中西医结合慢性病杂志2026，Vol.3Issue(4)：45-49,5.DOI:10.26950/j.issn.2097-5031.2026.04.007
基于"玄府郁闭"理论探讨风药开玄分期论治痤疮
Exploring Stage-Based Treatment of Acne with Wind-Dispersing Medicinals for Unblocking the Xuanfu Based on the"Stagnation and Obstruction of the Xuanfu"Theory
摘要
Abstract
In response to the high recurrence rate and significant side effects associated with Western medical treatments for acne,as well as the tendency of traditional Chinese medicine treatments to"clear heat at the expense of healthy qi and dispel stasis while consuming qi",this paper,based on Liu Wansu's theory of"xuanfu,qi,and fluid",proposes that"obstruction of the cutaneous xuanfu"is the core pathogenesis of acne.Its progression follows the pathway of"initial obstruction generating stagnant heat → congestion leading to phlegm-stasis → exhaustion resulting in deficiency-stasis".Accordingly,a stage-based treatment system of"unblocking the xuanfu with wind-dispersing medicinals"is constructed:in the early stage,medicinals such as Mentha haplocalyx(Bohe)and Schizonepeta tenuifolia(Jingjie)are used to open the xuanfu and clear heat;in the middle stage,Saposhnikovia divaricata(Fangfeng)and Ligusticum chuanxiong(Chuanxiong)are employed to open the xuanfu,resolve stasis,and remove dampness;in the later stage,Bupleurum chinense(Chaihu)and Pueraria lobata(Gegen)are selected to open the xuanfu and nourish yin.Wind-dispersing medicinals function through"directly unblocking obstructions,regulating qi movement,guiding medicinals to enhance efficacy,and preventing tonic-induced stagnation".Typical clinical cases demonstrate that this system significantly reduces skin lesions and inflammation,with no adverse reactions and a low recurrence rate.It provides a new traditional Chinese medicine approach for acne treatment that balances efficacy and safety,offering important reference value for clinical practice.关键词
痤疮/玄府/风药/分期论治/中医药疗法Key words
acne/Xuanfu/wind-dispersing medicinals/stage-based treatment/traditional Chinese medicine therapy分类
医药卫生引用本文复制引用
史可,李忻红..基于"玄府郁闭"理论探讨风药开玄分期论治痤疮[J].中西医结合慢性病杂志,2026,3(4):45-49,5.基金项目
国家中医药管理局全国中医临床优秀人才研修项目(国中医药人教函[2022]1号) （国中医药人教函[2022]1号）
