从湿热体质论治脂溢性脱发

Theoretical investigation on treating alopecia seborrheica according to dampness-heat constitution

中医对于脂溢性脱发,传统多按“血热风燥“”血虚风燥“”湿热“”肝肾不足”等分型论治,虽能取得一定的临床疗效,暂时缓解病情,但难以根治,给患者带来困扰。倪诚教授根据国医大师王琦教授所提出的“肤-体相关论”“体质可调论”,认为湿热体质是脂溢性脱发发病的主要土壤,指出瘀浊蛀发是脂溢性脱发的病机要点,治疗上以清利湿热调体治本、凉血活血为主、佐以滋养肝肾,方用茵陈蒿汤合升降散加减配合外洗经验方,从标本兼顾、分期论治、内服外洗等方面治疗脂溢性脱发,在临床上取得良好的疗效。

Traditional Chinese medicine treats alopecia seborrheica according to the syndrome types of blood-heat and wind-dryness,blood-deficiency and wind-dryness,dampness-heat and liver-kidney deficiency.Some certain clinical effects can be obtained.Although it can temporarily relieve the disease,it is easy to relapse and fails to recognize the root cause of the disease.According to Chinese medicine master Professor WANG Qi’s theory of“skin and diseases”and“controllable body constituent”,Professor NI Cheng thinks that dampness-heat constitution is the main cause for alopecia seborrheica and stasis-turbidity causing decayed hair is the main pathogenesis.The treatment is characterized by clearing away dampness and dampness-heat,cooling blood and removing stasis to regulate the dampness-heat constitution.Besides,it is also supplemented by tonifying the blood of yin in order to promote it.Professor NI formulates Yinchenhao Decoction and Shengjiang Powder to treat the disease.The treatment of seborrheic alopecia is discussed from the aspects of specimen balance,stage treatment and internal and external washing,which has showed favorable efficacy.