摘要
斑秃是一种常见的脱发疾病,认为肝、脾、肾三脏气机失调致浊毒内生是斑秃发病的核心病机。浊毒既是发病的关键因素,也是导致病情进一步加重的病理因素。临证可分为肝郁脾虚、湿热内蕴、肝肾亏虚和气血亏虚证,治疗上当以清化浊毒为要务,同时注重调畅肝、脾、肾三脏气机。分别运用自拟疏肝健脾化浊方以渗湿化浊、通达气机,运用自拟三焦分消解毒方以清热利湿解毒,运用自拟滋肾养肝透毒汤以清透伏毒,运用自拟归芪生发涤毒方以益气养血、涤毒生新。从肝、脾、肾三脏分型论治斑秃,进一步扩展了浊毒理论的应用范畴,也为斑秃的临床治疗提供思路。
Alopecia areata(AA)is a common hair loss disorder,and the core pathogenesis is the internal gene-ration of turbid toxin caused by qi movement disorder in the liver,spleen,and kidney.Turbid toxin serves as both a pivotal etiological trigger and a pathological driver of disease exacerbation.Clinically,AA can be classified into four principal patterns,including liver constraint with spleen deficiency,internal accumulation of damp-heat,liver-kidney depletion,and qi-blood depletion.Therapeutic strategies prioritize clearing and resolving turbid toxin while regulating the qi movement of the liver,spleen,and kidney.Accordingly,different formulas were applied.Self-formulated Shugan Jianpi Huazhuo Formula(疏肝健脾化浊方)is suggested to drain dampness,resolve turbidity,and unblock qi movement.Self-formulated Sanjiao Fenxiao Jiedu Formula(三焦分消解毒方)can be used to clear heat,drain dampness and resolve toxin.Self-formulated Zishen Yanggan Toudu Decoction(滋肾养肝透毒汤)can clear and vent latent toxins,while Self-formulated Guiqi Shengfa Didu Formula(归芪生发涤毒方)is employed to tonify qi and blood,purge toxins,and regenerate vitality.By differentiating and treating AA based on the functional patterns of the liver,spleen,and kidney,this approach expands the application scope of the turbid toxin theory and provides valuable insights for treatment of AA.
作者
李佳琦
韩文钊
杨倩
刘雨杭
张玉欣
姜楠
李伟业
刘湘
LI Jiaqi;HAN Wenzhao;YANG Qian;LIU Yuhang;ZHANG Yuxin;JIANG Nan;LI Weiye;LIU Xiang(Graduate School,Hebei University of Chinese Medicine,Shijiazhuang,O5O091;Hebei Provincial Hospital of Traditional Chinese Medicine;The First Affiliated Hospital of Hebei University of Chinese Medicine)
出处
《中医杂志》
北大核心
2025年第23期2494-2498,共5页
Journal of Traditional Chinese Medicine
基金
河北省自然科学基金(H2022423355)
河北省科学技术厅中央引导地方科技发展资金项目(246Z7708G)。
关键词
斑秃
浊毒
肝脏
脾脏
肾脏
气机失调
alopecia areata
turbid toxin
liver
spleen
kidney
qi movement disorder
