黄褐斑是一种临床常见的、多发于中青年女性颜面部的色素沉着性皮肤病,于日晒后加重。患者虽无明显不适,但易造成严重思想负担。目前,国内外治疗黄褐斑尚无特效药物,西医治疗以表皮化学剥脱为主,见效虽快,但易复发;而中医疗法效果明显,且不易复发。中医治疗黄褐斑独具特色,通过辨证分型、因证施治,采用内治、外治与内外兼治等多种综合疗法相结合取得了一定的效果。本文检索了国内近年来中医药治疗黄褐斑相关的期刊文献,通过对黄褐斑的病因、病机及常见治法和方药的文献研究,探寻和分析治疗黄褐斑临床常见且有效的方法,以期能为其防治提供更多借鉴与思路。
Chloasma is a kind of clinically common skin pigmented disease, which usually affects young and middle - aged women's faces and is easily aggravated after solarization. Although patients don' t feel obviously uncomfortable, it's easy to cause serious mental burden on them. At present, there is no specific medicine for chloasma at home and abroad. Western medicine mainly focuses its treatment on chemical exfoliation. Though it can take effect quickly, it is easy to relapse. However, in terms of Chinese medicine, it does not only take effect rapidly, but also is uneasy to relapse. Chinese medicine has its unique features on treating chloasma, as it achieves effect by syndrome differentiation and then adopt the various comprehensive therapeutic methods including internal thera- py, external therapy, combined internal and external therapy and acupuncture and moxibustion. This article has searched related domestic literature of recent 15 years in Chinese medicine treatment of chloasma to discover and analyse the therapeutic law and methods of chloasma by studying the literature of pathogenesis, therapies and formulas of it. As a result, we hope to provide more reference and thoughts of the prevention and treatment of chloasma.