论黄褐斑的病因病机.pdfVIP

·30· 中医美容(2008年中华中医药学会中医美容分会学术年会论文集) ·理论探讨· 论黄褐斑的病因病机 叶世龙 (深圳市宝安区中医院，深圳518133) 摘要：本文旨在探讨黄褐斑的病因病机。笔者根据自己的临床体悟。结合历代有关文献论述，认为黄褐斑 的病因病机可分为：①胞宫失常。在女子有月经不调之功能失常和胞宫、阴户损伤及瘤积而致之实质失常，在 男子为浊热内盛和肾精亏虚；②冲妊损伤，如毒邪感染径伤冲任，精血耗损及寒、痰、瘀等损及冲任；③肝气 郁结，与藏血不足、疏泄太过或疏泄不及有关；④精血不足；⑤肾阳亏虚；⑥脾胃不调，含脾胃气虚、脾胃阳 虚、胃阴虚和胃热盛；⑦浊热内盛．分肝胆湿热和脾胃湿热；⑧感受风邪和日光毒。 ? 关键词：黄褐斑；病因；病机 Discussiononthe Factors ofChloasma and Etiological Pathogenesis YE Shi-long (Baoan ofTraditionalChinese Hospital Medicine，Shenzhen518133，China) thesis thediscussionOllthe factorsand ofchioasma．ontbebasisof Abstract：TIlis presents etiological pathogenesis cfinical andrelatedliteraturefrom thatthecaulsand ofchloasma experience authorconcludes everydynasty，the pathogenesis canbe into of in heat summarized8 uterusandctmntls．tumors inwomen；excessive aspects：①Menoxenia。lesion pelviccavity in and in e$sencein in of which deficiencykidney pathogengoes organism n觑．@DamasesChong-renmeridians．e．g．infection into ofessence orbloodclot withinthe meridians． directlyChoeg—ten；exhaustionblood；coldness，phlegmcongests Chong·ren @Stasisof dueto ofblood and in 0fessenceblood．@Lackof