环球中医药
環毬中醫藥
배구중의약
GLOBAL TCM
2015年
8期
1022-1024
,共3页
邢峰丽%冯建平%杨静霄%赵蓉%刘伟花%霍萌%白雪艳%赵振兴
邢峰麗%馮建平%楊靜霄%趙蓉%劉偉花%霍萌%白雪豔%趙振興
형봉려%풍건평%양정소%조용%류위화%곽맹%백설염%조진흥
黄褐斑%辨证论治%脏腑
黃褐斑%辨證論治%髒腑
황갈반%변증론치%장부
Chloasma%Governance%Organs
黄褐斑是临床常见的皮肤病,属中医学的“面尘”“黧黑斑”“肝斑”等疾病的范畴,传统多认为与七情内伤、饮食劳倦、肝郁气滞、妇人经血不调等有关。随着中医基础理论的不断发展,医家对黄褐斑的有了更加全面与深刻地认识,现普遍将黄褐斑的病机责之于肝、脾、肾和心、肺功能失调以及气滞血瘀痰湿等有关,亦可见肝肾阴虚、脾虚肝郁、心脾血虚等脏腑兼见证。现通过概述黄褐斑的脏腑辨证治疗,分析其病因病机及相应的治疗方法,为中医辨证治疗黄褐斑提供更清晰的临床思路,为黄褐斑的治疗提供更好的治疗办法。
黃褐斑是臨床常見的皮膚病,屬中醫學的“麵塵”“黧黑斑”“肝斑”等疾病的範疇,傳統多認為與七情內傷、飲食勞倦、肝鬱氣滯、婦人經血不調等有關。隨著中醫基礎理論的不斷髮展,醫傢對黃褐斑的有瞭更加全麵與深刻地認識,現普遍將黃褐斑的病機責之于肝、脾、腎和心、肺功能失調以及氣滯血瘀痰濕等有關,亦可見肝腎陰虛、脾虛肝鬱、心脾血虛等髒腑兼見證。現通過概述黃褐斑的髒腑辨證治療,分析其病因病機及相應的治療方法,為中醫辨證治療黃褐斑提供更清晰的臨床思路,為黃褐斑的治療提供更好的治療辦法。
황갈반시림상상견적피부병,속중의학적“면진”“려흑반”“간반”등질병적범주,전통다인위여칠정내상、음식노권、간욱기체、부인경혈불조등유관。수착중의기출이론적불단발전,의가대황갈반적유료경가전면여심각지인식,현보편장황갈반적병궤책지우간、비、신화심、폐공능실조이급기체혈어담습등유관,역가견간신음허、비허간욱、심비혈허등장부겸견증。현통과개술황갈반적장부변증치료,분석기병인병궤급상응적치료방법,위중의변증치료황갈반제공경청석적림상사로,위황갈반적치료제공경호적치료판법。
Melasma is a common clinical disease in dermatology, known as “face dust”,“dark spots”,“liver spots” in Chinese Mdicine. It is often resulted from internal injury caused by excess of seven emotions, improper diet and overstrains, liver Qi stagnation and menstruation disorder. As the development of traditional Chinese medicine theory, physicians have a more comprehensive and profound understanding on melasma. Nowadays, the pathogenesis of melasma is widely due to the function disorder of the liver, spleen, kidney, heart and lung and qi stagnation and blood and phlegm stasis;it can also be relavant with the Yin-deficiency of liver and kidney, spleen deficiency and liver stagnation, blood deficiency of heart and spleen. Now we outline the syndrome differentiation and treatment, and analyze its etiology, pathogenesis and appropriate treatment method to provide a clearer idea of better treatment approaches for melasma.