Chloasma is an acquired metabolic disorder of facial pigmented skin disease, good hair in young women, characterized by facial appear yellow
Chloasma is an acquired metabolic disorder of facial pigmented skin disease, good hair in young women, characterized by facial appear yellowish brown or light brown skin pigmentation, symmetrical distribution in the amount of eyebrows, cheeks, nose, upper lip etc., irregular shape, no symptoms. Chinese medicine known as "Butterfly" and "spots", clinical treatment from the liver spleen kidney three dirty hands, the pathogenesis of blood stasis through the treatment of the whole, in order to achieve the harmony of yin and Yang Qi of the viscera, poor environment, so as to light dark complexion splendor. The Chinese medicine Chinese medicine oral administration needs a longer period of time, generally three months for a course, so we in the treatment period, especially in the winter to give the patient the herbal paste were relatively easy to accept and paste the gentle prescription for comprehensive, convenient taking, patients can adhere to medication, so it can get good effect the. Clinical analysis of chloasma patient characteristics and etiology and pathogenesis, summarize the cream of patients' feedback in recent years, I will chloasma were divided into 4 kinds of syndrome differentiation and treatment, and the corresponding paste materials, each material into a paste after taking 90 days. Summarized as follows:
A, zibuganshen as the key link, with Huoxue Buqi medicine
Clinical 40~50 years old who are mostly manifested as facial dark brown spots, the skin is dry and minimalist, with the spirit of the poor, dizziness, thin body win, more common in women with less water color bleak, and a small amount of blood clots, pale tongue, thin pulse. Usually this kind of patient work more tired, or sexual intercourse frequency or illness or excessive grief, and lead to liver and kidney yin deficiency, kidney yin deficiency can make kidney water bearing, but floating in the surface, kidney yang deficiency can not inspire the blood as contractors, blood stasis, blood stasis and black class, so as to nourish the liver and kidney, invigorating qi and promoting blood circulation for the treatment of dafa,
The host: medication dried rehmannia root each 600 grams, 450 grams, 600 grams of mulberry mistletoe, Shouwu 300 grams, 400 grams of Eclipta, Cornus 500 grams, 300 grams of walnuts, dodder 400 grams, 400 grams motherwort, angelica 500 grams, 500 grams, and rattan Caulis Spatholobi 300 grams, 300 grams paeonol, Chuanxiong 600 grams, 400 grams of Astragalus, moxibustion flowers 200 grams, 400 grams Atractylodes, white lentils 400 grams, 100 grams of licorice root, tortoise plastron glue 200 grams. The prescription in dried rehmannia root, with Tonifying the liver and kidney drug more mistletoe, mulberry, Polygonum, Eclipta, dogwood, walnut, dodder, motherwort basis, plus Huoxue Buqi herbal medicine angelica, Caulis Spatholobi, Huoxue rattan, paeonol, Rhizoma Chuanxiong, Flos Albiziae, gelatin, and give a small amount of Spleen Qi Astragalus, Atractylodes, white lentils moxibustion, with licorice to reconcile various drug , make the body blood running strong, improve the state of deficiency of yin and Yang, restore the body's normal function. This kind of cream side to honey cream.
According to the different symptoms of each person, deficiency of yin and Yang of the partial and appropriate prescription adjustment, see liver plus bupleurum, radix curcumae, tangerine peel, have poor sleep with night cane, wild jujube or Chinese arborvitae etc..
Modern medical research, this type of patients should pay attention to have tuberculosis, thyroid disease, women in the course of treatment, need to do inquiry and examination must be the gynecological patients with corresponding drugs, proper conditioning.
In two, dredging liver Dafa, Qi and blood circulation drugs with discretion.
The majority of patients with 30~45 years old, mostly for the performance of darker black spots, larger area. Patients usually irritable, when Xiongxie pain, women have breast pain feeling in the menstrual period, good for a cover with a variety of silty cosmetics, male patients with alcoholism. Poor stool, constipation, sleep is not real, red or dark tongue, moss thin yellow, pulse string.
No rules for such patients due to life, work stress, worry angry, emotional discomfort, the failure of the liver qi and blood stagnation, up, running sluggish due to stasis, facial skin lost to the normal and variant Rongrun spots. It intends to Shugan Jieyu Huoxue Huayu treatment. The main use is as follows: Bupleurum 900 grams, 500 grams, 400 grams of Radix Scutellariae and Rhizoma Cyperi 250 grams, 300 grams of citrus aurantium, rose 200 grams, 400 grams of Millettia 500 grams, angelica vine, and 500 grams, 500 grams of Rhizoma Chuanxiong, Caulis Polygoni Multiflori 500 grams, 450 grams, 500 grams of Salvia Prunella, motherwort 500 grams, Atractylodes 300 grams, Poria 400 grams, 400 grams of white lentils. Based on the prescription of bupleurum, Scutellaria, radix curcumae, Rhizoma Cyperi, Fructus aurantii, rose dredging liver, with promoting blood circulation stagnation Sanjie medicine Caulis Spatholobi, Huoxue rattan, angelica, chuanxiong, Caulis Polygoni Multiflori, radix salviae miltiorrhizae, Prunella vulgaris, motherwort, Atractylodes, Poria on regulating spleen and stomach, baibiandou . The drug combination makes the blood stasis Qi smooth, blood to moisten the whole body skin complexion, Li spots gradually retreat. The party to sugar paste.
According to the situation of each person is different, see those who have constipation, appropriate to add cooked rhubarb, serious people can use a small amount of raw rhubarb. Sleep is not good plusspiritual magnet, Polygonum multiflorum, Suanzaoren etc..
The common risk factors for this syndrome, patients usually pay attention to adjust their patterns of life, with a positive attitude to face life, learning and family social problems, to correct some bad habits in life, do health from the emotion, living habits to proceed, in order to achieve the purpose of regulating itself from time to time. Long term use of contraceptives also has the potential to lead to the disease, it is appropriate to give guidance to change the best way to contraception.
Three, spleen and dampness as the main drug, plus Qi and Yang Yang medicine.
This type of patients with various age were manifested as facial pigmentation is lighter, larger and loose, light weight. Usually eat less and often weak, loose stools, pale complexion, women were delayed or less pale, limbs at the end of winter cold discomfort, pale tongue greasy moss, pulse moisten.
Due to the patient's endowment is not real, usually diet, overstrain, affected by cold dampness, Spleen Yang presided over the acquired this itself vulnerable and have not been very good care, elevating spleen function voicing disorders, viscous damp, repression of meridian Erzhi blood can not operate normally, lose face and spot. It intends to spleen dampness, blood stasis stagnation Zhenpi Yang Dafa treatment. The medication is as follows: TAIZISHEN 600 grams, 500 grams of Radix Codonopsis, Atractylodes 600 grams, 500 grams of white lentils, Poria 500 grams, 500 grams of Astragalus moxibustion, lotus 600 grams, 250 grams of angelica, Chuanxiong 600 grams, 500 grams, and rattan Caulis Spatholobi rose 300 grams, 400 grams, 300 grams, 250 grams of white peony root, Amomum Magnolia 200 grams, potato meat 500 grams, 600 grams, 200 grams of Cinnamon Twig, licorice root 200 grams. Based on the prescription of Tonifying Spleen Qi medicine Codonopsis, Atractylodes, Radix Pseudostellariae, white lentils, Poria, astragalus, lotus seed moxibustion, combined with Qi and Tonifying Kidney Yang Yang Zhenpi medicine Amomum, Magnolia, cassia twig, sweet potato, cinnamon and inspiring righteousness, nourishing blood medicine angelica, chuanxiong, rattan, rattan, rose and chicken alba and timely reconcile Qi and blood , with grass to reconcile the various drugs, physiological function, to recover the main excitation regulating the organs of the fresh air upward, Quzhuo wing surface. In such caramel ointment.
If the patients with poor sleep, you can add in Schisandra, such as Polygonum multiflorum, Poria, stagnation of liver disease and bupleurum root, turmeric, orange peel, etc., if women with menstruation alvine cold painful, can use the appropriate to paste in the sky with snow.
The spleen is acquired, for spleen deficiency cause chloasma patients in the usual regimen should pay attention to the law of life, the summer eat less cold food cold winter, avoid cold dip crime, is the best tonic for these patients a way of keeping good health. Good food with red dates, lentils, coix seed, Poria, ginger and other rice.
Four, to camp for the first foot and removing blood stasis, invigorating qi and blood drug use by nursing.
This type of clinical patients between the ages of 35 to 45, there is a close relationship between life and sunlight is not the law, for the performance of the patients with facial pigmentation darker, more women with normal menstrual blood clots, dysmenorrhea is obvious, the tongue is dark purple or dark purple color purple point, without China, moss thin, wiry astringent. Chinese medicine believes that patients usually work in the sun, the sun from the fire and dry end surface shall not lag in the evacuation, or overwork or blood weak, the blood stasis water deficiency kidney exposed to death. Blood stasis phenomenon is throughout the whole story in the treatment of chloasma, this type of patients with blood stasis symptoms are most obvious in treatment of Qi and blood stasis, and camp for drugs. Use the following: Angelica 500 grams, 500 grams of walnuts, safflower, red peony root 400 grams.300 grams, 800 grams of Rhizoma Chuanxiong, Caulis Spatholobi 400 grams, 500 grams motherwort, rose 300 grams, 200 grams of Eupatorium, Eupolyphaga sinensis 200 grams, 400 grams of astragalus root, Radix Pseudostellariae 500 grams, mulberry 300 grams, 300 grams of dodder, Du sec 300 grams, 300 grams of Ligustrum, Eclipta 300 grams, 300 grams of Rehmannia etc.. The prescription with nourishing and activating blood medicine angelica, peach kernel, safflower, a large number of red peony root, chuanxiong, Caulis Spatholobi, motherwort, rose, and blood breaking drugs adenophorum Eupolyphaga sinensis, so removing blood stasis there was a new supplement, so as not to lose blood stasis, and blood stasis; with Astragalus root, Radix Pseudostellariae, Qi spleen and stomach in. In the environment of blood to reconcile, with mulberry, dodder, eucommia, Ligustrum, Eclipta alba, Radix Rehmanniae , nourishing kidney, facial can get better care, better to collect cream caramel.
This type of patients due to blood stasis symptoms, in the usual care should pay particular attention to the law of life, appropriate to do more aerobic exercise, and pay attention to avoid strong sunlight work. If the female patients with abdominal pain and menstrual cold with the amount of the sky snow. Good sleep is not appropriate with wild jujube, Polygonum multiflorum, flowers etc..
Experience: Chinese medicine treatment of chloasma, pay attention to nursing environment, tonifying qi and removing blood stasis is the main method to spot in the clinical syndrome differentiation as well and pay attention to the prevention of patients usually instructions and precautions that can have good curative effect.
Understanding of modern medicine for chloasma, the relationship between female hormones and chloasma, facial pigmentation, sun effects of oxygen free radicals and genetic and cosmetics etc. and chloasma contact to do a lot of work, the treatment of traditional Chinese medicine in this area is also a great help. TCM treatment of Chloasma in recent years has done a lot of clinical and laboratory research, this paper discusses the research on female chloasma with superoxide dismutase (SOD), lipid peroxidation product malondialdehyde (MDA) decomposition and sex hormone estradiol (E2), follicle stimulating hormone (FSH) and luteinizing hormone (LH), Gao ketone (T) and progesterone (P) and the relationship between the observed correlation between different TCM Types and chloasma, confirming the efficacy of traditional Chinese medicine. Pharmacological study of single herb removing stains, reported Moutan tyrosinase activity increased, Fuling tyrosinase activity decreased to reduce tyrosine and other traditional Chinese medicine atractylodes.
At present, more and more traditional Chinese and Western medicine treatment methods have been given to the majority of patients with good results. In the treatment of Chinese medicine, we must take preventive care in an important position, so as to achieve the best curative effect.
This article was published in the 2011.7 issue of Chinese Journal of traditional Chinese Medicine