王珂益肾养血泄浊法治疗脱发医案举隅
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摘要
中医治疗脱发以补虚为主,目前尚无统一的辨证分型,多从肝肾论治。王珂认为脱发与肝肾不足、血虚、湿浊密切相关,应注重益肾养血泄浊法的应用。制何首乌是治疗脱发的主药,但近年有关其肝毒性的报道影响了其在临床中的应用。王珂认为制何首乌的毒性可能与炮制不当和种植有关,应以野生品为佳;同时指出其行医50余年,并未发现毒性反应病例,且其肝毒性是可逆的,可通过监测肝功能避免,切不可因此而弃之不用。
The traditional Chinese medicine in the treatment of lipsotrichia in is to supplement the deficiency, there is no uniform syndrome differentiation at present, and mostly treatments are from the standpoint of liver and kidney. Wang Ke thought that lipsotrichia is closely related to the deficiency of liver and kidney, blood deficiency and damp pathogen. The application of tonifying kidney and nourishing blood dispelling turbidity method should be emphasized. Polygonum multiflorum thunb is the main drug to treat lipsotrichia. But recent reports of liver toxicity about it have influenced its clinical application. Wang Ke thought that the toxicity of polygonum multiflorum thunb is related to the improper processing of the cooking and planting, wild goods should be preferred. At the same time, he noted that he has been practicing medicine for more than 50 years and has not found a case of toxicity. And its liver toxicity is reversible, which can be avoided by monitoring liver function, and it must not be abandoned.
The traditional Chinese medicine in the treatment of lipsotrichia in is to supplement the deficiency, there is no uniform syndrome differentiation at present, and mostly treatments are from the standpoint of liver and kidney. Wang Ke thought that lipsotrichia is closely related to the deficiency of liver and kidney, blood deficiency and damp pathogen. The application of tonifying kidney and nourishing blood dispelling turbidity method should be emphasized. Polygonum multiflorum thunb is the main drug to treat lipsotrichia. But recent reports of liver toxicity about it have influenced its clinical application. Wang Ke thought that the toxicity of polygonum multiflorum thunb is related to the improper processing of the cooking and planting, wild goods should be preferred. At the same time, he noted that he has been practicing medicine for more than 50 years and has not found a case of toxicity. And its liver toxicity is reversible, which can be avoided by monitoring liver function, and it must not be abandoned.
引文
[1]吴承艳,孙世发,周雯.脱发治疗研究进展[J].中药药理与临床,2015,31(2):238-239.
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[4]许友明.补肾养血法治疗脱发30例[J].光明中医,2008,23(7):983-984.
[5]李卫先,张琦,王国仁,等.何首乌不同炮制品致肝损害的研究[J].湖南中医杂志,2011,27(5):129-130.
[6]崔鹤蓉,柏兆方,宋海波,等.从古今炮制方法演变探讨何首乌毒性的潜在影响因素[J].中国中医药杂志,2016,41(2):333-33.
[7]Wu X Q,Chen X Z,Huang Q C,et al.Toxicity of raw and processed roots of Polygonum multiflorum[J].Fitoterapia,2012,83(3):469-475.
[8]楼招欢,吕圭源,俞静静.何首乌成分、药理及毒副作用相关的研究进展[J].浙江中医药大学学报,2014,38(4):495-500.
[9]林飞,胡锡琴,谢人明.何首乌配伍茯苓解毒机制的研究[J].中药药理与临床,2010,26(5):79-80.
[2]潘会君,陈中建,张翠英.基于数据挖掘治疗脱发处方用药规律研究[J].现代中药研究与实践,2016,30(3):65-68.
[3]谢青,田亚婷,李成纲.基于中医辅助系统分析李成纲治疗脱发用药特点[J].山西中医,2014,30(9):53-55.
[4]许友明.补肾养血法治疗脱发30例[J].光明中医,2008,23(7):983-984.
[5]李卫先,张琦,王国仁,等.何首乌不同炮制品致肝损害的研究[J].湖南中医杂志,2011,27(5):129-130.
[6]崔鹤蓉,柏兆方,宋海波,等.从古今炮制方法演变探讨何首乌毒性的潜在影响因素[J].中国中医药杂志,2016,41(2):333-33.
[7]Wu X Q,Chen X Z,Huang Q C,et al.Toxicity of raw and processed roots of Polygonum multiflorum[J].Fitoterapia,2012,83(3):469-475.
[8]楼招欢,吕圭源,俞静静.何首乌成分、药理及毒副作用相关的研究进展[J].浙江中医药大学学报,2014,38(4):495-500.
[9]林飞,胡锡琴,谢人明.何首乌配伍茯苓解毒机制的研究[J].中药药理与临床,2010,26(5):79-80.
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