1病历摘要患者男,75岁。四肢红斑及结节反复发作6年,于2013年6月来天津市南开医院皮肤科就诊。6年前患者双侧上肢无明显诱因出现数个近环形红色斑片,轻度瘙痒,外院诊为"环形红斑",予口服抗生素、外用糖皮质激素治疗（具体不详）,效果不明显。此后,一直外用糖皮质激素治疗,无明显好转。近两年皮损渐加重、增多,四肢出现结节、红斑、鳞屑及坏死,愈后色素沉着,部分皮损自行破溃,愈合缓慢,偶有轻度瘙痒。既往

目的：观察中药内服、外敷联合刺络拔罐治疗中重度寻常型痤疮的临床疗效。方法：患者随机分为治疗组和对照组，治疗组予中药内服、刺络拔罐和面部中药湿敷疗法后倒模，对照组仅予中药内服，治疗3个月后观察并比较疗效及皮损情况。结果：治疗后2组患者丘疹、脓疱、结节囊肿、粉刺积分及皮损总积分均较治疗前明显降低，治疗组上述各项评分均明显低于对照组；治疗组总有效率明显高于对照组。结论：采用中医综合疗法治疗中重度寻常型痤疮效果优于单纯服用中药，值得临床推广。

目的 初探荆芥外用对于寻常疣、扁平疣及跖疣的治疗作用,评价其疗效与安全性,并与液氮冷冻法进行比较.方法 将入选的寻常疣、扁平疣、跖疣受试者均随机分为治疗组和对照组.治疗组予荆芥浓缩剂局部外用治疗,对照组予液氮冷冻治疗,评价治疗4周后的疗效与安全性.结果 主要疗效(靶疣体)寻常疣治疗组、对照组有效率分别为40.00％,76.67％,清除率分别为3.33％,36.67％ (P ＜0.05);扁平疣治疗组、对照组有效率分别为0,73.33％(P＜0.05),清除率分别为0,50.00％(P＜0.05);跖疣治疗组、对照组有效率分别为36.67％,60.00％(P＞0.05),清除率分别为0％,20.00％(P＜0.05).不良反应发生率治疗组0,对照组6.67％ (P＜0.05).结论 荆芥外用对跖疣有效,且有效率和冷冻法差异无统计学意义,但清除率较冷冻法低;对于寻常疣亦有效,但有效率及清除率均不及冷冻法,对于扁平疣无效.与冷冻法相比,其安全性及愈合质量更高.

目的 观察中药痒疹方联合卡泊三醇软膏和卤米松乳膏治疗结节性痒疹的临床疗效和安全性.方法 将入选的87例结节性痒疹患者随机分为3组,各29例.全部患者日煎1剂中药痒疹方(组分:生地、土茯苓和蒺藜各30g,金银藤15g,荆芥、防风、红花、赤芍、三棱和莪术各10g)分早、晚服用.另外,治疗组每日早、晚各1次外搽卡泊三醇软膏,对照组每日早、晚各1次外搽卤米松乳膏,联合治疗组每日晨外搽卡泊三醇软膏1次,晚间外搽卤米松乳膏0.5h后再外用卡泊三醇软膏1次.治疗4周后判定疗效,治疗结束后随访2个月.结果 治疗4周后,3组患者的结节数目、瘙痒程度和皮损积分均优于其治疗前,且联合治疗组均低于对照组和治疗组,联合治疗组有效率(75.86％)高于对照组(62.07％)和治疗组(51.72％),差异均有统计学意义(P均＜0.05).三组患者均无不良反应.结论 中药痒疹方联合卡泊三醇软膏和卤米松乳膏治疗结节性痒疹疗效显著,无不良反应.

Objective To evaluate the efficacy and safety of qingpeng ointment combined with semiconductor laser in the treatment of the neuralgia following herpes zoster. Methods One hundred and twenty patients were randomly divided into three groups,each group included 40 patients. Qingpeng ointment was applied externally by control 1 group. The patients in the control group 2 were treated by semiconductor laser. The treatment group was given the combined method. Three groups were treated for 4 weeks. The effects were evaluated by the method of visual analogue scale( VAS). Results After 4 weeks,VAS scores of the three groups were apparently lower than before,and the degree of decrease in the treatment group was better than that in the control group 1 and control group 2. Besides,the effective rate in the treatment group( 87.50%) was higher than that in the control group 1(62. 50%) and control group 2(72. 50%). The difference were statistically significant( P 0. 05). No side effects were observed. Conclusion Qingpeng ointment combined with semiconductor laser is effective and safe in treatment of the neuralgia following herpes zoster,which can significantly relieve neuralgia.