黄褐斑病因病机研究

Study of etiology and pathogenesis of chloasma

文章依托文献结合笔者的观点分类阐述,探讨黄褐斑病因病机内涵。黄褐斑病因主要有精神因素、睡眠、妊娠、口服避孕药、某些妇科疾病和其他慢性疾病、日光暴晒、光辐射,遗传、化妆品使用不当、痰、瘀、毒、六淫、饮食、劳逸等;个别地区的流行病学调查显示,黄褐斑发病女性高于男性,农村高于城区,彝族高于汉族;抑郁和焦虑在病变过程中起重要作用。病机主要涉及肝、脾、肾功能失调,气血失调,冲任失调,络脉不利(包括络脉阻滞与络脉空虚),经筋气血卡压不通,浊阴沉积。掌握这些对深入研究该病病因病机乃至辨证治疗有一定意义。

This paper select introductions of literature classification to study the research status of etiology and pathogenesis of chloasma. Main etiologies include mental factors, sleep, pregnancy, oral contraceptives, certain gynecological diseases ＆ other chronic diseases, sun exposure, radiation, genetic, improper use of cosmetics, phlegm, blood stasis, drugs, six evils, diet, and lifestyle, etc. Epidemiological surveys of individual districts show, incidence of chloasma is higher in females than males, higher in rural than in urban areas, higher in Han than Yi. Depression and anxiety play an important role in the disease. Pathogenesis mainly involves dysfunction of liver, spleen and kidney, blood disorders, Chong and Ren disorders, collaterals adversity （including the collaterals block with collaterals emptiness）, muscle and blood barrier and deposition of cloud overcast. It will be significant help to master these for further in-depth study of etiology and pathogenesis and even differential treatment.