中医药研究论丛

212.15 中医治疗脱发之病例报告
TJ TCM.21(2) : 169-178, 2018
中医治疗脱发之病例报告
A Case Report of Alopecia Areata Treated with Traditional Chinese Medicine
苏柏璇1 戴承杰1*
1 台北医学大学附设医院传统医学科,台北,台湾
【摘要】
本病例报告描述治疗一位53 岁男性脱发症状严重之案例。患者自就诊前七个月开始头皮多处脱发,且半年内仍有原生和新生毛发脱落,使落发范围有不同程度的扩大。本案例之特色在於根据临床症状,经辨证论治後诊断为中医外科之斑秃,病因病机为阴阳两虚、湿邪困脾、肾阳虚衰。整个治疗主轴以主方桂枝龙骨牡蛎汤、苓桂术甘汤,以温阳健脾、平补阴阳之药物为主,并以何首乌、肉苁蓉等补肝肾益精血药物为辅,经八个月治疗後脱发处恢复情况良好且未复发,病情获得稳定控制,对此治疗过程作一介绍及讨论。
【关键词】脱发、斑秃
Po-Hsuan Su1Chen-Jei Tai1*
1Department of Traditional Chinese Medicine, Taipei Medical University Hospital, Taipei, Taiwan
【Summary】
This case report describes a 53 years old male who suffered from the symptom of severe hair loss for about seven months and in the half year, this symptom became worse. The feature of this case is that according to the main symptoms, combined symptoms, and traditional Chinese medicine theory,this patient’s hair loss was diagnosed as alopecia areat. It resulted from the accumulation of the dual deficiency of yin and yang, the dampness of spleen and the deficiency of kidney yang. The treatment was mainly based on Gui Zhi Long Gu Mu Li Tang(桂枝龙骨牡蛎汤)combined with Ling Gui Zhu Gan Tang(苓桂术甘汤)to tonify yin and yang and fortify the spleen and drain dampness, He Shou Wu(何首乌)and Rou Cong Rong(肉苁蓉), to tonify liver and kidney essence. After eight months treatment, the symptoms were markedly improved and did not recurrent again. This paper would present the procedure of TCM treatment in a detailed introduction and discussion.
【Keywords】Hair loss, Alopecia areat