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基于"肺热论"治脱发经验

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传统中医治疗脱发多从肝肾论治,而临床常见脱发亦与肺相关.刘荣奎教授总结大量临床经验,根据历代医家总结的理论基础,从"肺热"论治脱发.他认为,"肺热"贯穿整个发病过程.初期肺气不足,易受外性热邪侵袭;后期热邪入里,引发伤津,产生痰瘀、伤血、伤脏腑等一系列证候表现.他将病机过程分为5个阶段,即"气不足以护发、津不布以润发,肺不洁则发伤,血不达以生发、脏腑伤则脱发".刘教授将肺热脱发患者证型分为前期风燥伤肺证、中期痰瘀郁肺证、后期气阴两虚证.在治疗时,他遵循"风燥伤肺防为先""痰瘀郁肺清为用""气阴两虚补为要"的原则;分别以防"风"、清"热"、补"虚"之药为君药;外治以中药外洗方以清发根之邪,养发根之虚,以及头部经络按摩法以舒经活络为主.刘教授综合中医内外疗法治疗脱发,临床效果显著.文章结合验案两则对"肺热论"治疗脱发具体分析,以期为临床提供参考.
Discussion on the experience in treating alopecia based on the theory of lung-heat
The traditional treatment of alopecia is mainly from the liver and kidney,and the clinical alopecia is also related to the lung.Professor LIU Rongkui summarized a large number of clinical experience,and according to the theoretical basis summarized by doctors of all ages,he treated alopecia from the perspective of lung-heat.He believes that lung-heat runs through the whole pathogenesis process:at the initial stage,patients have insufficient lung Qi(气)and are easy to be attacked by heat.In the later stage,heat enters the body,causing a series of symptoms such as damage to the body fluid,phlegm and blood stasis,blood damage,and viscera damage.Professor LIU divides the syndrome types of patients with lung heat alopecia into wind dryness injuring the lung syndrome in the early stage,phlegm and blood stasis depressing the lung syndrome in the middle stage,and Qi and Yin(阴)deficiency syndrome in the late stage.In terms of treatment,he emphasized the principle of giving priority to prevention for patients with lung damage due to wind dryness,detoxification for patients with lung depression due to phlegm and stasis,and tonic for patients with deficiency of both Qi and Yin.The drugs for preventing wind,clearing heat and tonifying deficiency are regarded as the sovereign medicinal.External treatment can wash away the pathogenic factors of hair and nourish the deficiency of hair roots with traditional Chinese medicine.It can be combined with head meridian massage to relax meridians and activate collaterals.Professor LIU has a obtained remarkable curative effect on alopecia by combining internal and external therapies of traditional Chinese medicine.This paper analyzes the treatment of alopecia by the theory of lung-heat combined with two proven cases,in order to provide reference for clinical practice.

The theory of lung-heatAlopeciaTCM intern al and external therapyMedical record

王世凤、刘荣奎、谭镇岳、王贲

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山东中医药大学,山东 济南,250355

济南市中医医院,山东 济南,250001

肺热论 脱发 中医内外疗法 医案

2019年山东省名老中医药专家传承工作室建设项目2020年济南市卫生健康委员会第二批科技计划项目2020年山东省中医药科技项目济南市临床医学研究中心专项

鲁卫函[2019]92号济卫科技发[2020]8号鲁卫函[2020]497号2001912011

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(22)