艾儒棣治疗雄激素性脱发经验

AI Ru-di’s experience in treating androgen alopecia

文章总结艾儒棣教授治疗雄激素性脱发经验。湿郁化热,上蒸巅顶,堵塞毛窍,湿热酿虫,蛀蚀发根,发为雄激素性脱发,故化湿降浊、控油止痒、开通毛窍为当务之急。血瘀毛窍,阻滞气血,经气不宣,致毛窍失养,发根失濡,亦可加重脱发,故活血化瘀应贯穿始终。“发为血之余,肾气之外候”,肾精匮乏,血不化精,致毛窍空虚,毛发枯槁脱落,故滋补肝肾、固本养发亦不可或缺。针对病机,脾虚湿热证,治以清热祛湿、健脾固发,方选楂曲平胃散合艾氏四君子汤加减;肝郁脾虚证,治以疏肝解郁、燥湿健脾,方选柴芍龙牡汤加减;阴虚血瘀证,治以滋阴固本、活血生发,方选二至丸合生脉饮加减。

This article summarizes professor AI Ru-di’s experience in treating androgenetic alopecia.Dampness and heat steam the top of the head,blocking the hair orifice,dampness and heat brews worms,borers eat the hair roots,and become androgenic alopecia.Therefore,it is urgent to reduce dampness and turbidity,relieve itching and control oil,and open the hair orifice.Blood stasis hair orifice,block qi and blood,and the meridians of qi can not be propagated,causing hair orifice and hair root dystrophy,can also aggravate hair loss,so activating blood stasis should be throughout.‘Hair is the sign of blood condition,outward manifestation of kidney qi’.Kidney essence shortage,and the blood does not sperify,resulting in empty hair,hair withered and shed,so nourishing liver and kidney,solid hair is also indispensable.According to the pathogenesis,the dampnessheat syndrome of spleen deficiency,heat clearing and dampness removing,the prescription uses Zhaqu Pingwei Powder and Aishi Sijunzi Decoction.Syndrome of liver stagnation and spleen deficiency,dredging liver and relieving depression,the prescription Chaishao Longmu Decoction.Yin deficiency and blood stasis syndrome is treated to nourish Yin and strengthen the foundation,the prescription uses Erzhi Pill and Shengmai Decoction.