| Purpose: Through the method of questionnaire survey,to understand the basic situation,severity of skin lesions,TCM syndrome types and physical types of female acne patients,To explore the related factors affecting the occurrence of female acne,analyze the relationship between the influencing factors,skin lesions,menstruation,and syndrome types and the distribution of TCM constitution,and combine the theoretical thought of "syndrome differentiation and treatment" and "suiting measures to different people",At the same time of treating female acne patients with traditional Chinese medicine based on syndrome differentiation,carry out targeted body adjustment medication to observe the clinical treatment effect,and deepen the understanding of the treatment and prevention of female acne vulgaris in the future.Material and method: Collect the relevant data of female acne vulgaris patients who visited the dermatology clinic of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from October 2021 to September 2022,screen out the medical records that meet the standards,and carry out the questionnaire survey and research,and use the TCM body mass table to determine the physical type.Establish Excel form to record medical records and sort them out,The general data such as age,course of disease,work and rest,eating habits,external environment,genetic history and skin type were correlated with acne severity.Then the related factors,menstruation,skin lesion position,skin lesion morphology,TCM syndrome type and the determined TCM constitution type were statistically analyzed.Finally,the TCM syndrome score and acne skin lesion score of patients were analyzed by inspection statistics,which was completed by SPSS25.0 statistical software.Results: 1 General data analysisThe average age of 180 female acne patients in this survey is 25.14 ± 6.78 years old,concentrated in 15-35 years old,and 53.3% of adult patients(≥ 25 years old),with statistical significance in different age groups.66.7% of patients felt stressed and had severe skin lesions,which were mostly distributed in grade II and III,with statistical significance.Most women have no genetic history of acne,and most of them have the habit of staying up late.The genetic history and sleep status are not statistically significant.The distribution of personality and diet preference is basically balanced.Most of the patients with irritability and preference for spicy food are adults,and there is no statistical significance in general.74.4% of the people make up;Mixed skin types(46.1%)were mostly distributed in grade I and II,and oily skin types(42.2%)were mostly distributed in grade III;The syndrome types of TCM are mainly composed of damp-heat accumulation(29.4%)and incoherence of Chong and Ren(51.7%),both of which have statistical significance for acne.2 Analysis of TCM constitution Among 180 female acne patients,70% had concurrent constitution and 30% had single constitution,with the largest proportion of damp-heat,and the rest were yin deficiency,phlegmdampness,qi deficiency,yang deficiency,qi stagnation,blood stasis,special essence and peaceful essence in sequence.Different ages have statistical significance with peace and qi deficiency;Stress has statistical significance with yang deficiency,blood stasis and qi stagnation.All types of constitution make-up patients are more common,oily and mixed skin in the most damp heat,makeup and skin type and constitution have no statistical significance.Among the acne grades,Grade II is the most and Grade I is the least.All types of constitution are mainly due to irregularity of Chong and Ren,while patients with qi deficiency and yang deficiency are mostly due to wind-heat syndrome of lung meridian,while patients with yin deficiency,phlegm-dampness,damp-heat and qi stagnation are mostly due to damp-heat accumulation;The average course of disease was 3.35 3.06 years,and 1-5 years accounted for 77.3%,which was generally longer in adult patients.Acne grade,TCM syndrome type,course of disease and constitution were not statistically significant.There were significant differences between forehead and qi stagnation,neck and special lesions.There were significant differences between acne and damp-heat,pustules and special lesions.Menstruation of adult patients with less volume purple dark,its color and qi stagnation,menstrual cycle and qi deficiency quality and damp-heat quality have statistical significance.3 Treatment and curative effect of traditional Chinese medicine 180 female patients with acne took orally Chinese herbal decoction,which was treated with syndrome differentiation and physical conditioning plus or minus treatment,supplemented by external application of western medicine and traditional Chinese medicine facial mask.Statistics showed that the skin lesion score,TCM syndrome score and total score of patients with various syndrome types were significantly lower than those before treatment.After 4 weeks,the total effective rate was 79.66%,among which the effective rates of the lung meridian wind heat syndrome,Chong Ren syndrome and damp-heat accumulation syndrome were 90.32%,80.65% and 71.70% respectively.Conclusion:1.In this study,the number of adult female patients with acne vulgaris is the majority.2.In this study,stress,makeup,skin types and TCM syndrome types are involved in the onset of female acne vulgaris.3.In this study,most female patients with acne vulgaris have the highest proportion,and dampheat constitution accounts for the highest proportion.4.This study female acne vulgaris age,pressure,lesion location,lesion morphology,menstruation and physique are related.5.This study of female acne patients with various constitutions are mainly syndrome of irregularity of Chong and Ren,Qi deficiency and Yang deficiency patients with lung meridian wind-heat syndrome,Yin deficiency,phlegm-dampness,damp-heat and qi stagnation patients with damp-heat accumulation syndrome,TCM syndrome differentiation treatment combined with body regulation medication is effective for female acne vulgaris. |
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