Differentiation and treatment of acne based on the "sweat pore-nutrient-defense system" theory

SONG Shanshan; JIANG Min; HUANG Bozhen; LIU Xinxin; MA Siyi; WANG Guoyu; WANG Wanqing; WANG Luyao; WANG Liang; BO Ruiqing

doi:10.16025/j.1674-1307.2026.04.023

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Differentiation and treatment of acne based on the "sweat pore-nutrient-defense system" theory

更新时间：2026-06-10

- Differentiation and treatment of acne based on the "sweat pore-nutrient-defense system" theory
- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 4, Pages: 538-541(2026)
- 作者机构：
  
  首都医科大学附属北京世纪坛医院中医科，北京 100038
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2026.04.023
  CLC：
- Received：13 April 2025，
  
  Published：25 April 2026
- 稿件说明：
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宋姗姗，姜敏，黄博臻，等.基于“玄府-营卫”理论辨治痤疮经验［J］.北京中医药，2026，45（4）：538-541.

SONG Shanshan,JIANG Min,HUANG Bozhen,et al.Differentiation and treatment of acne based on the "sweat pore-nutrient-defense system" theory[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):538-541.
宋姗姗，姜敏，黄博臻，等.基于“玄府-营卫”理论辨治痤疮经验［J］.北京中医药，2026，45（4）：538-541. DOI： 10.16025/j.1674-1307.2026.04.023.

SONG Shanshan,JIANG Min,HUANG Bozhen,et al.Differentiation and treatment of acne based on the "sweat pore-nutrient-defense system" theory[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):538-541. DOI： 10.16025/j.1674-1307.2026.04.023.

摘要

痤疮是一种慢性炎症性皮肤疾病，常以粉刺、丘疹、脓包、结节、囊肿伴油脂分泌旺盛为主要表现。基于中医经典理论，提出痤疮发病的三期病机演变规律：炎症期玄府郁闭、气机阻滞，为始动环节；进展期营卫失衡、痰瘀渐生，推动功能失调向器质性损伤转化；慢性期痰瘀互结、脾肾亏虚，构成迁延难愈的病理基础。可分三期治疗，炎症期以“启玄府、透郁热”为要，进展期侧重“调营卫、化痰瘀”，慢性期强调“固脾肾、祛形邪”。

Abstract

Acne is a chronic inflammatory skin disease mainly characterized by comedones， papules， pustules， nodules， cysts， and excessive sebum secretion. Based on classical traditional Chinese medicine theory， this article proposes a three-stage evolutionary pattern of acne pathogenesis. In the inflammatory stage， blockage of the sweat pores and stagnation of

movement constitute the initiating mechanism. In the progressive stage， disharmony between nutrient and defense and the gradual formation of phlegm and blood stasis promote the transformation from functional disorder to organic damage. In the chronic stage， the intermingling of phlegm and blood stasis together with deficiency of the spleen and kidney forms the pathological basis for the prolonged and refractory nature of the disease. Accordingly， treatment should be administered according to the three stages： in the inflammatory stage， emphasis should be placed on "opening the sweat pores and dispersing stagnant heat"； in the progressive stage， treatment should focus on "harmonizing nutrient and defense and resolving phlegm and blood stasis"； and in the chronic stage， priority should be given to "strengthening the spleen and kidney and eliminating pathogenic factors".

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references

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