Chun-hai Yao’s Clinical Experience In The Treatment Of Unusual Type Of Acne

Objective:to summarize the clinical experience of the teacher treating acne, evaluate its curative effect, and its action mechanism were discussed.Methods:1. According to zhao bian western medicine diagnostic criteria in clinical dermatology, with reference to the acne treatment guidelines in China (2014 edition) of spleen and stomach wet and heat syndrome, blunt as a disorder of TCM diagnostic criteria.Cases will be included in the spleen and stomach wet and heat syndrome group, the blunt as a disorder group,2. Treatment:taste hot and damp card group of 30 cases, given to heat dehumidification soup:honeysuckle 15g,forsythia20g,DiDing 15g, wild chrysanthemum10g, purslane 15g, herba artemisiae 15g, rhizoma coptidis 10g, radix rehmanniae yu 15g, spreading hedyotis herb 6 g, bran Fried semen coicis 15 g, radix trichosanthis 10g, radix angelicae 10 g.Rush, do not move as the group of 30 cases, TiaoChong bind:Dan10g,Fried gardenia10g,radix rehmanniae radix bupleuri 10g, hovenia dulcis 10g,angelica radix 20g, paeoniae rubra 15g,dried tangerine 15g, orange peel 10g,vinegar with 10g,poria cocos 15g.In the morning and 1,100 ml/time, temperature, stay 6 weeks.3. The observation methods:in the first diagnosis and treatment of patients and 2 weeks,4 weeks,6 weeks after the visit, respectively to digital photography and fill in the observation form, skin lesions before and after treatment respectively record the number of inflammatory lesion and the inflammatory lesion and TCM symptom scores, ask medication adherence and record adverse reactions.4. The curative effect evaluation method:reference Pillsbury and international clinical severity classification of improving acne classification method, carries on the curative effect observation.According to the before treatment and after 2 weeks,4 weeks,6 weeks treatment of inflammatory lesion and the influence of the inflammatory lesion, calculated according to curative effect of TCM symptom scores, and on the basis of the synthetic evaluation of curative effect evaluation standard curative effect;5. Safety evaluation methods:record, routine urine and blood in patients with liver and kidney function, security levels, adverse reactions.6. Statistical methods:using SPSS statistical software for statistical analysis for Windows 19.0, P< 0.05, with significant difference.Results:1. The lesion count and the comparison of TCM symptom scores, spleen of TCM symptoms before and after the comparison, wet and heat treatment group had significant difference (P< 0.05), blunt as not the group comparison before and after the treatment, there are significant differences (P< 0.05).Symptoms of spleen and stomach wet and heat syndrome with blunt as to be not moved before and 6 weeks after treatment the score was no significant difference (P= 0.317>0.05) improvement is roughly similar in both groups.2. Effect of score comparison:spleen and stomach wet and heat treatment group total effective rate was:76.67%, blunt as a disorder group total effective rate was:73.33%, two groups was no significant difference (P= 0.317>0.05), shows that two groups of curative effect.3. The comparison of safety: good patient tolerance, urine routine and no abnormal change in liver and kidney function.Conclusion:the curative effect is to clear the heat dehumidification soup and TiaoChong soup, drug safety, clear heat dehumidification soup and TiaoChong soup treating spleen and stomach hot and humid, rushed for the effective traditional Chinese medicine compound, tutor experience treating acne has a good curative effect, high safety, worthy of clinical popularization and application.Clinical experience summaryMentor treats usual type of acne with different syndrome, acne can be divided into seven card type:the lung by wind heat syndrome, spleen and stomach wet and heat syndrome, phlegm dampness stasis syndrome, blunt as a switch card, do not heat the cold syndrome, liver stomach with syndrome, heart kidney don’t pay.Pay attention to during the process of treatment factors, attaches great importance to the spleen and stomach, using the method of combining the constitution and syndrome differentiation, women to recuperate.