The observation group received oral administration of Chinese herbal medicine combined with external application of a medicinal liquid mask, while the control group received only the same oral Chinese herbal medicine as the observation group. After 4 weeks of treatment, the improvement in skin lesions and clinical efficacy was compared between the two groups. Results: The total effective rate in the observation group was 94.1%, significantly higher than 76.6% in the control group. The TCM syndrome scores of patients in the observation group were significantly reduced (P < 0.05). Conclusion: The integrated internal and external TCM therapy demonstrates definite efficacy in treating college students with acne of the dampness-heat stasis obstruction pattern. It can improve both skin lesions and systemic symptoms, making it worthy of clinical promotion.