Treatment of Vitiligo with Traditional Chinese Medicine Based on Syndrome Differentiation

Date:2021-05-14 Hit:3193


Traditional Chinese medicine has many benefits in treating vitiligo. Because vitiligo is a kind of intractable skin disease, its characteristics are prone to spread and relapse, and it does not heal continuously, ranging from a few years to dozens.

In years, treatment is more difficult. Use the four consultations of Chinese medicine (look, smell, ask, and cut) to inquire about the invasion of the six evils (wind, cold, heat, dampness, dryness, and fire), and understand the seven emotions of the patient

(Happiness, anger, worry, thought, sadness, fear, shock) trends. Use Bagang (external, internal, yin, yang, cold, heat, deficiency, and reality) syndrome differentiation to summarize the attributes of the disease. Make the patient treat.

During this period, "theory, law, prescription and medicine" were connected.

The following analysis of the etiology and pathogenesis of vitiligo is as follows:

1. Liver and kidney yin deficiency type

The skin lesions have clear boundaries, and most of the depigmented spots turn white. Localized or generalized dizziness, tinnitus, dry eyes, thin texture, thin coating, weak pulse.

Analysis: The kidney stores the essence of the bone and produces the marrow, resuscitating the ears. The liver stores blood and governs the tendons, resuscitates the eyes, the liver and kidneys are of the same origin, and the essence and blood regenerate each other.

Foot, marrow sea is depleted, and the skin loses health and white spots.

Treatment principle: nourish liver and kidney, nourish blood and expel wind.

2. Rheumatism and heat accumulation type

The skin lesions are leukoplakia pink, which can be single or multiple. The skin lesions develop quickly. The skin often has itching before the skin turns white, accompanied by drowsiness of the limbs, thirsty and less drinking, and less food. tongue

The quality is red, the fur is white or yellow and greasy, and the pulse is slippery or numb.

Analysis: The wind is a yang evil, good deeds change several times, it has the characteristics of upward and outward, so the skin lesions are faster, mostly on the head, face and exposed parts, and the wind is damp, so the head is hard to see


Treatment principle: clearing away heat and removing dampness, promoting blood circulation and dispersing wind.

3. Qi stagnation and blood stasis type

The skin lesions are mostly asymmetric leukoplakia with clear boundaries. It usually occurs after trauma or other skin injuries, and the disease progresses slowly and is difficult to heal. May have dull complexion, faulty skin, tongue texture

Dark, with petechiae, thin moss, thin and astringent pulse.

Analysis: Qi and blood stagnation, meridian obstruction, occlusion of orifices, inability to take nourishment, leukoplakia occurs.

Treatment principles: Activating blood to remove blood stasis, dispelling wind and dredging collaterals.

4. Yang Deficiency of Spleen and Kidney

The leukoplakia progresses slowly, the course of the disease is prolonged, the leukoplakia is pale white, the internal hair turns white, the hands and feet are too warm, the children are not easy to move, and the waist and knees are weak and weak.

Analysis: The spleen is the foundation of the day after tomorrow. The kidney is the foundation of the innate. The deficiency of kidney yang cannot warm the spleen yang. It is biochemically passive, and white spots appear due to skin loss.

Principles of treatment: invigorating the spleen and stomach, warming the kidney and strengthening yang.

5. Liver Qi stagnation type

The white spots have different shades of light and dark, and there is no fixed hair spot. The leukoplakia is irregular or cloud-like, without itching and pain, accompanied by irritability, fullness of the chest and flanks, red tongue, thin yellow coating, and stringy pulse.

6. Heart-kidney disjoint type

The skin lesions are mostly on the side extremities, often along the fixed nerve area. It occurs frequently in young adults, often sudden onset, short course of disease and rapid development. There are often nerves and psychiatric factors before the onset

Su, accompanied by palpitations, insomnia, forgetfulness, red tongue, thin white coating, thin pulse string.

Analysis: Heart dominates consciousness, excessive worrying, exhaustion of heart yin or deficiency of kidney essence, insufficiency of water and fire, causing heart and kidney incompatibility, causing mental aversion, palpitations, insomnia, forgetfulness, and skin loss

Vitiligo occurs.

Treatment principle: communicate the heart and kidney, nourish yin and blood.

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