《重新认识青春痘》“战痘”新解
A New Understanding of Acnes—A New Perspective of Acne Elimination
台湾报纸刊载林幸玫医师《认识青春痘 “战痘”从了解发生诱因着手》的文章，她从内分泌旺盛、油腻饮食、皮肤着尘、物理性伤害、环境湿热、化妆品刺激、药物影响七个方面的发病诱因着手治疗和预防让人们去战而胜之。其实在中外医学教科书和杂志报道中除上述发病诱因外，还有遗传基因、细菌感染、人体微量元素锌的缺乏、精神因素、睡眠不足以及中医的肺胃薀热，湿热之邪上薰颜面，血热郁滞所致等诱因。因这些都是法定的医学教科书，教授们就得照本宣科，学生们就得从师学医，这就强固着医学界的学术思想。由于诱因繁多又无定论，故医师们只有按照自已的理解和书本上的办法来选择药物对患者治疗和指导预防的工作。其效果往往不佳，致使青春痘反复发作，久而久之使青春痘变成中年疤、红鼻子。破坏了人面容皮肤自然之健美，给人带来极大的苦恼。
A Taiwanese newspaper published an article by Physician Lin Xingmei entitled The Understanding of Acnes—To Begin the Acne Elimination by Finding Reasons, which help people cure and prevent acnes from the seven factors leading to the emergence of acnes, namely, excessive internal secretion, oily diet, skin dust, physical damage, hot and moist environment, irritation of cosmetics and medicinal effects. Actually except the above inducements, there are also genetic genes, bacterial infection, insufficient trace elements, bad mental condition, lack of sleep, lung and stomach heat and moisture and stagnation of blood heat, etc included in the Chinese and foreign medicine textbooks, magazines and reports. Since these are legitimate medicine textbooks, professors have to repeat what the book says and students have to study medicine from professors, which reflects the stubborn academic thoughts in the medical circle. There are many inducements but there aren’t final conclusions, so physicians have to choose drugs for the treatment and prevention according to their own understanding and methods in the books. However, the treatment or prevention cannot achieve good effects. Acnes will occur repeatedly and finally turn into middle-age scars or coppernose, which damages the facial skin and brings much great distress to people.
青春痘到底是什么诱因引起的？能不能有效的治疗和预防？能否去战而胜之？必须根据现代先进的医学科研成果提出新的解释新的理论找出新的药物和预防方法。
What are the inducements of acnes? Can they be effectively cured, prevented or eliminated? We shall put forward new interpretations and new theories, and find out new drugs and prevention methods.
作者从1956年开始对酒渣鼻、痤疮（青春痘）治疗药物及病因的研究。经过40多年临床检螨诊断和治疗统计，100%的酒渣鼻患者检螨感染度很高，80%以上的青春痘患者检螨阳性。其症状较重者测定螨感染度都很高。经用作者研制成功的药膏（1990—1993年经过新药申报，药毒理、药效学试验、皮肤杀螨试验、二期临床试验、新药评审，批复为国药准字H53021786号，定名为《中州药膏》由云南中州制药有限公司独家生产和销售。PRC专利局以治疗酒渣鼻药膏制备方法颁发发明专利证书、保密处理通知书，成为PRC保密发明专利药品。在用中州药膏临床试验中，作者定期检螨并观察其症状变化，其结果：随着用药后患者症状的减轻和治愈，检螨计数也随之减少和转阴。从这个医学治疗实践证实，酒渣鼻、青春痘均系人类蠕形螨在人体皮肤内生长寄生所致病。消除了皮肤内寄生的蠕形螨青春痘、酒渣鼻就能治愈。没有寄生蠕形螨的人是不会发生青春痘的。根据这个医学治疗实践，过去老的医学教书所写的各种诱因就应该改变和摒弃。故痤疮、酒渣鼻的诊断名称也应改变为人类蠕形螨性皮炎是合乎科学实际的。
The author began to study on the treatment drugs and inducements of the rosacea and acnes. According to the statistics of clinical mite examinations, diagnoses and treatments, 100% of the rosacea sufferers have high mite infestation and over 80% acne sufferers are positive in the mite examination. The sufferers with severe symptoms are tested to have high mite infestation. The ointment developed by the author (1990-1993) was approved to be solely produced and sold by Yunnan Zhongzhou pharmaceutical Co., Ltd with the name Zhongzhou Ointment (GYZZ No. H53021786) after the new drug application, toxicological tests, pharmacodynamic tests, mite elimination tests, the second phase clinical tests and new drug evaluation. China Patent Bureau issued Inventive Patent Certificate and Confidential Treatment Notice to the preparation method of the ointment for the treatment of rosacea, and the ointment became the Chinese patent medicine. During the clinical tests of Zhongzhou Ointment, the author regularly examined the mites and observed the symptom changes. It is concluded that, with the alleviation and cure of the symptoms of the sufferers after using the medicine, the mites become less and turn negative. It is proved by the medical treatment practice that, the rosacea and acnes are caused by the parasitism and growth of the Demodex in the human skins. The rosacea and acnes can be removed in case the parasitic Demodex in the skin is eliminated. People without parasitic Demodex will not suffer from acnes. According to this medical treatment practice, the inducements described in the old-fashioned medical textbooks shall be changed and discarded. Therefore it is in conformity with the scientific practice to change the diagnosis names of acnes and rosacea into the human Demodex dermatitis.
什么是人类蠕形螨？
What is Demodex?
根据流行病学调查，在自然界里螨属有上百种，人们常说的地毯上、草丛里都有螨，而这种螨一般用肉眼或放大镜就可以看到，它的形态像小蜘蛛、草爬子。它的名称叫尘螨、蜱螨、革螨，它不是蠕形螨。在牛、马、羊、猪各种动物皮肤内生长的也有螨类似蠕形螨，但他与人蠕形螨没有关联。人类蠕形螨主要寄生在人类皮肤内。必须在医用显微镜下才能看到，其形状很像蚕虫，它有头有尾，前胸部两侧有四对短足，腹部有环纹，分长形螨（通称毛囊虫），短形螨（通称脂螨），两个品种，有雄有雌，雄雌交配产卵，卵脱变→幼虫→一期若虫→二期若虫→成虫。成虫再交配产卵，大约十五天左右即可繁殖一代。附：人类蠕形螨形态及生活史图。
According to the epidemiological survey, there are hundreds of species of mites in the nature. The mites in the carpets or grass can be seen with eyes or magnifier, and they are mainly like small spiders or ticks. They are called dust mites or tick mites rather than Demodex. The mites growing in the skins of various animals such as cattle, horses, sheep and pigs are not related to the Demodex. The Demodex mainly live in human skins, and can only be seen under the medical microscope. It looks like silkworms in shape, it has a head and tail with four short feet on both sides of the frontal breast and rings on the abdomen. It is divided into long mites (generally referred to as Demodex folliculorum) and short mites (generally known as Demodex brevis).
Demodex is a genus of tiny parasitic mites that live in or near hair follicles of mammals. About 65 species of Demodex mites are known; they are among the smallest of arthropods. Two species living on humans have been identified: Demodex folliculorum and Demodex brevis, both frequently referred to as eyelash mites. Demodex canis lives on the domestic dog. Infestation with Demodex mites is common and usually does not cause any symptoms, although occasionally some skin diseases can be caused by the mites. The female and male mites mate with each other and lay eggs, and develop from egg metamorphosis, larva, first-phase nymph, second-phase nymph to adult. The adults will mate and lay eggs again, and reproduce one generation in about 15 days. Attached: Demodex Life Cycle.
人类蠕形螨是怎样进入人体皮肤的？它为什么会发病？
How does Demodex enter human skin? Why can it cause diseases?
人类蠕形螨它主要是通过有带螨人与没有螨的人皮肤互相接触如贴面、亲吻、手摸、共用毛巾、共用一个衣被被感染传播而来，非带螨人被感染后，螨就进入健康人的皮肤，它寄生在皮脂腺比较丰富，又便于接触，温度又适宜它生长繁殖的面部毛囊皮脂腺内，它吸食皮脂，排泄粪便、蠕动爬行、交配产卵，繁殖，死亡，其尸体就在皮脂内腐烂液化。由于螨全部生活史都是在皮脂腺内完成，它排出的粪便、尸体液体，它对皮肤组织构成机械性和化学性刺激，数量多了使局部组织产生变态反应，即这些赃东西必须排出体外，也就是说肉内掺不得假，这个过程皮肤就会出现痒痛、红斑、丘疹、脓疱等炎症病变，这就是人称青春痘，这时如果得不到正确的检螨诊断和有效的杀螨药物的治疗，螨继续繁殖，炎症反复发作，损害的皮面可造成凸凹不平的疤痕、毛囊口扩大、毛细血管扩张、皮肤增殖性肥厚、甚至出现赘瘤疙瘩，破坏了人面容皮肤正常之健美。附：人蠕形螨怎样进入人体皮肤示图，人面部病例图片。
Demodex is mainly spread through the mutual contact between people with mites and people without mites, such as facial contact, kisses, hand touch, sharing towels or bedding. When the people without mites are infected, the mites will enter the healthy skins and live in the facial hair follicle sebaceous gland which has rich sebaceous gland and suitable temperature for its growth. It sucks sebum, excrete feces, wriggles, crawls, reproduces and dies, and its corpse will decay and liquefy in the sebum. Since the whole life cycle of the mite is conducted in the sebaceous gland, its feces and liquefied corpse will cause mechanical and chemical irritation to the skin texture, and the large quantity of the substance will cause allergic reaction to the partial texture. When all the dirty substances shall be discharged out of the body, the skins will suffer from inflammations and lesions such as itches, aches, red spots, papules and pimples, etc, which is known as acnes. Under this circumstance, mites will continue to reproduce, inflammations will repeatedly occur, the damaged skin will have uneven scars, dilated follicles, expanded blood capillary, proliferative plump or even superfluous pimples without correct mite diagnosis and effective treatment by mite-elimination medicine, which damages the natural beauty of the skin. Attached: Schematic Diagram of How Demodex Enter Human Skin, and Picture of Human Facial Cases
According to the epidemiological survey, the newly born babies don’t have mites, so it can be concluded that the mites are not caused by genetic genes, but infected by the contact with people with mites. With the growth of the babies, they have increasing possibility of infection. The infection rate of Demodex is about 60% throughout the country. It shall be noted that the infection rate is not equal to the prevalence rate. People with mites will not necessarily suffer from diseases. The diseases depend on the mite quantity in the skin and the human immunity performance. The people with low immunity performance will suffer from diseases. It is reported that 2.44% rosacea is caused by high mite infection, and 10.04% acne is caused by high mite infection. The high prevalence rate and the great damage to the skin beauty are the most concern of the people.
怎样来治疗和预防青春痘、酒渣鼻的发生？
How to cure and prevent the acnes and rosacea?
一、首先要依照现代先进的医学科研成果和医学实践，摈弃老教科书本上无定论的多种致病诱因，大力宣传人蠕形螨致病的理论来指导治疗和预防工作。
1. Firstly, discard the several disease inducements in the old textbooks and publicize the theory of Demodex and use it for treatment and prevention according to the modern advanced medical scientific research achievements and medical practice.
二、有条件的地区可培训一批专病医师，组织在人群中开展普查普治工作，争取有病早治疗，无病早预防，指导健康带螨人灭螨防螨的方法，防止带螨人传染给他人。
2. If possible, train a group of special physicians to organize the general investigation and treatment, in order to cure and prevent the disease earlier, teach people with mites how to eliminate and prevent mites from being spread to others.
三、提倡以预防为主的卫生工作方针，大力进行医学科普宣传，宣传人蠕形螨对人面容皮肤的损害，防止人蠕形螨在人群中的传播和相互感染。尤其是健康带螨人对婴幼儿传染威胁性最大，如果人群中60%的带螨人都能用《中州药膏》外用杀螨灭螨，改善卫生条件，就会使下一代人不受螨的感染，青春痘、酒渣鼻自染就会战而胜之。
3. Promote the principle of prevention first, publicize medical science and the damage caused by the Demodex to the human skin, and prevent the transmission and mutual infection of Demodex. Especially the healthy people with mites will have the largest threat to the babies. If 60% of the people with mites can kill the mites with the Zhongzhou Ointment for external use, improve the sanitary conditions, the next generation will not be infected with mites, and acnes and rosacea will be conquered consequently.
附： 1、人类蠕形螨形态及生活史图
Attached: 1. Demodex Life Cycle
2、人类蠕形螨怎样进入人体皮肤和发病示意图
2. Schematic Diagram of How Demodex Enter Human Skin, and Schematic Diagram of Diseases Occurrence
3、人蠕形螨致病，典型病例图
3. The Typical Cases of Diseases Caused by Demodex
The Demodex treatment and prevention expert of voluntary treatment group of Chinese medical experts and associate chief physician
香港国际中医药学院课题教授赵中州 2010-11-8于昆明
Zhao Zhongzhou, the subject professor of Hong Kong International College of Chinese Medicine, on Nov.8, 2010 in Kunming
