Differentiation and treatment of alopecia in traditional Chinese medicine
Deficiency of both qi and blood: symptoms include alopecia, dizziness, palpitation, shortness of breath, tinnitus, backache, fatigue, insomnia, dull complexion and thin stool; Women have delayed menstruation, less light color or more leucorrhea; The tongue coating is thin and white, the tongue is pale with tooth marks, and the pulse condition is weak. It is appropriate to replenish qi and nourish blood, and Bazhen Decoction is selected as the flavored medicine, including Radix Codonopsis, Radix Astragali, Rhizoma Dioscoreae, Atractylodis Macrocephalae, Poria, Radix Angelicae Sinensis, Radix Paeoniae Alba, Radix Rehmanniae Preparata, Fructus Amomi, Rhizoma Chuanxiong, and Radix Glycyrrhizae.
Yang deficiency of spleen and kidney: the symptoms are alopecia, limb hypothermia, spontaneous sweating, aversion to wind, anorexia, aversion to cold, soreness of waist and knees, and nocturia; The tongue coating is thin and white, the tongue is light and fat, and the pulse is heavy or thin. Treatment should be invigorating spleen and qi, warming kidney and activating yang. The prescription is Huangqi Guizhi Wuwu Decoction combined with Zhenwu Decoction, and medicinal Huangqi, Guizhi, Atractylodis Rhizoma, Poria, Codonopsis pilosula, Radix Aconiti Preparata, Radix Paeoniae Alba, Zingiberis Rhizoma, Radix Angelicae Sinensis, Fructus Jujubae, Radix Polygoni Multiflori Preparata, etc.
Phlegm-dampness resistance: hair loss at first sight, accompanied by dizziness, abdominal distension and nausea, pale mouth and thirst, loss of appetite, uncomfortable stool and obesity; Female irregular menstruation, thin or yellow leucorrhea; Thick and greasy tongue coating and slippery pulse. Treating spleen and resolving phlegm, promoting qi circulation and removing dampness, Banxia Houpu Decoction combined with Sanren Decoction, and Pinellia ternata, Poria, Caulis Polygoni Multiflori, Pericarpium Citri Tangerinae, Coicis Semen, Almond, Cardamom, Talcum, Lentils, Angelica sinensis, Areca catechu, Radix Paeoniae Rubra, Fructus Aurantii, etc.
Disharmony between liver and spleen: hair loss is faster and there are more new patients. Symptoms include fatigue, hypochondriac fullness, anorexia, diarrhea or secret constipation, upset mouth and bitter taste, easy to catch a cold, and sometimes lack of disgust and noise; Women have less menstrual flow or amenorrhea, and the leucorrhea is sticky; The tongue is thin, white or greasy, with pale teeth marks and slow pulse. Treatment should be to harmonize the liver and spleen, raise the clear and reduce turbidity, and add and subtract Sini Powder, Chaihu Shugan Powder, medicinal Bupleurum, Radix Paeoniae Alba, Fructus Aurantii Immaturus, Rhizoma Cyperi, Radix Curcumae, Rhizoma Chuanxiong, Poria, Rhizoma Dioscoreae, Radix Codonopsis, Fructus Jujubae, Radix Glycyrrhizae, etc.
Internal resistance of blood stasis: symptoms include alopecia, dull complexion, dry mouth and throat, thirst and less drinking, dull pain in flank and abdomen, irritability, insomnia and forgetfulness, headache and body pain, moist skin and poor stool; Female menstrual color is dark, or menstrual abdominal pain and low back pain; Thin tongue coating, dark tongue or ecchymosis, and slow pulse. Guizhi Fuling Pill is selected as the prescription for strengthening the heart, strengthening the spleen, removing blood stasis and dredging the pulse, and it is prepared from Guizhi, Poria, Cortex Moutan, Peach kernel, Radix Paeoniae Alba, Spatholobus Spatholobus, Radix Clematidis, Fructus Ligustri Lucidi, Eclipta prostrata, Radix Polygonati, Flos Carthami, Radix Curcumae, Rhizoma Cyperi, etc.