陈雪 吴皞 徐漫远 闵仲生

[摘要]痤疮、白癜风是皮肤病中影响面部美观的主要疾病，常累及中青年患者。其治疗方法也是纷繁复杂，从中医到西医，自古至今，形成了各自治疗的体系。火针，又称焠针、燔针，早在《黄帝内经》中就有记载，是中医的传统治疗方法。近期，在痤疮和白癜风的治疗上均有报道，且疗效显著，现将火针在痤疮和白癜风治疗中的应用介绍如下。

[关键词]火针；痤疮；白癜风；临床运用；综述

[中图分类号]R758.73+3 [文献标志码]A [文章编号]1008-6455（2018）04-0155-03

The Application of Fire-Needle Therapy in Cosmetic Dermatosis

CHEN Xue1，WU Hao2，XU Man-yuan3，MIN Zhong-sheng1

（1.Department of Dermatology， Jiangsu Province of Traditional Chinese Medicine，Nanjing 210029，Jiangsu，China； 2. Nanjing University of Chinese Medicine， Nanjing 210046，Jiangsu，China； 3.the Affiliated Huaian NO.1 Peoples Hospital of Nanjing Medical University， Huaian 223300，Jiangsu，China）

Abstract： Acne and vitiligo are the main dermatosis diseases affecting the human beauty， mainly affecting facially in young and middle-aged patients. The treatment methods are complex， from traditional Chinese medicine to Western medicine， from ancient times to present， they have formed their own treatment system. Fire needle， also known as burnt needle， recorded as early as in the "Huang Di Nei Jing Su Wen"， it is the traditional Chinese medicine treatment. It has been reported recently in the treatment of acne and vitiligo， the curative effect is remarkable. The application of fire needle in acne and vitiligo is introduced as follows.

Key words： fire needle； acne； vitiligo； clinical application； summary

火针早在《黄帝内经》中就有记载，《内经》曰“燔针”、“焠刺”，张仲景在《伤寒杂病论》中将其改名为“烧针”。明代的代表作高武的《针灸聚英》则详细地记录了火针的操作方法和注意事项。直到唐代孙思邈的《千金要方》才将其命名为“火针”。火针针身体纤细，在针刺后不易留下疤痕。治疗时针刺深度较浅，可以减轻患者疼痛时间。火针兼具针刺的刺激作用和火针的热刺激作用，因其价格低廉，设备简易方便，疗效较好，颇具中医特色，在痤疮、白癜风的临床治疗中颇受患者青睐。

1 痤疮

1.1 中医治疗机制

1.1.1 补火助阳：火针针体加热至红后刺入皮内，引外来之热入内寒之躯，鼓舞阳气，增强阳气的温煦、推动、气化等作用。气血运行依赖于阳气的温煦与推动。血得寒则凝，得温则行。脾主运化，脾气失运则痰湿不化，阳气生则脾气健，脾气健则痰湿化。

1.1.2 祛邪外出：火针既有热刺激作用，又具有针刺作用。针体刺入皮内，到达相应穴位，经脉之邪有外出之路。……