目的：观察内服精芪消痤饮结合中药湿敷治疗气阴两虚型面部寻常性痤疮的临床疗效。方法：选取寻常性痤疮患者62例，中医辨证为气阴两虚型，随机分为治疗组及对照组，两组均为31例。治疗组采用精芪消痤饮内服结合中药湿敷；对照组采用米诺环素内服及克林霉素磷酸酯凝胶外用，分别观察两组疗效。结果：治疗组综合疗效为93.55%，对照组为83.87%，疗效比较有显著性差异（P<0.05），治疗组疗效优于对照组。结论：精芪消痤饮结合中药湿敷治疗面部气阴两虚型寻常性痤疮疗效确切、副作用少，值得临床进一步推广应用。%Objective To evaluate the clinical effect of Jingqi Xiaocuo decoction taking orally combining wet dressing of Chinese herbs in treatment of acne vulgaris with qi and yin deficiency. Methods We selected 62 acne patients and they were all in qi and yin deficiency type. They were randomly divided into treating group and control group. 31 patients in treating group were treated by Jingqi Xiaocuo decoction taking orally combining wet dressing of Chinese herbs, and other 31 cases in control group were treated by Minocycline capsules taking orally combining Clindamycin Phosphate Gel application. Then contrast the clinical effect of tow groups. Results The total effective ratio in treating group was 93.55%, and 83.87% in control groups(P<0.05). The results of evaluation proved that the clinical effect of Jingqi Xiaocuo decoction taking orally combining wet dressing of Chinese herbs was superior to modern medicine, and there were not any obvious adverse effects. Conclusion Jingqi Xiaocuo decoction taking orally combining wet dressing of Chinese herbs has a definite effect in treatment of acne vulgaris with qi and yin deficiency. It deserves the further development and use.
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