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目的:观察丹栀桑芩汤治疗肝肺郁热型经前痤疮的临床疗效。方法:选取绍兴市中心医院皮肤科2016年7月至2018年11月诊治的肝肺郁热型经前痤疮患者60例为研究对象,采用随机数字表法分为对照组(n n=28)和治疗组(n n=32)。治疗组以自拟丹栀桑芩汤治疗,对照组口服异维A酸胶囊和维生素Bn 6治疗,两组治疗4周为1个疗程。比较两组临床疗效及不良反应发生率。n 结果:治疗组显效18例,有效11例,无效3例,总有效率为90.6%(29/32);对照组显效16例,有效10例,无效2例,总有效率为92.9%(26/28),两组总有效率差异无统计学意义(n P>0.05);治疗组不良反应发生率为3.1%(1/32),显著低于对照组的21.4%(6/28),差异有统计学意义(χn 2=6.281,n P0.05). The incidence of adverse reactions in the treatment group was 3.1%(1/32), which was significantly lower than that in the control group [21.4%(6/28)], the difference was statistically significant(χn 2=6.281, n P<0.05).n Conclusion:The clinical efficacy of Danzhi Sangqin decoction in the treatment of premenstrual acne with liver and lung stagnation is similar to that of isotretinoin capsules, but the incidence of adverse reactions is low.