基于“发为血之余”辨治休止期脱发经验

Differential treatment of traditional Chinese medicine of telogen effluvium based on theory of hair being the surplus of blood

休止期脱发是常见的脱发类型之一,多诱因明确,西医治疗疗效有限。中医学认为“发为血之余”,休止期脱发与阴血失调密切相关。其病机有二,一为脾弱气虚导致的脾不统血,气不摄血,致血不循经而脱发;二为脾虚生化乏源,肾虚精亏血少,致阴血亏虚而脱发。治疗以健脾益气、填精养血、固发防脱为法,佐以固涩止血之品,方用当归补血汤加味,可获良效。