一剂治疗青少年粉刺的经方:清上防风汤
粉刺又名痤疮,是一种常见于青春期男女青年的毛囊皮脂腺的慢性炎症。此病很常见,累及近85%的年轻人。女性10-17岁,男性14-19岁,是粉刺的高发期。粉刺好发于面部,颈部,躯干,上臂,严重影响人的外貌。
粉刺初期会出现微粉刺、白头粉刺、黑头粉刺,若不及时治疗,并发了炎症,那就厉害了,会发展成丘疹、脓疱、节结、囊肿,疼痛不休,最后演化成令人讨厌的疤痕。
汉方派医家对治疗痤疮有独到看法。他们将粉刺分为鲜红色型,暗红色型。鲜红色型属于表热证,暗红色型及紫红色型属于瘀血证。若属瘀血证,运用的是桃核承气汤,桂枝茯苓丸。但是在青少年中,瘀血型极为罕见,出现得最多的还是表热证。
表热证粉刺色红,有痒痛,或有脓疱;常伴有口渴喜饮,大便秘结,小便短赤;舌红,苔薄黄,脉滑或脉数,当用经方:清上防风汤。
清上防风汤来源于医林状元龚廷贤《万病回春》之第五卷,此方专治上焦火盛,是治疗痤疮之表热证最有效的方子之一。
其方药及剂量如下:荆芥1g、 黄连1g、 薄荷1g、 栀子2g、川芎2g、 黄芩2g、 连翘 2g 、白芷2g、桔梗2g、 防风2g、 枳实1.5g 、甘草1.5g。此方能散上焦之火。
我这儿取的是汉方派的剂量,汉方派用药极轻,极微,但是中医方剂的秘密在于药物间剂量的比例,至于具体剂量,当视患者病情的轻重,随证加减,不可拘泥。
在临床上我常用此方治疗顽固的青春期表热型粉刺。此类顽疾,痤疮的顶部常出现脓疱,且此起彼伏,患者为求速愈,多有滥用抗生素和激素的历史,结果一旦停用西药,症状更甚,病转缠绵,难以治愈。小剂量投用清上防风汤,患者上焦之火会渐渐散去,面部疱疮亦能缓缓消退。
使用此方,不可有求速的之心,若患者患病时间较长,可嘱患者用极轻小量服3个月,并需时刻关注患者病情的变化,风热甚者加鱼腥草,脾胃湿热者加薏苡仁,苦参,大便秘结者加当归,或少许大黄,脓疱多者,加蒲公英,脾虚者,可适量加用干山药、炒白术以益气健脾。
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