主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2020, Vol. 43 ›› Issue (10): 870-875.doi: 10.3969/j.issn.1006-2157.2020.10.012

• 临床研究 • 上一篇    下一篇

从中医“治未病”理论探讨黄褐斑的防治*

杨雪圆1, 蔡宛灵1, 闫小宁2#   

  1. 1 陕西中医药大学第一临床医学院 陕西 712046;
    2 陕西省中医医院皮肤科
  • 收稿日期:2020-04-22 出版日期:2020-10-30 发布日期:2020-11-04
  • 通讯作者: #闫小宁,男,博士,主任医师,硕士生导师,主要研究方向:中西医结合治疗皮肤性病,E-mail:yanxiaon2005@126.com
  • 作者简介:杨雪圆,女,在读硕士生
  • 基金资助:
    *国家重点研发计划重点专项项目(No.2018YFC1705303),陕西省创新人才推进计划重点项目(No.2017KCT-27)

Prevention and treatment of chloasma from the perspective of “preventive treatment of disease” in traditional Chinese medicine*

Yang Xueyuan1, Cai Wanling1, Yan Xiaoning2#   

  1. 1 The First Clinical College, Shaanxi University of Traditional Chinese Medicine, Shaanxi 712046, China;
    2 Department of Dermatology, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Shaanxi 710003, China
  • Received:2020-04-22 Online:2020-10-30 Published:2020-11-04
  • Contact: Yan Xiaoning, Chief Physician. Department of Dermatology, Shaanxi Provincial Hospital of Traditional Chinese Medicine. No. 4 Xihuamen, Lianhu District, Xi’an 710003. E-mail: yanxiaon2005@126.com
  • Supported by:
    Key projects of the National Key R&D Program (No. 2018YFC1705303), Key Projects of the Innovative Talent Promotion Plan of Shaanxi Province (No.2017KCT-27)

摘要: 黄褐斑因其难治性、损容性等特点,一直都是医学、美容界难以攻克的课题。多种治疗方法应用于治疗黄褐斑效果均不理想,这更加突显了防治与管理的重要性。将黄褐斑的病因病机贯穿于整个治病过程,以中医“治未病”思想为指导,在黄褐斑的发生、发展、预后各个阶段进行提前干预,有利于扶助正气,减少发病率,提高治愈率。具体而言,未病之时,通过调整生活作息、强健体魄、节劳养精、祛除诱因、辨识体质、五行音乐做到未病先防;已病之时,既病防变,采取内外综合治疗的原则,治其未传;新愈之时,积极巩固治疗,以期病尽痊愈,病不复发。

关键词: 黄褐斑, 治未病, 病因病机, 防治原则, 理论

Abstract: Chloasma has always been a difficult-to-treat disease in the medical and cosmetic community due to its refractory and disfiguring nature. Various treatment methods used in the treatment of chloasma have turned out to be ineffective, which highlights the importance of prevention and management. The etiology and pathogenesis of chloasma should be taken into account throughout the entire treatment process under the principle of “preventive treatment of disease” in traditional Chinese medicine. Early intervention in the occurrence, development, and prognosis of chloasma is beneficial to support the healthy qi, reduce the incidence and improve the curative rate. Specifically speaking, before the onset of disease, adjustment should be made to keep regular hours of daily life, strengthen the physique, avoiding overstrain, and removing triggers etc. Five-phase musical intervention on the basis of constitutional identification can also be offered to prevent the disease from occurring. After the onset of disease, comprehensive therapies should be adopted to prevent the disease from progression; during recovery period, proactive management to consolidate the treatment effects to cure the disease and avoid relapses.

Key words: chloasma, preventive treatment of disease, etiology and pathogenesis, treatment principles, theory

中图分类号: 

  • R275.9