从“阳明脉衰”探讨补益阳明防治围绝经期脱发

Exploration of the prevention and treatment of perimenopausal hair loss by tonifying Yangming from the perspective of"decline of Yangming meridian"

《素问·上古天真论》言“女子五七,阳明脉衰……发始堕”,可见“发始堕”是“阳明脉衰”的表现之一。“阳明脉衰”导致的脱发相当于现代医学的围绝经期脱发,卵巢功能减退是女性进入围绝经期的主要原因,围绝经期特殊生理内环境又影响头发的脱落,可见“阳明脉衰”与围绝经期脱发有着密切联系。本文基于“阳明脉衰”的理论,分析围绝经期的生理内环境对毛发脱落的影响,探讨“阳明脉衰”与围绝经期相关启动因素之间的关联,总结了补益阳明影响毛发生长的相关通路,延缓卵巢衰老和防治围绝经期脱发的可行性,提出以“五七”为基点,适时补益阳明津气,可以未老先防,既老防衰,达到发衰而不堕,防治围绝经期脱发的目的。

In the book Suwen on Art of Health Cultivation in Ancient Times,it is said that"women may experience a decline of Yangming meridian at the age of thirty-five…and their hair begins to fall".It can be seen that"hair begins to fall"is one of the manifestations of the"decline of Yangming meridian".The hair loss caused by the"decline of Yangming meridian"is equivalent to the perimenopausal hair loss in modern medicine,and ovarian dysfunction is the main reason for women to enter the perimenopausal period.The special physiological internal environment during the perimenopausal period also affects hair loss.t can be seen that the"decline of Yangming meridian"is closely related to perimenopausal hair loss.Based on the theory of the"decline of Yangming meridian",this article analyzes the impact of the physiological internal environment of perimenopause on hair loss,explores the correlation between the"decline of Yangming meridian"and related initiating factors of perimenopause,summarizes the relevant pathways of tonifying Yangming on hair growth,as well as the feasibility of delaying ovarian aging,and preventing and treating perimenopausal hair loss,and proposes to consider"thirtyfive"as a starting point to timely tonify Yangming and Jinqi,which can prevent hair from getting old,prevent hair aging after getting old,thereby achieving the goal of preventing hair aging without falling,and preventing perimenopausal hair loss.