审证求因治疗斑秃

目的：总结周宝宽主任医师辨证论治斑秃经验。方法：以医案形式阐述斑秃的病因病机、证型、治法、方药。结果：斑秃病因病机为抑郁化火,或素体内热,血热生风形成血热风燥证;肝郁气滞,或久病成瘀,瘀血阻络形成气滞血瘀证;脾胃损伤,或久病气血两虚,血不养发形成气血两虚证;病程日久,肝肾亏虚,血不养发形成肝肾不足证。常用方药为凉血消风散、通窍活血汤、人参养荣汤、七宝美髯丹。结论：辨证论治斑秃疗效显著。

Syndrome Differentiation and Treatment Experience of Alopecia Areata

Objective：To summarize syndrome differentiation and treatment experience of alopecia areata in clinic.Methods：Discuss etiopathogenisis,pathogenesis,pattern of syndrome,method of treatment,formulas and medicinals based on medical records.Results：Etiopathogenisis and pathogenesis of alopecia areata include fire-syndrome resulting from depression,or peacetime calor internus,heat in blood wind generating wind result in blood heat wind-dryness syndrome;stagnation of QI due to depression of the liver,macronosia blood stasis,obstruction of collaterals by blood stasis result in syndrome of qi-stagnancy and blood stasis;spleen and stomach damage,macronosia result in deficiency of both QI and blood,blood not nurshing hairs result in syndrome of deficiency of both QI and blood;macronosia result in deficiency of liver and kidey,blood not nurshing hairs result in syndrome of deficiency of liver and kidey.Frequently used decoction is Liangxue Xiaofeng San,Tongqiao Huoxue Tang,Renshen Yangrong Tang,Qibao Meiran Dan.Conclusions：Syndrome differentiation and treatment shows a better therapeutic effect for alopecia areata.