中医药治疗黄褐斑的研究进展

Research Progress in the Treatment of Chlo-asma with Traditional Chinese Medicine

摘要: 黄褐斑是一种常见的局限性对称面部色素沉着性皮肤病，严重影响当今女性生活，易诊难治，并对患者心理产生不良影响，已成为当今医学界的研究热点。中医认为，黄褐斑多因肝郁不畅，阻滞肌肤；或肝肾不足，肾水不能上承滋养面部；或饮食不节，损伤脾胃，湿热内生最后导致黄褐斑。目前，西医对于黄褐斑的治疗主要以口服苯二酚、维甲酸和激光治疗为主，但是单纯应用西医治疗的疗效并不理想。近年来，中医疗法作为一种被广泛接受的治疗方法，已被众多临床观察有确切的疗效。本文在大量文献研究的基础上，对近年来中医药治疗黄褐斑进行综述如下。

Abstract: Chloasma is a common localized symmetrical facial pigmentation skin disease that seriously affects women’s daily lives, is easy to diagnose but difficult to treat, and has adverse effects on patients’ psychology. It has become a research hotspot in the medical community today. Traditional Chinese medicine believes that chloasma is often caused by liver stagnation, which blocks the skin; or liver and kidney deficiency, kidney water cannot nourish the face; or improper diet can damage the spleen and stomach, resulting in endogenous dampness and heat, ultimately leading to chloasma. At present, Western medicine mainly treats melasma with oral quinone, retinoic acid, and laser therapy, but the efficacy of solely using Western medicine treatment is not ideal. In recent years, traditional Chinese medicine therapy, as a widely accepted treatment method, has been widely ob-served in clinical practice with definite therapeutic effects. On the basis of extensive literature re-search, this article reviews the treatment of chloasma with traditional Chinese medicine in recent years as follows.