基于“风升生”思想论治斑秃  

Treatment of alopecia areata based on the theory of"wind ascending and dispersing"

作　　者：周蕾 庞博[2] 陈岩[2] ZHOU Lei;PANG Bo;CHEN Yan(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;International Medical Department,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]中国中医科学院广安门医院国际医疗部,北京100053

出　　处：《湖南中医药大学学报》2025年第2期335-340,共6页Journal of Hunan University of Chinese Medicine

基　　金：中央高水平中医医院临床研究和成果转化能力提升项目——传承名老中医药专家学术经验专项(HLCMHPP2023010)。

摘　　要：斑秃属于中医学“油风”“鬼剃头”等范畴。张元素“风升生”思想认为风邪为疾病的致病邪气之一,而风药具有升发阳气、调畅气机等作用。从该理论阐述斑秃病机,认为风邪为斑秃的关键致病因素,痰湿中阻、瘀血阻络、肝肾不足均为引动风邪之因;治则以升发阳气为主,采用清热润燥、化痰祛湿、活血化瘀、补益肝肾等治法。现代药理研究表明,风药通过调节免疫、抗炎、改善微循环等途径治疗斑秃,为“风升生”理论应用提供试验依据和新思路。Alopecia areata(AA)falls within the scope of Chinese medicine concepts such as"oil wind"and"ghost shaving head".ZHANG Yuansu's"wind ascending and dispersing"theory posits that pathogenic wind is one of the pathogenic factors of disease,and wind-extinguishing medicines have the functions of ascending and dispersing yang and regulating qi movement.This article elaborates on the pathogenesis of AA from this perspective,asserting that pathogenic wind is the key pathogenic factor in this disease.Phlegm dampness accumulating in the spleen,stagnant blood obstructing the meridians,and deficiency of the liver and kidney are the causes of pathogenic wind.The treatment principle focuses on ascending and dispersing yang qi,employing methods such as clearing heat and moistening dryness,transforming phlegm and eliminating dampness,circulating blood and transforming stasis,and tonifying the liver and kidney.Modern pharmacological studies have shown that wind-extinguishing medicines can treat AA through mechanisms such as immune regulation,anti-inflammatory effects,and improvement of microcirculation,which provides experimental basis and new perspectives for the application of"wind ascending and dispersing"theory.

关 键 词：斑秃 张元素 风升生 风药 病机 治法 滋补肝肾 升发清阳 

分 类 号：R275.9[医药卫生—中西医结合]