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中西医视角下痤疮的发病机制、临床分型与治疗进展

刘琴 梁婷 谢梦洲 李亮

药食同源杂志2025,Vol.1Issue(8):22-31,10.
药食同源杂志2025,Vol.1Issue(8):22-31,10.

中西医视角下痤疮的发病机制、临床分型与治疗进展

Pathogenesis,clinical classification,and therapeutic advances of acne from the integrated perspectives of Chinese and Western medicine

刘琴 1梁婷 1谢梦洲 1李亮1

作者信息

  • 1. 湖南省药食同源功能性食品工程技术研究中心,湖南 长沙 410208||湖南中医药大学中医心肺病证辨证与药膳食疗重点研究室,湖南 长沙 410208||湖南中医药大学中医诊断学湖南省重点实验室,湖南 长沙 410208
  • 折叠

摘要

Abstract

Acne,a globally prevalent chronic inflammatory skin disease,significantly impacts patients'physical and mental well-being.By examining the similarities and differences in the etiology,pathogenesis,and treatment methods of acne between Chinese Medicine and Western medicine,and through a comprehensive analysis of relevant literature,this study finds that TCM commonly differentiates acne into patterns such as"wind heat affecting lung meridian"and"damp-heat in the stomach and intestine,"emphasizing integrated therapies including oral herbal formulas,acupuncture,and topical Chinese medicines.In contrast,Western medicine focuses on pathological factors such as androgen imbalance,Cutibacterium acnes infection,and altered sebum composition,with first-line treatments including retinoids,antibiotics,and hormonal therapies.Both Chinese medicine and Western medicine demonstrate distinct advantages in acne management.Fostering their deep integration based on evidence-based medicine can drive a paradigm shift in diagnostic and therapeutic strategies from"empirical medicine"towards"precision integrative medicine".

关键词

痤疮/粉刺/病因病机/痤疮丙酸杆菌/皮脂/雄激素

Key words

acne/comedones/etiology and pathogenesis/Cutibacterium acnes/sebum/androgens

分类

医药卫生

引用本文复制引用

刘琴,梁婷,谢梦洲,李亮..中西医视角下痤疮的发病机制、临床分型与治疗进展[J].药食同源杂志,2025,1(8):22-31,10.

基金项目

国家自然科学基金面上项目(82374323) (82374323)

湖南省重点领域研发计划项目(2022SK2124). (2022SK2124)

药食同源杂志

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