New Analysis on Staging Treatment of Moth Tonsurans Based on Tri-Jiao Syndrome Differentiation
[Objective]To reanalyze the etiology,pathogenesis,treatment of moth tonsurans by stages based on tri-Jiao syndrome differentiation.[Methods]Starting from the relevant ancient and modern literature,combining with clinical experience for analysis and induction,the different types,therapeutic methods and prescriptions of moth tonsurans were generalized and one case was presented for example.[Results]According to the course of the disease,moth tonsurans can be divided into early,middle and late stages.With the progress of the disease,its location belongs to different viscera in tri-Jiao,and the nature of disease changes from excess syndrome to deficiency syndrome.It is considered that the early stage of the moth tonsurans locates in the heart and lung of the upper-Jiao,and the nature of disease belongs to excess syndrome.For the wind heat of lung meridian syndrome,modified Pipa Qingfei Decoction can be given;if it is the syndrome of hyperactive heart fire in the early stage,modified Daochi Powder combined with Huanglian Jiedu Decoction can be given.The middle stage of the moth tonsurans locates in the liver,gallbladder,spleen and stomach of the middle-Jiao,and the nature of disease belongs to excess syndrome or deficiency and excess syndrome.For the liver-gallbladder dampness-heat syndrome,modified Longdan Xiegan Decoction can be given;if it is the syndrome of splenasthenic hygrosis in the middle stage,modified Shenling Baizhu Powder or Chushi Weiling Decoction can be given.The late stage of the moth tonsurans locates in the kidney of the lower-Jiao and also has deficiency of the liver and spleen,and the nature of disease belongs to deficiency syndrome.For the spleen-kidney Yang deficiency syndrome,modified Sishen Pill combined with Yougui Pill can be given.If it is the syndrome of liver and kidney deficiency in the late stage,modified Liuwei Dihuang Pill can be given.In the medical record,the patient was of spleen weakness and damp blockage of middle-Jiao all along,leading to the dampness on the top of the head skin,who was treated with modified Chushi Weiling Decoction to strengthen the spleen,reinforce the kidney and clear away heat and dampness,and it achieved obvious curative effect after the third treatment.[Conclusion]The staging treatment of moth tonsurans based on tri-Jiao syndrome is closely related to the pathogenesis and focuses on treating both manifestation and root cause.The curative effect is considerable,which provides a new idea for the treatment of moth tonsurans in traditional Chinese medicine.
moth tonsuransseborrheic alopeciastaging based on tri-Jiaomedical recordsChushi Weiling Decoctiontreating both manifestation and root cause
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