中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2013年
7期
1-2
,共2页
痤疮%中医%溯源
痤瘡%中醫%溯源
좌창%중의%소원
Acne%TCM%Traceability
时代不同,痤疮名称有别.唐宋以前一般称之为“粉刺”、“面皰”、“面皶疱”、“面粉渣”、“皰疮”等;明代以后称“酒刺”、“粉花疮”、“肺风粉刺”.俗称“壮疙瘩”、“青春痘”、“粉刺”、“暗疮”等.早在两千多年前的《内经》中就有关于“痤”的记载,以后晋、隋、唐、明、清代医家对此均有论述.枇杷清肺饮是至今临床常用的治疗痤疮的古代良方,值得提出的是,不少文章认为“枇杷清肺饮”出自清?吴谦《医宗金鉴?外科心法要诀?肺风粉刺》,但从时间顺序上看,清?祁坤《外科大成》(刊于1665年)载此方在先,而《医宗金鉴》(刊于1742年)载此方在后,且二者药味、剂量完全相同,推论该方当为吴谦借用祁坤之方.
時代不同,痤瘡名稱有彆.唐宋以前一般稱之為“粉刺”、“麵皰”、“麵皶皰”、“麵粉渣”、“皰瘡”等;明代以後稱“酒刺”、“粉花瘡”、“肺風粉刺”.俗稱“壯疙瘩”、“青春痘”、“粉刺”、“暗瘡”等.早在兩韆多年前的《內經》中就有關于“痤”的記載,以後晉、隋、唐、明、清代醫傢對此均有論述.枇杷清肺飲是至今臨床常用的治療痤瘡的古代良方,值得提齣的是,不少文章認為“枇杷清肺飲”齣自清?吳謙《醫宗金鑒?外科心法要訣?肺風粉刺》,但從時間順序上看,清?祁坤《外科大成》(刊于1665年)載此方在先,而《醫宗金鑒》(刊于1742年)載此方在後,且二者藥味、劑量完全相同,推論該方噹為吳謙藉用祁坤之方.
시대불동,좌창명칭유별.당송이전일반칭지위“분자”、“면포”、“면사포”、“면분사”、“포창”등;명대이후칭“주자”、“분화창”、“폐풍분자”.속칭“장흘탑”、“청춘두”、“분자”、“암창”등.조재량천다년전적《내경》중취유관우“좌”적기재,이후진、수、당、명、청대의가대차균유논술.비파청폐음시지금림상상용적치료좌창적고대량방,치득제출적시,불소문장인위“비파청폐음”출자청?오겸《의종금감?외과심법요결?폐풍분자》,단종시간순서상간,청?기곤《외과대성》(간우1665년)재차방재선,이《의종금감》(간우1742년)재차방재후,차이자약미、제량완전상동,추론해방당위오겸차용기곤지방.
The name of Acne is different in diverse dynasties. It generally referred to“acne”,“pimple”,“comedo”,“acne on the face”,“pemphigus foliapeas”before the Tang and Song Dynasty;it was called as“whelk”,“acne suffered by females”and“acne vulgaris”after the Ming Dynasty. It was commonly known as“comedo”,“whelk”,“pimple”and“acne”etc. Two thousand years ago, the acne was recorded in the Inner Canon of Huangdi, and physicians of the Jin, Sui, Tang, Ming and Qing Dynasty discussed it in their writings. Clearing away the lung-heat with the loquat is an excellent ancient recipe so far commonly used in clinical acne treatment. It is worth mentioning that“the loquat can clear away the lung-heat”stems from Golden Mirror of Medicine?WaiKe XinFa YaoJue?acne vulgaris wrote by Wu Qian of the Qing Dynasty in many articles. However, from the point of time order, Waike Dacheng (published in 1665) by Qi Kun of the Qing Dynasty recorded this prescription early, while Golden Mirror of Medicine (published in 1742) recorded it lately. Besides, the smell and dose of the two prescriptions are same, therefore, we can infer that Wu Qian quoted the prescription from Qi Kun.