从脏腑辨证治疗黄褐斑的研究概述

Review on research of melasma treatment from visceral syndrome aspect

黄褐斑是临床常见的皮肤病,属中医学的"面尘""黧黑斑""肝斑"等疾病的范畴,传统多认为与七情内伤、饮食劳倦、肝郁气滞、妇人经血不调等有关。随着中医基础理论的不断发展,医家对黄褐斑的有了更加全面与深刻地认识,现普遍将黄褐斑的病机责之于肝、脾、肾和心、肺功能失调以及气滞血瘀痰湿等有关,亦可见肝肾阴虚、脾虚肝郁、心脾血虚等脏腑兼见证。现通过概述黄褐斑的脏腑辨证治疗,分析其病因病机及相应的治疗方法,为中医辨证治疗黄褐斑提供更清晰的临床思路,为黄褐斑的治疗提供更好的治疗办法。

Melasma is a common clinical disease in dermatology, known as “face dust”,“dark spots”,“liver spots” in Chinese Mdicine. It is often resulted from internal injury caused by excess of seven emotions, improper diet and overstrains, liver Qi stagnation and menstruation disorder. As the development of traditional Chinese medicine theory, physicians have a more comprehensive and profound understanding on melasma. Nowadays, the pathogenesis of melasma is widely due to the function disorder of the liver, spleen, kidney, heart and lung and qi stagnation and blood and phlegm stasis;it can also be relavant with the Yin-deficiency of liver and kidney, spleen deficiency and liver stagnation, blood deficiency of heart and spleen. Now we outline the syndrome differentiation and treatment, and analyze its etiology, pathogenesis and appropriate treatment method to provide a clearer idea of better treatment approaches for melasma.