刘爱民教授从心肝论治拔毛癖经验

The experience of Professor Liu Aimin for treating trichotillomania from the perspective of heart and liver

拔毛癖是一种以身体为中心的重复行为障碍,表现为反复牵拉、扭转和摩擦毛发,可涉及全身毛发,影响患者的生活质量。现代医学治疗拔毛癖的一线疗法是习惯逆转训练,而无药物治疗的统一标准。拔毛癖属中医学情志类疾病,治疗上首先应详细排查致病诱因,除其根,才可解其郁,次以药石治之。刘爱民教授认为拔毛癖病位在心、肝,治疗应以疏肝解郁、清心泻火为原则,应用丹栀逍遥散加减,疗效显著,为拔毛癖的治疗提供了一种中医疗法。

Trichotillomaniaisabody-focused repetitivebehavior disorder characterized by recurrent pulling,twisting,and rubbingof hair,involving hair across the entire body and affecting the quality of life.The habit reversal training has always been the first-line treatment modality for trichotillomania in modern medicine,while a uniform standard of medication remains absent.Trichotillomania is categorized as a kind of emotional disease in traditional Chinese medicine.The initial step of trichotillomania treatment involves a comprehensive investigation into underlying pathogenic causes,followed by eliminating the root cause,relieving depression,and ultimately employing Chinese herbs.Professor Liu Aimin posits that the root cause of trichotillomania stems from heart and liver,and the treatment should follow the principles of soothing the liver,relieving depression and clearing heart fire.The modified danzhi xiaoyao san exhibits remarkable therapeutic efficacy in the treatment of trichotillomania,offering a viable option for traditional Chinese medicine therapy.