中医药治疗斑秃研究进展  

Research Progress in the Treatment of Alopecia Areata withTraditional Chinese Medicine

作　　者：叶有骏 王莉[1] 张婷 钱鑫 徐新宇 崔云 YE Youjun;WANG Li;ZHANG Ting;QIAN Xin;XU Xinyu;CUI Yun(The Third Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310053,China;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Ningbo Chinese Medical Hospital affiliated Zhejiang Chinese Medical University,Ningbo 315010,China)

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]上海中医药大学附属岳阳中西医结合医院,上海200437 [3]浙江中医药大学附属宁波中医院,浙江宁波315010

出　　处：《江西中医药大学学报》2024年第5期104-107,共4页Journal of Jiangxi University of Chinese Medicine

基　　金：浙江省自然科学基金项目(LY21H270015);崔云全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号);浙江省中医药科学研究基金项目(2022ZB337,2022ZB311);浙江省中医药科技计划项目(2023ZF041)。

摘　　要：斑秃是一种较为常见的非瘢痕性炎症性脱发,禀赋不足气血空虚、饮食不节湿热内蕴、情志失调瘀阻脉络、腠理不固风袭巅顶等皆可导致斑秃的发生,其病性属本虚标实。本病可从肝肾不足、气血亏虚、血虚风燥、血热动风、肝郁血瘀、湿热蕴蒸6个证型辨治。现从辨证论治、专方治疗、中成药治疗、针药并用以及中西医结合治疗角度概括中医药治疗斑秃的研究进展,以期为临床治疗斑秃提供思路。Alopecia areata is a relatively common non-scarring inflammatory hair loss condition.It can be triggered by various factors,such as congenital deficiency leading to Qi and blood deficiency,irregular diet resulting in internal damp-heat,emotional disturbances causing stasis in the meridians,and compromised skin defenses allowing wind to attack the scalp.The nature of this disease is characterized by an underlying deficiency with superficial excess.The disease can be categorized into six syndrome types for treatment:liver and kidney deficiency,Qi and blood deficiency,blood deficiency with wind dryness,blood heat generating wind,liver depression with blood stasis,and damp-heat accumulation.This article summarizes the research progress in Traditional Chinese Medicine(TCM)treatment for alopecia areata from various perspectives,including syndrome differentiation and treatment,specific herbal formulas,Chinese patent medicines,combined acupuncture and herbal therapy,and integrative TCM and Western medicine approaches,aiming to provide clinical treatment insights for alopecia areata.

关 键 词：斑秃 中医药 辨证论治 专方 针药并用 综述 

分 类 号：R275.9[医药卫生—中西医结合]