黄褐斑中医治法的研究进展.docVIP

黄褐斑中医治法的研究进展 　　【摘 要】黄褐斑是一种临床常见的、多发于中青年女性颜面部的色素沉着性皮肤病，于日晒后加重。患者虽无明显不适，但易造成严重思想负担。目前，国内外治疗黄褐斑尚无特效药物，西医治疗以表皮化学剥脱为主，见效虽快，但易复发；而中医疗法效果明显，且不易复发。中医治疗黄褐斑独具特色，通过辨证分型、因证施治，采用内治、外治与内外兼治等多种综合疗法相结合取得了一定的效果。本文检索了国内近年来中医药治疗黄褐斑相关的期刊文献，通过对黄褐斑的病因、病机及常见治法和方药的文献研究，探寻和分析治疗黄褐斑临床常见且有效的方法，以期能为其防治提供更多借鉴与思路。 　　【关键词】黄褐斑；中医；内治法；外治法 　　【中图分类号】R275.9 【文献标志码】A【文章编号】1007-8517（2016）15-0033-04 　　Abstract：Chloasma is a kind of clinically common skin pigmented disease， which usually affects young and middle-aged womens faces and is easily aggravated after solarization. Although patients don’t feel obviously uncomfortable， its easy to cause serious mental burden on them. At present， there is no specific medicine for chloasma at home and abroad. Western medicine mainly focuses its treatment on chemical exfoliation. Though it can take effect quickly， it is easy to relapse. However， in terms of Chinese medicine， it does not only take effect rapidly， but also is uneasy to relapse. Chinese medicine has its unique features on treating chloasma， as it achieves effect by syndrome differentiation and then adopt the various comprehensive therapeutic methods including internal therapy， external therapy， combined internal and external therapy and acupuncture and moxibustion. This article has searched related domestic literature of recent 15 years in Chinese medicine treatment of chloasma to discover and analyse the therapeutic law and methods of chloasma by studying the literature of pathogenesis， therapies and formulas of it. As a result， we hope to provide more reference and thoughts of the prevention and treatment of chloasma. 　　Keywords： Chloasma； Traditional Chinese Medicine； Internal Therapy； External Therapy 　　黄褐斑是临床常见的一种获得性色素增加性皮肤病，主要表现为面部色素沉着性皮肤病，常对称分布于面颊、前额、口鼻周围，形态各异，一般多呈蝴蝶形，以鼻为中心，分布在面颊两侧。其境界明显，压之不退，表面与皮肤相平，无渗水及脱屑，进程缓慢，无自觉症状。黄褐斑好发于20～40岁的女性，有明显的季节性，夏重冬轻[1]。本病是临床常见而又难以治愈的皮肤病之一， 近年来其发病率逐年增加。虽然患者无明显不适， 但十分妨碍美观， 对患者心理造成很大压力， 严重者可影响其工作与生活。本文主要综述了近年来黄褐斑的发病机理及中医治法。 　　1 病因病机 　　黄褐斑的确切病因及发病机制尚不十分清楚， 但近年来大量