基于“玄府理论”探讨痤疮发病机理及治疗

Discussion on the Pathogenesis and Treatment of Acne Based on the “Xuanfu Theory”

摘要: 痤疮是皮肤科门诊常见的毛囊皮脂腺疾病。玄府是一种广泛分布于机体的极细微结构，是调畅气机、循行营卫、灌溉气血的通路。玄府有“分布广泛、结构细微、贵开忌阖”的特点，玄府不通则百病由生，故玄府郁闭，开阖失常也是痤疮的核心病机，故痤疮的治疗当以“开通玄府”为纲。临床上要灵活运用开通玄府法，恢复玄府功能，才能使痤疮得愈。

Abstract: Acne is a common follicular sebaceous gland disorder in dermatology outpatient clinics. Xuanfu is a kind of tiny structure widely distributed in the body, which is the pathway for regulating qi, circulating Yingwei, and irrigating qi and blood. Xuanfu has the characteristics of “wide distribution, subtle structure, precious opening and avoiding closing”. If Xuanfu is not open, all diseases will be born, so Xuanfu is closed and opening and closing are not normal, which is the core mechanism of acne, so the treatment of acne should be based on the principle of “opening Xuanfu”. Clinically, the method of opening the Xuanfu should be applied flexibly to restore the function of Xuanfu in order to cure acne.