Experience in Treating Acne Based on the Staged Approach of "Eruption in Warm Diseases"
10.13288/j.11-2166/r.2025.16.016
- VernacularTitle:基于“温病发疹”分阶段治疗痤疮经验
- Author:
Yisheng ZHANG
1
;
Ningxin ZHANG
2
;
Fengyan TIAN
1
;
Yuanyao SHE
1
;
Jing LANG
3
;
Weili KONG
2
;
Qingyun LIU
1
Author Information
1. Xiyuan Hospital，China Academy of Chinese Medical Sciences，Beijing，100091
2. Beijing University of Chinese Medicine
3. Graduate School of China Academy of Chinese Medical Sciences
- Publication Type:Journal Article
- Keywords:
acne;
warm diseases;
Yinqiao Poweder （银翘散）;
inflammation
- From:
Journal of Traditional Chinese Medicine
2025;66(16):1723-1726
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarizes clinical experience in treating acne based on the staged therapeutic principles of "eruption in warm diseases". It is considered that acne results from wind-heat retained in the lungs， invading the ying level and obstructing the blood collaterals， and is primarily a disorder involving both the wei and ying systems. In clinical practice， the treatment emphasizes the use of acrid-cool and sweet-cold methods. The core prescription is namely Yinqiaosan Qu Douchi Jia Xishengdi Danpi Daqingye Bei Xuanshen Fang （from Epidemic Warm Diseases ［《温病条辨》］）， and is adjusted according to the stage of disease. In the non-inflammatory stage， when the pathogen initially attacks the wei level， treatment focuses on acrid-cool herbs to release the exterior， with supplementary bitter-sweet ingredients such as Yejuhua （Chrysanthemum Indicum）. In the inflammatory stage， with pronounced heat toxin in the qi level affecting the ying and blood， and local stagnation of qi and blood， the approach is to clear heat and resolve toxin， using blood-cooling and stasis-resolving herbs early to prevent progression. Herbs such as Pugongying （Taraxacum Mongolicum）， Zihuadiding （Viola Yedoensis）， Tiankuizi （Semiaquilegia Adoxoides）， Chonglou （Paris Polyphylla）， Machixian （Portulaca Oleracea）， Zaojiaoci （Gleditsia Sinensis）， Chuanshanjia （Manis Pentadactyla） may be added. In the post-inflammatory erythema stage， when yin of the ying level is depleted and internal deficiency-heat arises， sweet-cold herbs are recommended to nourish the stomach and generate fluids， with the possible addition of Yiwei Decoction （益胃汤）.
