What do Chinese medicine think is the cause of dandruff?

Theory of Traditional Chinese Medicine In traditional Chinese medicine, dandruff is called "dandruff caused by wind", and its mechanism mainly includes: a. Wind evil. It is recorded in Taiping Sheng Huifang-Scalp Wind and Dandruff: "Scalp Wind and Dandruff are caused by deficiency of human body and Yang meridian, and are also driven by wind evil. All yang pulses go up to the head. If you exercise and work hard, the yang will be released, and the wind will enter your brain and stay there, which will make your hair itch. " It is believed that the wind in the head is due to physical weakness, which makes the wind evil stay in the head. B. lung heat. Puji Fang pointed out that the scalp wind with white dandruff is caused by wind-heat on the basis of lung heat: "There is white dandruff on my husband's head, which makes people itch in winter and summer, and the world calls it scalp wind. This is caused by lung heat. The lung is the cover of the five internal organs, and its qi rushes to the top of the head. Lung cold leads to nasal discharge in brain fluid, while lung heat leads to smoking and white crumbs. It is made of wind and hot drums, so it itches and itches. " The increase of dandruff is called "white dandruff wind" in Chinese medicine, which is named after the white dandruff flying layer by layer. The book "The True Solution of Surgery", a medical book of traditional Chinese medicine, mentioned: "The white dander wind first appeared inside, extended to the face, and the ears were dry and itchy. After a long time, the white dander flew and took off, and it was born again. " Dandruff is mostly caused by wind and heat, which leads to the loss of moisturizing nutrition and dry skin. Or because of overeating fat, sweet and greasy, spicy and thick, alcohol and so on. Abnormal spleen and stomach, damp-heat accumulation in stomach, damp-heat accumulation in skin. Chinese medicine treatment of dandruff, clinically, is based on the patient's physique and symptoms of dialectical treatment, given different drug treatment, usually can be roughly divided into three types:

1. Liver-qi stagnation type (people who are usually stressed and depressed):

Because the liver qi can't be regulated smoothly, the stagnation of liver qi turns into heat, qi stagnation and blood stasis, and the skin surface loses body fluid moisture, so the scalp will be red, swollen, dry and sensitive to desquamation. In addition, it may be accompanied by emotional irritability, anxiety, irregular menstruation, poor sleep and even insomnia.

Treatment: This kind of dandruff patients, dandruff is often small and thin, layer by layer. Treatment is mainly based on nourishing blood, soothing the liver and relieving depression. Traditional Chinese medicines such as Bupleurum, Angelica, Radix Paeoniae Alba, Radix Rehmanniae, Cortex Moutan, Gardenia, etc. can be used to treat the compound prescription with Jiawei Xiaoyao Powder and Ganmai Jujube Decoction.

Second, gastrointestinal damp-heat type (people who like to eat spicy and spicy food and drink alcohol):

This kind of people, because of the relationship between diet, lead to the spleen and stomach can not be transported normally, belonging to gastrointestinal damp-heat type.

Due to poor absorption and metabolism, water or damp heat accumulates in the gastrointestinal tract, and the evil of damp heat fumigates the skin, resulting in erythema, mucus and greasy yellow scab on the skin; It may be accompanied by symptoms such as diarrhea, constipation, abdominal distension, and odor discharge.

Treatment: For this kind of patients with dandruff, dandruff is often larger, yellowish and oily. Eating fried food may make dandruff worse. The treatment is mainly to clear heat, strengthen spleen and promote diuresis. Scutellaria baicalensis Georgi, Coicis Semen, Pericarpium Citri Tangerinae, Poria and Pogostemon Pogostemonis are commonly used, or Ganluyin and Longdan Xiegan Decoction are used for treatment.

Three, yin deficiency and dry heat type (chronic course, repeated healing, inflammation is not obvious):

This kind of patients often have insomnia, dry stool, red tongue, insufficient body fluid, cracks and other phenomena, belonging to yin deficiency and heat dryness, easy to fatigue, dry eyes and acne.

Treatment: This kind of dandruff patients are mainly treated by nourishing yin, nourishing blood and expelling wind, which can be treated with Chinese angelica, Radix Rehmanniae, Schizonepeta, Radix Saposhnikoviae, Radix Paeoniae Rubra, Fructus Tribuli and other medicinal materials, or with Shugan powder and Ziyin Yangxue decoction.

In addition, the symptoms of some patients will change with the seasons. For example, summer belongs to the damp-heat type of gastric cavity, and winter becomes the type of blood deficiency and wind dryness, so the treatment must be adjusted according to the symptoms at that time.