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Chih-Nan Huang1 Tsung Chieh Lee1*
1Department of Traditional Chinese Medicine, Changhua Christian Hospital, Changhua,
Taiwan
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The alopecia embarrass human being much more than before. Causes of alopecia included the lack of nutrition supplies, congenital abnormalities, hypothyroidism, and autoimmune system attacking hair follicles. Skin-related diseases inhibiting the growth of hair follicle is the most common cause. Tracing back, Chinese ancient books already had some description about alopecia. In the Qin and Han Dynasties, scholars had a preliminary understanding of the pathogen of alopecia. The pathogenesis and pathology in the Sui Dynasty included internaland external factors, mainly because of their own body and wind invasion.Traditional Chinese medicine in the Tang Dynasty developed expelling wind, heat clearing, nourishing yin and other methods of treatments. After that, surgical ringworm disease and blood stasis are believed to have correlation by following scholars with alopecia. This case aims to illustrate the clinical experiences, literatures, and to provide effective case-sharing to clinical Chinese medicine practitioners.
This 64-year-old female had continuous alopecia for two months. Though the scalp hair was sparse, physical examination revealed no obvious scalp abnormalities. Symptoms right after her son committed suicide 2 months ago, the time she kept crying and underwent depression mood every day. Due to progressive hair loss and sleep disorders, she look for Chinese medicine treatment.
According to pathogenesis and pathology analysis, we considered the pathogens due to old and exhausted, excessive diet control and emotional disorders, and the pathogenesis due to yield insufficiency, further exhaustion, liver failing to course freely. And finally bring out heart qi and yin formation deficiency, liver depression and qi stagnation, kidney deficiency, qi and blood deficiency syndrome types. We developed an effective treatment to those syndrome types; and nourishing the heart to calm the mind, dispersing stagnated liver qi for relieving, mind tranquilizing. We improve the alopecia and sleep difficulty symptoms within one month.
Keywords：Alopecia, pathogenesis and pathology
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201.17中医治疗情绪性脱发之医案报告
