中医药治疗斑秃研究进展

Research Progress in the Treatment of Alopecia Areata withTraditional Chinese Medicine

斑秃是一种较为常见的非瘢痕性炎症性脱发,禀赋不足气血空虚、饮食不节湿热内蕴、情志失调瘀阻脉络、腠理不固风袭巅顶等皆可导致斑秃的发生,其病性属本虚标实。本病可从肝肾不足、气血亏虚、血虚风燥、血热动风、肝郁血瘀、湿热蕴蒸6个证型辨治。现从辨证论治、专方治疗、中成药治疗、针药并用以及中西医结合治疗角度概括中医药治疗斑秃的研究进展,以期为临床治疗斑秃提供思路。

Alopecia areata is a relatively common non-scarring inflammatory hair loss condition.It can be triggered by various factors,such as congenital deficiency leading to Qi and blood deficiency,irregular diet resulting in internal damp-heat,emotional disturbances causing stasis in the meridians,and compromised skin defenses allowing wind to attack the scalp.The nature of this disease is characterized by an underlying deficiency with superficial excess.The disease can be categorized into six syndrome types for treatment:liver and kidney deficiency,Qi and blood deficiency,blood deficiency with wind dryness,blood heat generating wind,liver depression with blood stasis,and damp-heat accumulation.This article summarizes the research progress in Traditional Chinese Medicine(TCM)treatment for alopecia areata from various perspectives,including syndrome differentiation and treatment,specific herbal formulas,Chinese patent medicines,combined acupuncture and herbal therapy,and integrative TCM and Western medicine approaches,aiming to provide clinical treatment insights for alopecia areata.