中医药治疗脂溢性皮炎的研究进展
Research Progress in the Treatment of Seborrheic Dermatitis in Traditional Chinese Medicine
DOI: 10.12677/tcm.2025.146397, PDF,   
作者: 刘润群:黑龙江中医药大学研究生院,黑龙江 哈尔滨;马天明*:黑龙江中医药大学附属第二医院皮肤科,黑龙江 哈尔滨
关键词: 脂溢性皮炎中医内治中医外治研究进展Seborrheic Dermatitis Internal Treatment of Traditional Chinese Medicine External Treatment of Traditional Chinese Medicine Research Progress
摘要: 脂溢性皮炎(Seborrheic Dermatitis, SD)是一种以皮脂溢出部位红斑、鳞屑及瘙痒为特征的慢性炎症性皮肤病。中医将其归属于“面游风”“白屑风”等范畴,认为其发病与湿热内蕴、风热血燥、脾胃失调等因素密切相关。近年来,中医药在脂溢性皮炎的治疗中展现出独特优势,通过内服、外治及非药物疗法等多途径干预,兼具疗效稳定、复发率低和安全性高等特点。本文系统梳理中医对脂溢性皮炎的病因病机认识,总结内治法及外治法的临床进展,以期为临床实践提供理论依据。
Abstract: Seborrheic Dermatitis (SD) is a chronic inflammatory skin disease characterized by erythema, scales and itching at the sebaceous sebaceous site. Traditional Chinese medicine classifies it as “face wind” and “white chip wind”, and believes that its disease is closely related to factors such as internal accumulation of damp heat, wind, heat, blood dryness, and spleen and stomach disorders. In recent years, traditional Chinese medicine has shown unique advantages in the treatment of seborrheic dermatitis. Through multiple interventions such as internal treatment, external treatment and non-drug therapy, it has the characteristics of stable efficacy, low recurrence rate and high safety. This paper systematically sorts out the knowledge of the etiology and pathogenesis of seborrheic dermatitis in traditional Chinese medicine, summarizes the clinical progress of internal treatment and external treatment methods, in order to provide a theoretical basis for clinical practice.
文章引用:刘润群, 马天明. 中医药治疗脂溢性皮炎的研究进展[J]. 中医学, 2025, 14(6): 2705-2709. https://doi.org/10.12677/tcm.2025.146397

参考文献

[1] Desai, S., McCormick, E. and Friedman, A. (2022) An Up-to-Date Approach to the Management of Seborrheic Dermatitis. Journal of Drugs in Dermatology, 21, 1373-1374.
[2] Rousel, J., Nădăban, A., Saghari, M., Pagan, L., Zhuparris, A., Theelen, B., et al. (2023) Lesional Skin of Seborrheic Dermatitis Patients Is Characterized by Skin Barrier Dysfunction and Correlating Alterations in the Stratum Corneum Ceramide Composition. Experimental Dermatology, 33, e14952. [Google Scholar] [CrossRef] [PubMed]
[3] 程钟慧, 唐静, 黄勇. 中医治疗脂溢性皮炎的研究进展[J]. 中国处方药, 2022, 20(3): 186-188.
[4] 熊杏, 杜雨君, 孔婧妍. 近5年油腻型头皮脂溢性皮炎的研究进展[J]. 中国中医药现代远程教育, 2025, 23(1): 181-183.
[5] 何涯含, 梁静妮, 侯益. 苦参汤治疗脂溢性皮炎(湿热证)临床观察[J]. 光明中医, 2024, 39(22): 4532-4535.
[6] 李铁男, 李上云. 脂溢性皮炎中医治疗专家共识[J]. 中国中西医结合皮肤性病学杂志, 2020, 19(3): 283-284.
[7] 唐磊, 傅强, 黄富均, 等. 止脱茁发方治疗湿热型头皮脂溢性皮炎30例临床观察[J]. 中国皮肤性病学杂志, 2025, 39(1): 40-47.
[8] Huang, P., Hu, F., Yang, Z., Pan, Y., Zhou, R., Yan, Y., et al. (2023) Matrine Regulates Th1/Th2 Inflammatory Responses by Inhibiting the Hsp90/NF‐κB Signaling Axis to Alleviate Atopic Dermatitis. The Kaohsiung Journal of Medical Sciences, 39, 501-510. [Google Scholar] [CrossRef] [PubMed]
[9] Chou, W., Yang, S., Alshetaili, A., Wei, S., Yang, S. and Fang, J. (2024) Topical Delivery of Bioactive Compounds from Cortex Dictamni Alleviates Atopic Dermatitis-Like Lesion by Inhibiting the Activation of Keratinocytes, Macrophages, and Basophils: Dictamnine versus Fraxinellone. International Immunopharmacology, 143, Article ID: 113486. [Google Scholar] [CrossRef] [PubMed]
[10] Xu, X., Liu, S., Zhao, Y., Wang, M., Hu, L., Li, W., et al. (2022) Combination of Houttuynia cordata Polysaccharide and Lactiplantibacillus plantarump 101 Alleviates Acute Liver Injury by Regulating Gut Microbiota in Mice. Journal of the Science of Food and Agriculture, 102, 6848-6857. [Google Scholar] [CrossRef] [PubMed]
[11] 李丽, 曲剑华, 陈彤云. 陈彤云分型辨治脂溢性皮炎经验[J]. 北京中医药, 2020, 39(12): 1234-1236.
[12] 熊浩勤, 程剑. 凉血清肺汤联合硝黄搽剂湿敷治疗面部脂溢性皮炎肺胃热盛证临床研究[J]. 中华中医药学刊, 2025, 43(2): 212-215.
[13] 陈培红, 范晴, 李娜. 凉血清肺方结合西药外敷治疗脂溢性皮炎疗效观察[J]. 四川中医, 2022, 40(7): 149-152.
[14] 王艳沛, 莫秀梅, 林颖, 等. 陈达灿从脾胃论治脂溢性皮炎经验[J]. 中医杂志, 2022, 63(5): 416-419.
[15] 杜菡, 江洪亮. 健脾祛炎汤治疗脂溢性皮炎30例[J]. 中国民族民间医药, 2017, 26(15): 129-131.
[16] 林俏吟, 高宁, 杨海锋, 等. 中药外洗治疗头皮脂溢性皮炎湿热型临床观察[J]. 实用中医药杂志, 2024, 40(12): 2551-2553.
[17] 吴琪, 云浩, 陈倩, 等. 中药外洗治疗头部脂溢性皮炎疗效与安全性的Meta分析[J]. 中国医疗美容, 2021, 11(6): 90-103.
[18] 孔宇虹, 李元文, 姜颖娟, 等. 香柏酊外用治疗头部脂溢性皮炎湿热证疗效观察[J]. 北京中医药, 2019, 38(2): 146-150.
[19] Li, A.R., Andrews, L., Hilts, A. and Valdebran, M. (2022) Efficacy of Acupuncture and Moxibustion in Alopecia: A Narrative Review. Frontiers in Medicine, 9, Article 868079. [Google Scholar] [CrossRef] [PubMed]
[20] Wang, P., Xie, F., Zhang, L., Zhao, S., Zhu, L., Shen, S., et al. (2023) Plum-Blossom Needle Tapping Enhances the Efficacy of ALA Photodynamic Therapy for Facial Actinic Keratosis in Chinese Population: A Randomized, Multicenter, Prospective, and Observer-Blind Study. Photodiagnosis and Photodynamic Therapy, 42, Article ID: 103611. [Google Scholar] [CrossRef] [PubMed]