席建元教授三法联合治疗阴血亏虚型黄褐斑的经验  

Professor XI Jianyuan's experience in treating melasma of yin and blood deficiency pattern by a combination of three methods

作　　者：姜艺 李淼 蔡诗敏 刘向男 陈嘉滢 席建元[2] 周忠志[2] JIANG Yi;LI Miao;CAI Shimin;LIU Xiangnan;CHEN Jiaying;XI Jianyuan;ZHOU Zhongzhi(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《湖南中医药大学学报》2024年第4期655-659,共5页Journal of Hunan University of Chinese Medicine

基　　金：湖南省研究生联合培养基地项目(2021077);湖南省自然科学基金部门联合基金项目(2023JJ60490);长沙市自然科学基金项目(kq2202457);湖南中医药大学国家级预研项目(2022YYZK005)。

摘　　要：黄褐斑是面部获得性色素性疾病,属于中医学“黧黑斑”范畴。席建元教授诊治黄褐斑临床经验丰富,疗效满意。席建元教授认为黄褐斑的病机为阳明脉衰,初起以气血亏虚为主,病久可损及肾精阴血津液,故以阴血亏虚型多见;治疗上当以滋阴补血、活血养颜为要,通过口服养颜玉肌膏、外敷珍珠四白散面膜和穴位注射复方当归注射液三法合用,以三管齐下;同时重视情志调摄,从而淡化或消除色斑。Melasma is an acquired facial pigmentary disease that belongs to the category of"blackish facial patch"in Chinese medicine.Professor XI Jianyuan has rich clinical experience in diagnosing and treating melasma,which has achieved satisfied curative effects.He believes that the pathogenesis of melasma is the decline of Yangming meridians.In the early stage,it is mainly caused by qi and blood deficiency,which can damage the kidney essence,yin blood,and body fluids over time.Therefore,yin and blood deficiency pattern is more common.In terms of treatment,Professor XI focuses on nourishing yin and tonifying blood,circulating blood and beautifying the skin,and works along three lines by combination of three methods,namely,oral administration of Yanyuji Ointment,external application of Zhenzhu Sibai Powder Mask,and acupoint injection of Fufang Danggui Injection.Meanwhile,he also pays attention to emotional adjustment,so as to lighten or eliminate pigmentation.

关 键 词：黄褐斑 黧黑斑 阳明脉衰 阴血亏虚 三法联合 养颜玉肌膏 珍珠四白散面膜 复方当归注射液 

分 类 号：R275[医药卫生—中医皮科]