RESUMEN
[Objective] To narrate the cause of acne from "Yang depression". [Methods] From the point of view of "Yang depression", the different syndromes of acne were analyzed, and the etiology, pathogenesis and corresponding therapeutic views were expounded, and a sample case was cited. [Results] There are three types of acne in the textbook of Chinese medicine surgery: acne with pattern of wind-heat in lung channel, acne with heat binding in the intestines and stomach and acne with syndrome of stagnation and congelation of phlegm-damp, the prescription used is mostly bitter cold, which can easily hurt the spleen and stomach, cause cold-dampness inside, lead to the pathogenesis of cold, wet and blood stasis while taking it for a long time. In view of this, the "Yang depression" can be used to explain the different syndromes leading to acne. Inspired by the Neijing, the patients with "Yang depression" can be properly treated by warming Yang and relieving depression. The patient in the case is discriminated as the type of obstruction of defensive Yang, it was satisfied to see that using the prescription of Zhongjing: the Decoction of Ephedra Aconite and Asarum. And we can also use formula variation in accordance with signs, like clearing heat and removing toxin, invigorating spleen and draining dampness, activating blood and resolving stasis, softening and resolving hard mass. [Conclusion] Depression of the Yang is an important pathogenesis of acne. We are suggested to treat the acne of "Yang depressions" with the method of "warm Yang and relieve depression", which can be used as the prescription of Zhongjing.
RESUMEN
[Objective] To summarize Professor WEI Yuegang's experience in treating Yangyu Hanning acne.[Methods]Through collecting medical record from outpatient clinics, Prof. WEI Yuegang's understanding of Yangyu Hanning acne and experience of Yangyu Hanning acne syndrome differentiation and treatment were analyzed and summarized.[Results]Prof. WEI Yuegang believes that the pathogenesis of Yangyu Hanning acne is Yang deficienay and Yang depression, Yang is deficient in the body, and the cold dampness blocks meridians, dysfunction of Shaoyang, Yang deficiency and Yang depression influence each other, Yang cannot supply and distribute, Yin cannot moisten, affter a long time it leads to heat in the upper and cold in the lower, or cold heat complex. In the treatment, we should give priority to warming yang and give consideration to the solution of depression, Prof. WEI Yuegang added and subtract on the basis of the Shenqi Pill and Xiaochaihu Decoction, and formulated Wenyang Jieyu Xiaocuo Decoction for treating the disease. Wenyang Jieyu Xiaocuo Decoction can both warm Yang and dispel cold and resolve Qi stagnation in the provided medical record, so the case achieved good results. [Conclusion]Prof. WEI Yuegang's treatment experience of Yangyu Hanning acne has satisfactory clinical efficacy and is worth to use for reference and promotion.
RESUMEN
Generally speaking,yin de ciency will cause hyperactivity of yang,this is the basic character of yin-yang disharmony,but in clinic,the patients with yang depression caused by yin de ciency are common.This article discusses on the concept,theoretical foundation and practice of yang depressed due to yin de ciency in detail,which aims to clarify that problems of yin de ciency can cause not only hyperactivity of re but also yang depression.