青少年寻常痤疮皮损区与五脏病位证素的相关性

目的探讨青少年寻常痤疮五脏病位证素规律以及面部皮损分区与五脏证素的关系。方法应用流行病学调查及证素辨证方法研究730例不同性别青少年痤疮患者的病位证素积分特点及面部皮损部位特征。结果面部皮损分区以左右分布为主比例最大(P<0.01);患者皮损分布与五脏的关系分别为:肝以左右为主、肾以下部为主、脾以中部为主、心以上部为主、肺以左右为主(P<0.01)。五脏证素中肝的比例最大,肾的比例次之(P<0.01)。女性患者以证素属肝的比例最大,证素属肾的比例次之(P<0.01);男性患者以证素属肾的比例最大(P<0.01)。结论五脏辨证与面部皮损分区之间存在相关性。青春期痤疮病位与肝、肾有密切关系。

Correlation between Lesion of Acne Vulgaris during Adolescence and Pattern Factor about Location of Five Visceral Disease

Objective To study the regularity of pattern factor about location of five visceral disease of acne vulgaris (AV) during adolescence and relation between facial lesion and pattern factor of five viscera.Methods The characteristic of pattern factor integral about disease location and facial lesion of 730 AV patients during adolescence was studied by epidemiologic survey and pattern factor identification.Results The main facial lesion was bilaterally distributed (P<0.01). The relation between lesion distribution with five viscera was: main lesions belonged to liver and lung were bilaterally, and superior, central and inferior parts were mainly belonged to heart, spleen and kidney respectively (P<0.01). Among the pattern factors of five viscera in all and female patients, liver occupied first place; kidney came second (P<0.01);When it came to male patients, kidney occupied first place (P<0.01).Conclusion There is correlation between five viscera identification and facial lesion distribution. The disease location of puberal acne is closely related to liver and kidney.