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头皮衰老与雄激素性脱发

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雄激素性脱发(AGA)是脱发中最常见的类型之一,以渐进性毛囊微型化为主要特征.结合临床观察及现代医学理论,笔者认为雄激素性脱发患者存在头皮衰老现象,将其中医病机关键概括为肾虚精亏与痰瘀阻滞.本文遵循"补肾填精,活血化浊"的治疗方法,根据不同病程时期特点,提出了初期侧重活血化浊以固脱,后期侧重补肾养血以生发的治疗角度.
Scalp Aging and Androgenetic Alopecia
Androgenetic alopecia(AGA)is one of the most common types of hair loss characterized predominantly by miniaturization of hair follicles.Based on clinical observation and modern medical theory,we believes that AGA patients have scalp"aging"phenomenon,and summarizes its core pathogenesis as kidney deficiency and essence depletion,coupled with phlegm and blood stasis blockage.Treatment strategies adhere to the principles of"tonifying the kidney and replenishing essence,promoting blood circulation and resolving turbidity".Furthermore,considering the characteristics of different disease stages,it is proposed focusing on promoting blood circulation and removing turbidity to solidify hair retention in the early stage and"empphasizing reinforcing kidney and nourishing blood to promote hair growth in the later stage".

Androgenetic alopeciaAgingScalpIntegrated Chinese and Western medicine

王鹏雨、孙美琪、赵月纯、张宁馨、宋坪

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中国中医科学院广安门医院皮肤科,北京 100053

中国中医科学院西苑医院皮肤科,北京 100091

雄激素性脱发 衰老 头皮 中西医结合

2024

皮肤科学通报
西安交通大学

皮肤科学通报

CSTPCD
影响因子:0.273
ISSN:1001-8077
年,卷(期):2024.41(3)