摘要
斑秃是皮肤科门诊中最常见的脱发疾病之一,本病影响美观,愈后容易复发,给部分患者带来严重心理负担.朱仁康认为斑秃多由情志异常引起气血失和,继而引动内风所致.治风先治血,强调从血论治,临证根据斑秃病情进展,辨证治疗分三期三证:急性进展期多属血热生风证,以凉血为主;缓解恢复期多属血虚生风证,以养血为主;慢性期及全秃、普秃多属血瘀生风证,以活血为主.
Abstract
Alopecia areata is one of the most common alopecia diseases in dermatology clinic.This disease affects the appearance,and it is easy to recur after healing,which brings serious psychological burden to some patients.ZHU Renkang believes that alopecia areata is mostly caused by the disharmony of qi and blood,which is caused by emotional abnormalities,which then leads to the internal wind.The treatment of wind diseases should start from treating blood first,emphasizing the treatment from blood.According to the progress of alopecia areata,the syndrome differentiation and treatment is divided into three stages and three syndromes:In the acute stage and progressive stage,it is mostly blood-heat-generating-wind syndrome,therefore,the treatment is mainly cooling blood.In the remission stage and convalescence stage,it is mostly blood-deficiency-producing-wind syndrome,therefore,the treatment is mainly nourishing blood.In the chronic,total alopecia and general alopecia stage,it is mostly blood-stasis-producing-wind syndrome,therefore,the treatment is mainly promoting blood circulation.