148例痤疮中医辩证分型与临床疗效观察

采用中医辩证分型法以自拟的清热解毒剂方对痤疮患者进行治疗。患者148例分为：热毒郁蒸型（84）；瘀血阻滞型（16）；湿毒郁滞型（48）；另西医治疗作对照组（60例）。结果中医治愈86例（58％），显效38（26％），有效18（12％），无效6（4％）；对照组治愈10（17％），显效14（23％），有效21（35％），无效15（25％）；总有效率分别为96％和75％（P＜0．01）。根据中医分型采用清热解毒、清热噪湿和祛瘀解毒方剂对痤疮有明显的治疗效果。

Syndrome differentiation and typing of traditional Chinese medicine and the clinical efficacy in 148 cases of acne vulgaris]

To differentiate and type the acne vulgaris patients and to treat them with our own recipes for dissipating heat and detoxifying in traditional Chinese medicine 148 cases were typed and trated as: carbuncles and stasis (84 cases), carbuncles and damp 'toxins' (16) and damp 'toxins' and stasis (48) as well as the contrast groups of 60 patients that treated with chemical medicines. The results were: cured 86 cases (58%); significantly effective 38 cases (26%); effective 18 cases (12%); and ineffective 6 cases (4%). The contrast groups had the results of: cured 10 (17%), significantly effective 14(23%), effective 21(35%) and ineffective 15(25%). The total effective rates of both groups were 96 and 75% (P < 0.01). Following the principles of traditional Chinese medicine in differentiating and typing the acne vulgaris patients and treating them accordingly with recipes of dissipating heat and detoxifying, dissipating heat and drying the dram, eliminating the stagnant and detoxifying is an effective treatment for clinic application.