Syndrome differentiation and treatment of chloasma
1, liver depression and blood stasis syndrome
The etiology and pathogenesis are stagnation of liver qi, qi stagnation and blood stasis, and obstruction of collaterals.
Main symptoms: It mainly occurs on female face, with light brown and blue spots, depression, dark menstrual color or blood clots, breast swelling before menstruation, red or dark tongue, thin white fur and thready pulse.
Treatment: Shugan Huoxue. The prescription is Chaihu Shugan Powder: Chaihu, Radix Paeoniae Alba, Rhizoma Chuanxiong, Radix Angelicae Sinensis, Fried Rhizoma Cyperi, Fructus Aurantii, Flos Carthami, Semen Persicae, Flos Rosae Rugosae, Radix Glycyrrhizae, etc.
2. Syndrome of spleen deficiency and dampness resistance
The etiology and pathogenesis are spleen deficiency, endogenous dampness, prolonged dampness and blood stasis blocking collaterals.
The main symptoms: pale complexion, dull spots, loss of appetite, sticky stool, listlessness, red and fat tongue, teeth marks on the edge, white and greasy fur, weak or moist pulse.
Treatment: invigorating spleen and eliminating dampness. The prescription of Shenlingbaizhu Powder is: Radix Codonopsis, fried atractylodes, Poria, Pericarpium Citri Tangerinae, Coicis Semen, Fried Lentils, Fried Yams, Amomum villosum, Ligusticum Chuanxiong, Carthami Flos, Glycyrrhrizae Radix, etc.
3. Deficiency of both qi and blood syndrome
The etiology and pathogenesis are deficiency of qi and blood, which can not be nourished and depressed. Main symptoms: pale yellow complexion with light brown spots, unclear boundary, fatigue, palpitation, insomnia, dreaminess, scanty menstrual flow, loss of appetite, pale tongue, thin white fur and thready pulse. Treatment: Yiqi Yangxue. Prescription Guipi Decoction or Bazhen Decoction: Radix Astragali Preparata, Radix Codonopsis, Radix Angelicae Sinensis, Radix Paeoniae Alba, Radix Rehmanniae Preparata, Rhizoma Chuanxiong, fried atractylodes, Poria, Semen Ziziphi Spinosae, Arillus Longan, Carthami Flos, Pericarpium Citri Tangerinae, etc.
4. Deficiency of kidney yin and stagnation of liver qi.
Etiology and pathogenesis: deficiency of kidney yin, water without wood, liver depression and blood stasis, and dark face.
Main symptoms: dull complexion with light black or brownish blue spots, vexation and irritability, dry mouth, soreness of waist and knees, tinnitus and insomnia, red tongue, thin or cracked fur and thready pulse.
Treatment: nourishing yin and tonifying kidney, soothing liver and promoting blood circulation. Prescriptions Erzhi Pill and Danzhi Xiaoyao Powder: Eclipta prostrata, Ligustrum lucidum, Radix Rehmanniae, Radix Paeoniae Alba, Bupleuri Radix, Cortex Moutan, Gardenia, Eupolyphaga Seu Steleophaga, Radix Curcumae, Cortex Albizziae, etc.
5. Syndrome of deficiency of both qi and yin, blood stasis and resistance to heat collaterals
The main symptoms are prolonged pigmentation, unclear boundary, dry mouth, constipation, red tongue, thin white or thin fur and thready pulse.
Treatment should be nourishing yin and benefiting qi, promoting blood circulation and removing spots. The prescription is flavored with Shengmai drink. Sun-dried ginseng, Ophiopogon japonicus, Schisandra chinensis, Radix Rehmanniae, Cortex Moutan, Folium Mori, Bombyx Batryticatus, Radix Salviae Miltiorrhizae, Flos Rosae Rugosae and Glycyrrhrizae Radix.
6. Syndrome of wind-heat burning collaterals
Most of them are overexposed to the sun, which leads to wind-heat stagnation and skin entering the collaterals, leading to blood stasis in the daily collaterals and heat resistance.
Main symptoms: onset after sun exposure in spring and summer, light brown spots, normal diet and defecation. The tongue is red or slightly red, the coating is thin white or thin yellow, and the pulse condition is normal.
Treatment should dispel wind and clear heat, dredge collaterals and remove spots. The prescription is Xinliang Tongluo Decoction (self-made): mulberry leaf, mint, Scutellaria baicalensis, Radix Rehmanniae, Radix Paeoniae Rubra, Herba Leonuri, Bombyx Batryticatus, Fructus Aurantii and Radix Glycyrrhizae.
Causes and treatment of chloasma
The main symptom of chloasma is facial pigmentation (pale chloasma). Chinese medicine theory classifies pigmented spots as? Stagnation? 、? Stagnation? 、? Blood stasis? "Puji Fang" holds that phlegm accumulates in zang-fu organs, and wind evil enters phlegm, which leads to disharmony between qi and blood, or astringency or turbidity, which can not pride the skin, so it becomes black. . ? Authentic surgery:? Can people with black spots turn black by fire? . So, in general, the diagnosis and treatment of chloasma is search? Stagnation? Cause and give corresponding treatment.
Chloasma? Stagnation? Generally speaking, it is related to liver, spleen and kidney. The most common causes are liver depression and qi stagnation, spleen deficiency and dampness resistance, kidney deficiency and blood stasis, which often combine to form more complicated syndromes. In addition, the invasion of exogenous pathogens, especially wind-heat pathogens, leads to heat stasis blocking collaterals, which is one of the pathogenesis of chloasma in spring and summer.
Treatment should be based on syndrome differentiation.
The type of qi stagnation and blood stasis is mainly regulating qi, promoting blood circulation and removing spots. The composition of the medicine is: peach kernel 12g, safflower 12g, angelica sinensis 10g, Ligusticum chuanxiong 10g, Radix Paeoniae Rubra 10g, Radix Rehmanniae 15g, Caulis Spatholobi 20g and Herba Leonuri10g. In the prescription, Bupleurum chinense and Radix Curcumae regulate qi, while peach kernel, safflower, Ligusticum chuanxiong and motherwort promote blood circulation.
Kidney deficiency and blood stasis are mainly nourishing yin and tonifying kidney, removing blood stasis and removing spots. The pharmaceutical composition comprises Fructus Corni 15g, Rhizoma Dioscoreae 15g, Poria cocos 15g, Radix Rehmanniae Preparata 20g, Fructus Ligustri Lucidi 10g, Eclipta prostrata 10g, Rhizoma Alismatis 15 and Cortex Moutan 65438. Kidney deficiency and blood stasis are mainly caused by kidney yin deficiency, liver depression and qi stagnation, long-term illness damage and liver and kidney yin. In the prescription, Cornus officinalis, Rhizoma Dioscoreae, Poria, Radix Rehmanniae Preparata, Fructus Ligustri Lucidi and Ecliptae Herba nourish kidney yin.
Qi deficiency and blood stasis developed from the first stage, with the main functions of invigorating qi and nourishing blood, promoting blood circulation and removing spots. The pharmaceutical composition is: Astragalus membranaceus 30g, Atractylodes macrocephala 12g, Pericarpium Citri Tangerinae 12g, Cimicifuga rhizome 6g, Radix Codonopsis 12g, Radix Glycyrrhizae Preparata 12g, Radix Angelicae Sinensis 15g, and Fructus Jujubae 15g. All the drugs in the prescription have the effects of benefiting qi and nourishing blood, promoting blood circulation and removing blood stasis.