非疤痕性脫落髮文獻回顧

Chinese medicine literatures review of nonscarring hair loss

黃千毓(Chien-Yu Huang) ； 王宏銘(Hung-Ming Wang) ； 洪崚育(Leng-Yu Hong)

《北台灣中醫醫學雜誌》 10卷2期 (2018/09) Pp. 35-46

摘要

根據症狀表現以及不同的成因，可將異常脫落髮分為兩類，分別是非疤痕性脫落髮與疤痕性脫落髮，本篇所討論的為前者。而非疤痕性脫落髮的的特點是患處沒有局部組織發炎、疤痕形成或者皮膚萎縮的現象，而引起此類脫落髮的可能原因有：服用化療藥或者甲狀腺的藥物等、雄性激素分泌過多或者壓力，通常改善原因後一段時間，脫落髮的狀況就能改善。古代的中醫對於非疤痕性的脫落髮沒有直接對應的名稱，因此古籍中症狀描述相近的記載是此次文獻回顧的搜尋目標。發現主要的病因病機是氣血虛衰、肝腎陰虛、內外風、血瘀，且針對不同的病機有不同的治療法，補益氣血、補益肝腎陰、活血化瘀等。

關鍵字

非疤痕性脫落髮 ； 圓禿 ； 雄性禿 ； 鬚髮禿落 ； 中醫

並列摘要

According to different symptoms and cause, unusual hair loss is separated into nonscarring and scarring, and the subject discussed in this paper is about nonscarring hair loss, whose definition is no inflammation, scarring conformation or skin atrophy, and the possible cause of nonscarring hair loss such as chemotherapy drugs, thyroid drugs, hypersecretion of androgen or stress. In most case hair loss would be developed after removing the cause. Because there is no disease in Chinese medicine could be corresponded to nonscarring hair loss directly, similar symptoms which were described in ancient books are searched for this literature review. During the searching course, the common cause and disease mechanism are unearthed, such as qi and blood deficiency, liver and kidney yin deficiency, endogenous and outside wind, and blood stasis, and furthermore methods for treating were also recorded in books like replenish qi and blood, nourish liver and kidney yin, and promoting blood circulation for removing blood stasis.

並列關鍵字

nonscarring hair loss ； the hair and beard become fallen off ； Traditional Chinese Medicine

參考文獻

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Olsen, EA,Bergfeld, WF,Cotsarelis, G(2003).Summary of North American Hair Research Society (NAHRS)-sponsored Workshop on Cicatricial Alopecia, Duke University Medical Center, February 10 and 11, 2001.J Am Acad Dermatol.48(1),103-10.

Goldsmith, LA(Ed),Katz, SI(Ed),Gilchrest, BA(Ed)(2012).Fitzpatrick's Dermatology in General Medicine.New York:McGraw Hill.

Childs, JM,Sperling, LC(2013).Histopathology of scarring and nonscarring hair loss.Dermatol Clin.31,43.

Michailidis, E,Theos, A,Zlotogorski, A(2007).Atrichia with papular lesions resulting from novel compound heterozygous mutations in the human hairless gene.Pediatr Dermatol.24,E79.