1.北京中医药大学,北京市朝阳区北三环东路11号,100029
2.四川省医学科学院/四川省人民医院
3.上海中医药大学附属岳阳中西医结合医院
4.中日友好医院/国家中西医结合医学中心
wanglei010zyy@163.com
收稿:2025-04-15,
修回:2025-06-27,
纸质出版:2025-09-17
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齐亦铭,陈柏林,张维明等.白彦萍运用香药治疗休止期脱发经验[J].中医杂志,2025,66(18):1875-1879.
QI Yiming,CHEN Bailin,ZHANG Weiming,et al.BAI Yanping's Experience in Treating Telogen Effluvium by Using Aromatic Medicinals[J].Journal of Traditional Chinese Medicine,2025,66(18):1875-1879.
齐亦铭,陈柏林,张维明等.白彦萍运用香药治疗休止期脱发经验[J].中医杂志,2025,66(18):1875-1879. DOI: 10.13288/j.11-2166/r.2025.18.004.
QI Yiming,CHEN Bailin,ZHANG Weiming,et al.BAI Yanping's Experience in Treating Telogen Effluvium by Using Aromatic Medicinals[J].Journal of Traditional Chinese Medicine,2025,66(18):1875-1879. DOI: 10.13288/j.11-2166/r.2025.18.004.
总结白彦萍教授运用香药治疗休止期脱发的临证经验。认为气血不和是休止期脱发的核心病机,通窍是荣发的先决条件。临证常用香药调和气血,以通窍荣发为基础治法,以三物启窍汤为基础方,在此基础上,毛发疏松干萎为气血亏虚,治以补肝益肾、通窍养血,常合用集香养发汤加减;头皮脂溢垢浊为气血郁滞,治以健脾祛湿、通窍凉血,常合用集香净发汤加减;头皮白屑瘙痒为气血不潮,治以消风清热、通窍和血,常合用集香种发汤加减。同时重视芳香药、血分药、引经药的使用。
To summarize the clinical experience of Prof. BAI Yanping in treating telogen effluvium by using aromatic medicinals. It is believed that
qi
and blood disharmony is the core pathogenesis of telogen effluvium, and relieving stuffy orifices is the prerequisite for nourishing the hair. The clinical treatment usually chose aromatic medi-cinals to regulate and harmonize
qi
and blood, with relieving stuffy orifices and nourishing hair as the basic therapeutic method, and Sanwu Qiqiao Decoction
(三物启窍汤) as the basic formula. On this basis, sparse and dry hair indicates
qi
and blood deficiency, so the treatment should tonify liver and kidney, relieve stuffy orifices and cool blood, with modified Jixiang Yangfa Decoction (集香养发汤); scalp seborrhea indicates
qi
and blood stagnation, so the treatment suggested to fortify spleen and resolve dampness, relieve stuffy orifices and cool blood, with modified Jixiang Jingfa Decoction (集香净发汤); dandruff and itchy scalp indicates disharmony of
qi
and blood, so the treatment suggested to dispel wind and clear heat, relieve stuffy orifices and harmonize blood, with modified Jixiang Zhongfa Decoction (集香种发汤). Simultaneously, emphasis should be placed on the use of aromatic medicinals, blood-nourishing medicinals, and meridian-inducing medicinal.
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