抗痘大作戰 位置差很大

「痤瘡」俗稱「痘痘」或「青春痘」。常有患者問我，痘痘長在下巴，是不是腸胃不好？長在臉頰，是不是肝不好？在中醫的理論中，臉上不同部位長的痘痘，常代表體內不同的臟腑有問題。不過，站在西醫的觀點，並沒有這樣的關聯性。但是，不同部位的痘痘，有時也代表著不同種類的痘痘，治療方式也會有所差別。


●前額髮線、頭皮裡：要考慮是否為金黃色葡萄球菌引起的「壞死型痤瘡」。常合併癢感及痛感，容易產生疤痕性掉髮。


●額頭：有可能是「髮油型痤瘡」或「機械型痤瘡」。前者是因造型用的髮油所引起，好發於男生；後者與「摩擦」有關，主要是因為前額頭髮太長，不斷刺激皮膚所造成。


●鼻子及內半側臉頰：可能是「酒渣型痤瘡」。常伴隨臉部容易潮紅。


●臉頰外半側：這裡是「尋常性痤瘡」好發部位。


●嘴巴周圍：「口周皮膚炎」，或是對於牙膏中的「氟」較敏感，都要考慮。


●下巴：有可能是俗稱「內分泌失調」的「荷爾蒙型痤瘡」，常伴隨生理期不規則。另外，也要考慮是否為「成人痘」及常戴安全帽所引起的「機械型痤瘡」。


●全臉：除了嚴重的「尋常性痤瘡」或「結節囊腫型痤瘡」外，也要注意是否是換了不恰當的保養品（例如卸妝油、防曬乳），或使用彩妝產品後，造成的「化妝品型痤瘡」。


●頸部、肩膀、上臂：要考慮「夏季型痤瘡」，主要是日光所引起。春天開始發，夏天最嚴重，秋天就好了。


●胸前及上背部：留心為「細菌性毛囊炎」、「芽孢菌毛囊炎」。


●腋下或臀部：要考慮「相反型痤瘡」或「機械型痤瘡」。


總之，痘痘的種類很多，不是只有一種，當然也不是簡單擦擦去痘保養品就可解決。在這裡要強調的是，上述的對應關係並不是絕對的。同時，痘痘也不會那麼乖，都分佈於上述的標準位置。因此，長痘痘還是要快找皮膚科醫師治療，才能對症下藥。

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