针药结合治疗痤疮的临床观察
Clinical Observations on the Combined Use of Acupuncture and Medication for Acne Treatment
摘要: 痤疮是一种常见的慢性炎症性皮肤病,主要累及毛囊及皮脂腺,具有较高的发病率和复发率,不但对患者的容貌产生直接影响,同时也会严重影响患者的身心健康。西医治疗痤疮的方法较多,如抗生素、激素等药物治疗,虽然具有一定的效果,但是相关治疗方法的不良反应常见,并且容易出现耐药性。中医在痤疮的防治方面积累了大量经验和方法,治疗方法繁多,效果显著且安全性高。中药内治和外用方法遵循辨证施治原则,采用具有清热解毒、凉血等功效的药物进行对症治疗;针灸是中医常用外治疗法,包括锋针挑刺、刺络拔罐、穴位埋线等多种应用形式,具有起效快、操作方便、安全性高等优势。本文对针药结合治疗痤疮的研究进展和应用概况进行综述,以期为临床治疗提供有益参考。
Abstract: Acne is a common chronic inflammatory skin disease, which mainly involves hair follicles and sebaceous glands. It has a high incidence and recurrence rate, which not only has a direct impact on patients’ appearance, but also seriously affects their physical and mental health. There are many ways to treat acne in western medicine, such as antibiotics, hormones and other drugs. Although they have certain effects, the adverse reactions of related treatment methods are common and prone to drug resistance. Traditional Chinese medicine has accumulated a lot of experience and methods in the prevention and treatment of acne, and there are many treatment methods with obvious effects and high safety. The internal treatment and external use of traditional Chinese medicine follow the principle of syndrome differentiation and treatment, and adopt drugs with the effects of clearing away heat and toxic materials and cooling blood for symptomatic treatment; acupuncture is a common external treatment method in traditional Chinese medicine, including various application forms such as pricking with front needle, pricking collaterals and cupping, and catgut embedding at acupoint, which has the advantages of quick onset, convenient operation and high safety. In this paper, the research progress and application of acupuncture combined with medicine in the treatment of acne are reviewed in order to provide useful reference for clinical treatment.
文章引用:吴成烽, 马天明. 针药结合治疗痤疮的临床观察[J]. 中医学, 2026, 15(1): 395-399. https://doi.org/10.12677/tcm.2026.151055

参考文献

[1] 郭琪格, 王棽, 严敏, 等. 2940nm点阵铒激光联合点阵微等离子体射频治疗面部萎缩性痤疮瘢痕的前瞻性随机对照研究[J]. 中华烧伤与创面修复杂志, 2023, 39(6): 512-517.
[2] 付佳俊, 袁弦, 史海勇, 等. 中医外科消法治疗痤疮的临床研究进展[J]. 云南中医中药杂志, 2023, 44(2): 86-90.
[3] 曾添成, 马林, 孔连委, 等. 基于VOSviewer和CiteSpace的中医药治疗痤疮研究现状与近年趋势的可视化分析[J]. 中医药通报, 2023, 22(9): 31-37.
[4] 陈姣, 王子雯, 许孟月, 等. 中医学从“热”和“郁”角度治疗痤疮研究进展[J]. 辽宁中医药大学学报, 2022, 24(6): 160-164.
[5] 张凌宇. 针灸联合药物外敷对上热下寒型痤疮患者临床症状及生活质量影响[J]. 中国医疗器械信息, 2020, 26(4): 167-168.
[6] 黄昭晴, 甘旭森, 李驰, 等. 针灸配合中药内服中药面膜外敷治疗痤疮的临床疗效观察[J]. 健康之友, 2020(18): 32.
[7] 张盼. 针灸治疗痤疮临床效果及对患者临床症状的改善作用[J]. 医学美学美容, 2020, 29(21): 127.
[8] 张晴. 针灸联合丹参酮胶囊治疗中重度寻常痤疮效果分析[J]. 智慧健康, 2022, 8(35): 41-44.
[9] 姜海晶, 张海红, 杜卓然, 等. 痤疮挑刺联合红蓝光照射及康复新液湿敷治疗寻常痤疮疗效观察[J]. 中国美容医学, 2022, 31(7): 27-30.
[10] 马丽, 胡素贞, 唐诚娟, 等. 挑刺按摩配合中药调理治疗寻常痤疮疗效观察[J]. 中国现代医生, 2010, 48(30): 52-54.
[11] 宋春侠, 权兴苗, 徐立伟, 等. 针药并用治疗痰热郁表型痤疮临床疗效观察[J]. 辽宁中医药大学学报, 2022, 24(3): 114-117.
[12] 赵丹. 刺络拔罐疗法结合中药内服在寻常痤疮临床治疗中的疗效和应用价值[J]. 中国医药指南, 2020, 18(15): 194-195.
[13] 王玉花, 韩静, 张强, 等. 穴位埋线加中药内服治疗肺胃蕴热型痤疮38例[J]. 中国中医药现代远程教育, 2016, 14(8): 117-119.
[14] 陈媛媛, 李乃芳, 崔铖, 等. 穴位埋线联合中药外洗剂治疗轻中度痤疮的临床疗效观察[J]. 世界最新医学信息文摘(连续型电子期刊), 2019, 19(A0): 281-282.
[15] 孟立强, 王建云, 程艳婷, 等. 梅花针联合镵针治疗轻中度寻常型痤疮临床疗效观察[J]. 山西中医药大学学报, 2022, 23(1): 56-59.
[16] 吴霞, 谭金曲, 杨茜芸. 针刺上巨虚、曲池对不完全性肠梗阻大鼠血清中IL-18、IL-1α表达的影响[J]. 中医药导报, 2021, 27(7): 62-64+77.
[17] 陆星宇, 张爱华, 杨雪, 等. 自拟清肺消痤汤联合强脉冲光治疗冲任失调型寻常痤疮疗效观察[J]. 海南医学, 2022, 33(20): 2657-2660.
[18] 王雪雯, 荣勋, 鲍身涛. 消痤汤加减联合背俞穴刺络放血对迟发型(阴虚内热)痤疮患者皮脂腺分泌功能、外周血细胞因子水平及体液免疫的影响[J]. 辽宁中医药大学学报, 2022, 24(11): 166-170.