Treatment of androgenetic alopecia from the perspective of <italic style="font-style: italic">image</italic> thinking

SONG Wei; ZHANG Zhongyi; WANG Kai; SHEN Tao; CHEN Mingling; XIAO Min

doi:10.3969/j.issn.1006-2157.2023.04.014

您当前的位置：

首页 >

文章列表页 >

Treatment of androgenetic alopecia from the perspective of image thinking

Thought and Method | 更新时间：2023-05-09

- Treatment of androgenetic alopecia from the perspective of image thinking
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 4, Pages: 541-545(2023)
- 作者机构：
  
  成都中医药大学附属医院　成都　610072
- 作者简介：
  
  Prof. XIAO Min, Ph.D., Chief Physician, Doctoral Supervisor. Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, No.39, Shierqiao Road, Jinniu District, Chengdu 610072. E-mail: luckyamy2005@163.com
- 基金信息：
  
  The Second National Famous Studio Construction Project of State Administration of Traditional Chinese Medicine(国中医药人教发〔2022〕5号);National Key Basic Research and Development Plan Project(2013CB532005)
- DOI：10.3969/j.issn.1006-2157.2023.04.014
  CLC： R275
- Received：14 August 2022，
  
  Published：30 April 2023
- 稿件说明：
移动端阅览
SONG Wei, ZHANG Zhongyi, WANG Kai, et al. Treatment of androgenetic alopecia from the perspective of image thinking[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(4): 541-545.
DOI：

SONG Wei, ZHANG Zhongyi, WANG Kai, et al. Treatment of androgenetic alopecia from the perspective of image thinking[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(4): 541-545. DOI： 10.3969/j.issn.1006-2157.2023.04.014.

摘要

中医象思维是一种通过“象”之间的相通相应点来建立对应联系的思维方式，是用自然界已知的物质属性、规律及性质来探索、推理中医药本质规律的思维方法。文章立足于传统的象思维模式，将头发比类为草木，并结合对雄激素性脱发的现代认识，概括其病机内涵。以草木因水源干涸无以滋养而凋，类比肾精匮乏，血不化精，致毛窍空虚，毛发枯槁而堕；以草木因水涝日久浸泡过度而亡，类比湿热上蒸巅顶，浸淫发根，发根不固而脱；或以草木因土壤硬化板结、透气性差而无法生长，类比血瘀毛窍，经气不宣，发根失濡而脱发。治疗上，以自然界草木的治理，类比雄激素性脱发的诊治。以草木需施肥灌水，类比需滋肾固本以养阴生发；以草木需利水排涝，类比宜化浊降脂以牢固发根；以草木需疏松土壤，类比宜化瘀通络以改善毛囊血供。同时，新生的头发犹如草木之幼芽嫩苗，应注意调护。本文以象思维论治雄激素性脱发，以期为临床治疗雄激素性脱发提供又一思路。

Abstract

Image thinking in traditional Chinese medicine (TCM) is a way of thinking to establish connections with corresponding "images" and to explore the links between the essential laws of TCM and the material attributes

laws

and properties known in nature. Based on traditional image thinking

we compare hair to trees and combine TCM with the modern understanding of androgenetic alopecia to describe its pathogenesis. It is believed that plants and trees wither in dry conditions. This is similar to a lack of kidney essence; when blood can’t be transformed into essence

resulting in damage to emptiness of hair follicles

hair shrivels and falls off. Similarly

plants and trees can die due to excessive water over a long period of time

which is analogous to steaming on the parietal bone due to dampness-heat; the hair root is soaked

becomes soft

and dies. In other cases

because of soil hardening and poor permeability

the root cannot grow

which is analogous to blood stasis in the hair follicle; the flow of qi in the meridians is not smooth and the hair roots are not moistened

resulting in hair loss. The treatment of androgenic alopecia is therefore analogous to the treatment of natural plants and trees. Plants and trees need to be fertilized and irrigated; in analogy

the kidney should be nourished to secure the root so as to replenish yin and grow hair. Plants and trees need water drainage; similarly

turbidity and the fat should be transformed and reduced to strengthen the roots. Plants and trees need loose soil; in analogy

in the scalp

blood stasis should be removed to improve the blood supply of hair follicles. Furthermore

new hairs are like seedlings; therefore

we should pay attention to disease aftercare. This article discusses the treatment of androgenic alopecia based on image thinking in order to provide a new perspective for the clinical treatment of androgenic alopecia.

关键词

Keywords

references

朱学俊，顾有守，王京．实用皮肤性病学治疗学 [M]. 4版．北京：北京大学医学出版社， 2017 ： 395 .

CHEN X , LIU B , LI Y ， et al . Dihydrotestosterone Regulates Hair Growth Through the Wnt/β－Catenin Pathway in C57BL/6 Mice and In Vitro Organ Culture [J]. Front Pharmacol ， 2020 ， 23 ( 10 )： 1528 － 1532 .

何云贵，梁瑞玲．地黄生发灵及米诺地尔治疗脱发的临床研究 [J]. 中药药理与临床， 2015 ， 31 ( 1 )： 282 － 283 .

何增华，卢传坚，禤国维．国医大师禤国维基于“瘀血理论”针药相须辨治脂溢性脱发经验 [J]. 中华中医药杂志， 2021 ， 36 ( 7 )： 4015 － 4018 .

孙丽蕴，邓丙戌，王萍，等．燕京赵氏学术流派治疗斑秃特色方药简介 [J]. 北京中医药， 2019 ， 38 ( 12 )： 1159 － 1161 .

姚海强，崔红生，郭刚，等．王琦运用血府逐瘀汤治验 [J]. 中医杂志， 2016 ， 57 ( 5 )： 375 － 378 .

王子旭，王永炎，杨秋莉，等．叙事医学的故事思维与中医学的象思维 [J]. 中医杂志， 2020 ， 61 ( 16 )： 1384 － 1386 .

刘银格，吴淑辉，魏露，等．象思维视域下的皮肤病直观论治 [J]. 中华中医药杂志， 2021 ， 36 ( 1 )： 168 － 171 .

朱慧婷，张苍，蔡念宁．中医取类比象思维在皮肤科的应用 [J]. 中医杂志， 2013 ， 54 ( 15 )： 1286 － 1288 .

贾思勰．齐民要术译注 [M]. 谬启愉，谬桂龙，校注．上海：上海古籍出版社， 2009 .

吕不韦．吕氏春秋 [M]. 夏华等，编译．沈阳：万卷出版公司， 2017 ： 360 .

朱棣．普济方 [M]. 陆费墀，校注．北京：人民卫生出版社， 1959 ： 157 .

刘维，邓家侵，马碧茹．陈达灿教授辨治岭南地区雄激素性脱发的用药特色 [J]. 河北中医， 2021 ， 43 ( 6 )： 896 － 898 .

许克昌，毕法．外科证治全书 [M]. 曲祖贻，校注．北京：人民卫生出版社， 1987 ： 18 .

杨晓媛，贾春华．基于隐喻认知的中医脾胃治则研究 [J]. 世界科学技术(中医药现代化) ， 2012 ， 14 ( 5 )： 2096 － 2099 .

唐宗海．伤寒论浅注补正 [M]. 刘智利，校注．天津：天津科学技术出版社， 2010 ： 291 .

王丹，邹国明，梁育．喻文球从湿热论治脂溢性皮肤病经验 [J]. 江西中医药大学学报， 2015 ， 27 ( 3 )： 29 － 32 .

巩育彤，唐志坤．梅花针治疗皮肤疾病临床研究进展 [J]. 河北中医， 2022 , 44 ( 1 )： 171 － 176 .

王清任．医林改错 [M]. 欧阳兵，张成博，校注．天津：天津科学技术出版社， 1999 ： 20 .

刘完素．素问玄机原病式 [M]. 宋乃光，校注．北京：中国中医药出版社， 2007 : 36 .

王永炎，高颖，张允岭．把握气运　寻踪国学哲理　诠释辨证论治——读《素问·至真要大论篇》的感悟 [J]. 北京中医药大学学报， 2021 ， 44 ( 8 )： 677 － 681 .

曾世荣．活幼口议 [M]. 北京：中医古籍出版社， 2015 ： 17 .

不著撰者．小儿卫生总微论方 [M]. 吴康健，点校．北京：人民卫生出版社， 1990 ： 13 .

陈复正．幼幼集成 [M]. 蔡景高，叶奕扬，点校．北京：人民卫生出版社， 1988 ： 68 .

王肯堂．王肯堂医学全书 [M]. 陆拯，主编．北京：中国中医药出版社， 1999 ： 324 .

唐宗海．血证论 [M]. 魏武英，曹健生，校注．北京：人民卫生出版社， 1990 ： 68 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Study on the distribution of traditional Chinese medicine syndromes and syndrome elements in lymphoma and the correlation between syndromes and Western medicine clinical indicators

Discussion on the health preservation of the elderly by reading the Zhonghua Yizang Yangsheng Volume

Three methods for treating heart failure with preserved ejection fraction from water, deficiency and blood stasis

The relationship between microscopic pattern of blood stasis and renal pathological grade and related physical and chemical indexes in 800 children with Henoch-Schönlein purpura nephritis based on " zhengjia in the kidney collateral"

Exploration of Zhang Xichun's pharmacological theory based on the correspondence between nature, human and herbs

Related Author

FU Haiying

LI Hanjing

LI Shunan

ZHUO Zewei

WANG Shunyong

ZHENG Qiangqiang

HUANG Bingyu

QIU Chenxi

Related Institution

Department of Hematology, Fujian Medical University Union Hospital

School of Health, Fujian Medical University

Department of Hematology, Third People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine

Dongzhimen Hospital, Beijing University of Chinese Medicine

China Institute for History of Medicine and Medical Literature, China Academy of Chinese Medical Sciences

AI问答

Postal code：100029
Tel：(010)53911857 Email：jbutcm@bucm.edu.cn
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010802024621
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰

Treatment of androgenetic alopecia from the perspective of image thinking

DOI：10.3969/j.issn.1006-2157.2023.04.014

摘要

Abstract

关键词

Keywords

references