基于络病学说探讨调气补虚祛瘀三法对黄褐斑的治疗意义  

Discussion the therapeutic significance of three methods of regulating qi,tonifying deficiency,and dispelling stasis in the treatment of chloasma based on collateral disease theory

作　　者：秦天歌 翟烨 赵丽丽[1] 张霞[1] 龙永香 李建红[1] QIN Tiange;ZHAI Ye;ZHAO Lili;ZHANG Xia;LONG Yongxiang;LI Jianhong(Department of Dermatology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院皮肤科,北京100700

出　　处：《中国医药导报》2022年第11期173-176,共4页China Medical Herald

基　　金：北京中医药科技发展资金项目(JJ2018-85)。

摘　　要：黄褐斑在中医属“黧黑斑”范畴,以络病理论为指导,黄褐斑的中医病因病机可概括为肝气不畅、气络失和为先,脏腑络脉空虚为本,瘀阻络脉为标。结合西医病理机制与络病理论的相关性,可将其归纳为血管因子炎症反应(络热)、血液循环障碍(络瘀)、氧化应激反应(络毒)。本文以络病理论为理论指导,结合西医病理药理机制,探讨调气补虚祛瘀三法对黄褐斑的治疗意义。Chloasma belongs to the category of“brownish black macula”in Chinese medicine.Guided by the theory of collaterals disease,the etiology and pathogenesis of chloasma in Chinese medicine can be summarized as the first occurrence of the stagnation of liver qi and disharmony of qi and collaterals,root of the emptiness of zang-fu viscera and collaterals disease,and manifestation of the stagnant blockade of collaterals disease.Combined with the correlation between pathological mechanism of Western medicine and collateral disease theory,it can be summarized as vascular factor inflammatory response(collateral heat),blood circulation disorder(collateral stasis),oxidative stress response(collateral poison).Under the guidance of collateral disease theory and combined with the pathological and pharmacological mechanism of Western medicine,this paper discusses the therapeutic significance of regulating qi,tonifying deficiency,and dispelling stasis in the treatment of chloasma.

关 键 词：黄褐斑 络病理论 治法 病因病机 发病机制 

分 类 号：R785.4[医药卫生—口腔医学]