基于“以神养颜”理论探析昼夜节律紊乱导致黄褐斑的辨治
Exploration of the Differentiation and Treatment of Melasma Induced by Circadian Rhythm Disruption Based on the Theory of “Nourishing the Countenance by Cultivating the Spirit”
DOI: 10.12677/acrem.2026.144054, PDF,   
作者: 杨 尧*：成都中医药大学临床医学院，四川 成都；段 渠#：成都中医药大学附属医院医学美容科，四川 成都
关键词: 以神养颜；黄褐斑；昼夜节律；调神；形神俱美；Nourishing the Countenance by Cultivating the Spirit； Melasma； Circadian Rhythm； Regulating the Spirit； Beauty of Both Body and Spirit
摘要: 黄褐斑是一种常见的慢性色素沉着性皮肤病，其发生发展与遗传易感性、紫外线暴露、性激素水平变化、氧化应激及心理因素等多种因素相关。中医学强调“形神合一”，认为神志状态和形体表现密切相关，结合中医美容相关思想，提出“以神养颜”“形神俱美”的理论，进一步拓展了神志调养与颜面状态关系的认识，本文基于“以神养颜”的理论，结合现代昼夜节律医学研究，从“神失其养”、“节律失调”和“肌肤失荣”等角度探讨黄褐斑发生发展机制，通过提出神的调养、恢复生命节律、协调脏腑功能，为黄褐斑治疗和长期管理提供潜在思路。
Abstract: Melasma is a common chronic hyperpigmentary skin disorder, the development of which is associated with multiple factors including genetic susceptibility, ultraviolet exposure, sex hormone level alterations, oxidative stress, and psychological factors. Traditional Chinese Medicine emphasizes the concept of “unity of body and spirit”, holding that mental state and physical appearance are closely interconnected. Integrating this with the principles of Traditional Chinese Medicine cosmetology, the theories of “nourishing the countenance by cultivating the spirit” and “the beauty of both body and spirit” have been proposed, which further extend the understanding of the relationship between mental regulation and facial complexion. This paper, grounded in the “nourishing the countenance by cultivating the spirit” theory and incorporating modern chronomedicine research, explores the pathogenesis and development of melasma from the perspectives of “deprivation of spirit nourishment”, “circadian rhythm disruption”, and “malnourishment of the skin”. By proposing the cultivation of spirit, restoration of biological rhythms, and coordination of visceral functions, this paper provides potential strategies for the treatment and long-term management of melasma.
文章引用：杨尧, 段渠. 基于“以神养颜”理论探析昼夜节律紊乱导致黄褐斑的辨治[J]. 亚洲急诊医学病例研究, 2026, 14(4): 423-432. https://doi.org/10.12677/acrem.2026.144054

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