The soup to treat chloasma

Yu Wentao NieJinTao College of traditional Chinese medicine, hebei medical university

Yang Muxiang TCM studio

China's traditional Chinese medicine to

        Etiology and pathogenesis

        Chloasma, also known as melasma and HuDieBan, is the clinical common sex skin disease of facial pigmentation, in the majority with female patients. Chinese medicine called haze shading, eastern jin ge hong "elbow backup nasty side called" 皯 black had ", Ming dynasty Chen Shigong "black spot" the orthodox school of surgery said. In addition, past dynasties doctor and liver spots, liver spots, "HuDieBan" etc.

        The disease in women, and song dynasty Wang Huaiyin by the peaceful holy benevolence formulae, yue: "monthly woman in water for a long time, far-reaching, surface 皯 hazen.... this by coagulation in dirty, heat into blood chamber." Of song dynasty "st. Xavier always record, eighty-nine," yue: "cold dirty old woman son, head of temples to thin thin, looks unfamiliar 皯 black had". Visible, facial spots with women's weak qi and blood, menstrual disorder and factors such as cellular palace cold. Kidney water, its color is black, kidney essence deficiency, JingXie is insufficient, can't go to the face, or kidney Yin deficiency, and the production of body fluid loss, and can also cause skin color black jersey, forming haze shading. Sui dynasty nest yuan fang "on various pathogenic symptom" pointed out: "black 皯, or viscera have phlegmy drink, or skin affected by the wind, all flesh is not adjustable, born to black 皯". Li shizhen in the Ming dynasty in the "compendium of materia medica" thinks "black dry black once wind evil geek in the skin, phlegm drink stains in viscus, namely the sparrow eggs spot, woman of powder chamber spot". Prompt the wind outside, inside house in lung, lung failure xuan, channel, so that the wind fixing water resistance, stop in, stains in the viscera, qi and blood estrangement, born not honor to facial skin spots. In a nutshell, summed up the disease etiology and pathogenesis of kidney deficiency, wind evil guest tables, qi and blood, can't go to glory in the face.

        Yang Muxiang think that hair in the face of the disease, disease in liver, and related to the disorder of spleen and kidney function. Liver storing blood, article xi of the evil depression, if found in modern, liver pathogenesis, and qi stagnation and blood stasis, of heat or air YuRi long, burnable Yin blood, and cause facial blood estrangement and morbidity; Renal Tibetan essence, belong to water, water deficit is the fire, tianjin dark blood loss, not speech &drama embellish to face; Splenic primary operation, and is the source of qi and blood biochemical, diet not festival, damage the spleen and stomach, loss of pixu (spleen deficient), biochemical spent sources, so that deficiency of qi and blood, and can't go to the face, thus chloasma. Combined with many years clinical experience, chloasma, see more at women first, because of female physiology, psychological and social factors influence to modern disorders, diseases with stasis; Second, the woman with blood, a variety of reasons can easily lead to blood estrangement or rush empty, JingXie, JingXie cannot honor on surface, so that the disease, so liver depression and qi stagnation, qi and blood and to its main pathogenesis, and stressed that "do not have spot there will be blood stasis, blood stasis spot".

        Sent the clinical

        Yang Muxiang teacher in liver and qi and blood spot as the main treatment. In liver of XieYu agent, add a blood circulation by removing blood stasis of blood products. From "the spot" soup, composed of radix bupleuri 10 grams, nutgrass galingale rhizome 10 grams, green husk 10 grams, 15 grams of cooked rehmannia root, radix paeoniae rubra 10 grams, rhizoma ligustici wallichii 15 grams, 15 grams of angelica, cimicifuga foetida 10 grams, 10 grams angelica dahurica medicine composition and so on. Radix bupleuri, nutgrass galingale rhizome, green husk, liver qi; Cooked radix rehmanniae, radix paeoniae rubra, rhizoma ligustici wallichii, angelica qi and remove stasis; Cohosh, angelica dahurica, sun side, WenTong veins, to help spot. All parties with total liver and qi, blood spot.

        Clinical, according to different syndrome with disease to add and subtract. If blood deficiency is very, meet with pale color, lip flatness, menstrual quantity is little, color pale, menopause, even ZhuoJia gelatin (Yang) 10 grams, 15 grams of radix polygoni multiflori. If blood deficiency can't yangxin, uneasy, companion see heart palpitations, insomnia, much dream, add 15 grams of semen ziziphi spinosae (zs), god eight 15 grams, 30 grams of tuber fleeceflower stem; If be kidney Yin deficiency, companion see lumbar debility, dry mouth, dry throat, five upset fever, ZhuoJia glossy privet fruit 15 grams, 15 grams of dry lotus grass; If the next cold coke, companion see waist and knee weakness, chills, cold limbs, ZhuoJia loranthus parasiticus 30 grams, 15 grams of the bark of eucommia, Himalayan teasel root 10 grams, 15 grams of radix achyranthis bidentatae; If liver depression is very, companion see irritability, chest pain, menoxenia, ZhuoJia sichuan fruit 10 grams, turmeric 10 grams, turmeric 10 grams; See if blood stasis is very, associated with menstrual cramps or after menstruation delay, menstrual blood is dark purple, purple tongue, pulse string shibuya, ZhuoJia salvia miltiorrhiza 15 grams, 15 grams of motherwort, 10 grams of peach kernel, safflower 10 grams; See if more very, pixu (spleen deficient) with abdominal distention and loose stools, ZhuoJia Fried atractylodes 15 grams, 15 grams of Fried yam, tuckahoe 15 grams; If change the fire, something on inflammation, meet with red eye red, head pain, ZhuoJia gardenia 10 grams, 10 grams of gentiana scabra bge, baikal skullcap root 10 grams.

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