Treating seborrheic alopecia with Fangfeng Tongsheng San based on the Xuanfu theory
Seborrheic alopecia is a kind of hair follicle miniaturization alopecia disease.Traditional Chinese medicine practitioners mostly diagnose and treat the disease based on viscera differentiation,while few medical practitioners connect it with skin,hair,and the texture of muscles and skin.Based on the analysis of Xuanfu(玄府i)and other micro levels,LIU Wansu's Xuanfu theory is flexibly applied to treat seborrheic alopecia in clinical practice,and the connotation and action mechanism of Xuanfu is systematically elaborated according to LIU Wansu's theoretical experience.It is pointed out that the main pathogenesis is the transmission failure of Qi(气),blood,and body fluid cuased by Xuanfu stagnation and closure,which makes hair follicles lose nutrition and moistening,thus leading to hair loss.Based on the characteristic of advocating open and avoiding closure of Xuanfu,the importance of unimpeded Xuanfu is discussed in the paper from the three aspects of Qi and blood deficiencies,wind-heat stagnation,and damp-heat internal accumulation,and Fangfeng Tongsheng San(防风通圣散)created by LIU Wansu is advocated to be used clinically to treat seborrheic alopecia.In terms of the treatment of seborrheic alopecia,it is emphasized that Fangfeng Tongsheng San has three effects of clearing,releasing,and dredging,and it is proposed that the functional characteristics of Fangfeng Tongsheng San of opening Xuanfu from the three aspects of clearing heat of Xuanfu,releasing depression of Xuanfu,and dredging stagnation of Xuanfu.It is clarified that the efficacy of Fangfeng Tongsheng San is compatible with the etiology and pathogenesis of seborrheic alopecia,which provides reliable theoretical support for the feasibility of Fangfeng Tongsheng San in the treatment of seborrheic alopecia.At the same time,the strong dredging and circulating function of Feng medicine(风药)is exerted well to improve the therapeutic effect,namely the effects of opening hair orifices,smoothing Qi movement(气机),and promoting body fluids and blood,so that the hair can be nourished and grow vigorously.At the end of the article,clinical cases are attached to provide new inspiration and reference for the modem treatment of seborrheic alopecia.In addition,some existing problems and shortcomings are summarized,hoping to find a better treatment plan in the future.
Fangfeng Tongsheng SanSeborrheic alopeciaXuanfu theory
万方数据
维普
