首页|基于络病理论辨治雄激素性脱发

基于络病理论辨治雄激素性脱发

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文章在中医辨证理论的指导下,结合中医学络病理论,基于络脉内联脏腑、外充皮毛的生理特性和雄激素性脱发久病入络的病程演变特点,总结雄激素性脱发的病因病机、临床特点、治则治法及组方用药等内容,提出雄激素性脱发从络论治的思路."络脉不通"是雄激素性脱发的核心病机,湿热内蕴痰瘀阻滞络脉、血虚风燥邪气损伤络脉、脏腑亏虚络脉萎废不用皆可导致头皮失养发根不固,伴有油腻黏着或干燥瘙痒,最终造成毛发凋落.治疗将"络以通为用"作为基本治疗原则,内服以化浊通络、养脉和络、通补荣络,配合外用活血通络,内外合治使络脉荣顺,毛发得以再生.对构建基于络病理论的皮肤病基础理论起到推进作用,为临床治疗雄激素性脱发提供新思路.
Differentiation and Treatment of Androgenetic Alopecia Based on Collateral Disease Theory
Under the guidance of traditional Chinese medicine identification theory,this paper combines the collateral dis-ease theory,based on the physiological characteristics of the collaterals connecting the internal organs and filling the skin and fur externally,and the evolution of androgenetic alopecia,which is a disease of long duration,to summarize the etiology and patho-genesis of androgenetic alopecia,clinical features,treatment principles and methods,as well as the use of formulas and medica-tions,proposing the idea of treating androgenetic alopecia by mobilizing collaterals.This paper believes that the core pathogene-sis of androgenetic alopecia is the"blockage of collaterals",and that the loss of hair on the scalp can be caused by phlegm and blood stasis of the collaterals,damage to the collaterals by external attack and the malaise of the collaterals caused by viscera de-ficiency,accompanied by greasy adhesion or dryness of itchy,ultimately resulting in the withering away of the hair.It holds the basic treatment principle of"mobilizing collaterals for health"and starts from resolving turbidity and opening up the collaterals,nourishing and harmonizing the collaterals and tonifying the collaterals,combined with external application to activate blood cir-culation.The combination of internal and external treatment makes the collaterals smooth,and the hair can be regenerated.In or-der to advancing the construction of a basic theory of dermatology based on the collateral disease theory and provide innovative i-deas for the clinical treatment of androgenetic alopecia.

collateral disease theoryandrogenetic alopeciatraditional Chinese medicine treatment

郭梓萱、张小卿、吴景东

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辽宁中医药大学,辽宁沈阳 110847

辽宁中医药大学附属第二医院,辽宁沈阳 110034

络病理论 雄激素性脱发 中医药治疗

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(5)