活血化瘀法治疗黄褐斑的研究进展

Research Progress on Promoting Blood Circulation to Remove Blood Stasison Therapy in the Treatment of Chloasma

黄褐斑是发生于面部的一种色素沉着性皮肤病,本文阐述了血瘀是其形成的重要影响因素,提出了"无瘀不成斑"的观点,认为其他致病因素均与血瘀关系密切;介绍了气血瘀滞型、瘀血阻络型、脏腑失和型、阴虚血瘀型黄褐斑的辨证论治,并简述了有活血化瘀作用的黄褐斑外治方法,如面膜、耳压,针灸和走罐等。结合现代医学黄褐斑发病机制和治疗方法研究成果,提出血流动力学及血液流变学改变对黄褐斑有一定影响。

Chloasma is a kind of pigmented dermatitis. This paper expounded blood stasis is an important influence factor in the de-velopment of chloasma. It proposed that there is no pigment without blood stasis, which is closely related with other pathogenic fac-tors. It introduced the syndrome differentiation and treatment of chloasma with qi stagnation and blood stasis, obstruction of collater-als with blood stasis, disharmony of zang and fu organs, yin deficiency and blood stasis, and resumed external treatments of chloasma with the effect of promoting blood circulation to remove blood stasis, such as mask, ear pressure, acupuncture and cupping. Based on the research results of the pathogenesis and treatment methods of modern medical science, it is proposed that chloasma is partly in-fluenced by the changes of hemodynamics and blood rheology.