At first, alopecia areata was mostly independent and localized, with a diameter of about 1~2 cm and a clear edge. With the progress of the disease, the number of lesions can gradually increase, and adjacent lesions can fuse with each other to form plaques of different sizes and shapes. If the disease continues to develop, skin lesions can involve the whole head and make all the hair fall off. At this time, the scalp can still maintain its normal appearance, that is, it is completely bald. In severe cases, the whole body hair falls off, including eyebrows, eyelashes, beard, armpit hair, pubic hair and body hair. This condition is called alopecia universalis.
About 5%~ 10% of alopecia areata patients, their hair loss is gradual, within a few days to a few months, all the hair can fall off and become bald, and a few patients can develop alopecia universalis. However, whether alopecia areata, alopecia totalis or alopecia universalis, most patients show patchy, complete and rapid alopecia. In other words, alopecia areata is the most common cause of sudden hair loss. Generally speaking, most patients have no premonition before alopecia areata occurs, but some patients have abnormal scalp feelings before alopecia, such as burning, tingling, pressing, numbness, ant walking and itching. Some patients with alopecia totalis and alopecia universalis have symptoms such as fatigue, listlessness, hoarseness and conjunctival congestion before onset.
3. What are the clinical manifestations of alopecia areata?
It is estimated that the incidence of alopecia areata in the population is less than 0.1%; About 95% patients with alopecia areata have skin lesions confined to the scalp; In male patients with alopecia areata, about 10% people have beard involvement, and with the development of the disease, hair from other parts of the body can also fall off. These patients are more likely to suffer from alopecia areata.
Clinical alopecia areata can be divided into three stages according to the development of the disease.
(1) Progressive stage: the damage scope of hair and skin is expanding day by day. On the skin with normal appearance around the bald area, the hair is loose and easy to be caught, and some are only 0.5 cm long. The hair shaft near the scalp has no pigment contraction, and the hair at the end is thick and black, which is in the shape of a wooden stick, so it is thick on the top and thin on the bottom, like an exclamation point (! )。 Some hair follicle openings and some hair follicle openings are often seen in baldness, and some hair follicle openings can be seen with black spots. This is the denatured hair block remaining in the hair follicle, which is called "corpse hair" in medicine.
(2) Static period: Generally, after 3-4 months, alopecia areata can stop developing and remain unchanged for a long time, and the hair attachment around the alopecia area is quite firm.
(3) Recovery period: Hair begins to grow in the alopecia area. Most newborn hair is slender, soft and white, similar to mane, and then becomes thick and black, and finally returns to normal. This situation is generally seen in alopecia areata areas where baldness is stable for a long time. At this time, the typical exclamation point hair is no longer visible, and the hair follicle mouth is difficult to distinguish, and it can even be considered as a scar.
No matter what stage the patient is in, most of them have no symptoms of conscious discomfort. Some patients may have dizziness, paroxysmal dizziness when standing up, fatigue, insomnia and dreaminess. A few patients have symptoms such as itchy scalp, low back pain, tinnitus and dizziness. Doctors can find that a few early patients can see erythema and edema in baldness, and the hair follicle mouth is clearly visible.
In addition, the human epidermis is constantly changing, and the scalp and nails are constantly updating and growing. Alopecia areata is a special form of epidermokeratosis. Some patients with alopecia areata, especially those with long-term involvement or total baldness (according to statistics, it is about 10%~20%), may have nail lesions. Nail pits are large and shallow, and some are similar to punctate depressions in the nails of psoriasis patients. Some are vertical ridges of nails, the deck is thin and brittle, with vertical ridges, and the distal end often breaks and delaminates, and occasionally the nails fall off.
4, alopecia areata can be divided into several categories?
Due to the various manifestations of alopecia areata, according to the traditional classification method, alopecia areata can be divided into the following seven categories.
(1) Simple alopecia areata: The spot of alopecia areata is the size of thumb, with only one spot.
(2) Multiple alopecia areata: There are more than two alopecia areata.
(3) total baldness: all the hair on the head falls off.
(4) General alopecia: In addition to hair, eyebrows, armpit hair and pubic hair are often involved. , also known as baldness.
The above four types are generally treated actively and the prognosis is good.
(5) Reticular alopecia areata: it is round when alopecia occurs, and soon becomes diffuse alopecia, but it basically remains round, and the range of alopecia can even be continuously expanded. Most of these patients are difficult to recover.
(6) Malignant alopecia: large-scale and local hair loss. Besides hair, even eyelashes, beards and limbs may fall off.
(7) Snake-shaped baldness: The hair balls in alopecia areata are in a state of atrophy, and only short and thin soft hairs can grow, which are easy to fall off again, and snake-shaped baldness appears one after another, with a long course of disease and non-healing.
Total baldness, general baldness, etc. Undoubtedly, it is severe alopecia, which can occur suddenly or secondary to alopecia areata or persistent alopecia areata. About 4%~30% patients with alopecia areata will have alopecia universalis, which is very common among young people. Alopecia areata can appear within a few weeks, but the interval between alopecia areata and alopecia is usually two years. 70% patients with alopecia areata appear alopecia areata five years or more after onset.
5. How long is the course of alopecia areata?
The course of alopecia areata is very inconsistent and can last for months or even years. Generally speaking, the greater the range of baldness, the longer the course of disease.
Alopecia areata often occurs repeatedly and irregularly, and only 20%~30% patients have only one attack. Hair regeneration usually occurs within a few months after hair loss, and about 60% patients grow new hair in a year or so. But baldness can't grow completely and then fall off. About 40% patients relapse within one year, and some patients will relapse after five years. All kinds of alopecia areata may recur, and the recurrence interval is different, which brings great mental burden to patients.
But it is worth pointing out that alopecia areata can heal itself, and active treatment can shorten the course of disease.
6. What are the factors that cause alopecia areata?
According to long-term exploration, medical scientists have found that the following factors have a certain relationship with the incidence of alopecia areata.
(1) Mental factors: Most scholars believe that alopecia areata is caused by anxiety, mental stimulation and environmental changes.
(2) Neurological factors: due to autonomic or central nervous system disorders. Alopecia areata can appear or aggravate after concussion and trauma. Some scholars have found that the abnormal rate of EEG in patients with alopecia areata is particularly high. It is also observed that 80% patients with alopecia areata have abnormal cerebral rheogram and poor local blood supply to the scalp, which may be due to patients' mental stress, leading to autonomic nerve dysfunction, increased sympathetic nerve tension and continuous contraction of capillaries, leading to hair root blood circulation disorder and decreased cell function of hair root seed layer.
(3) Heredity: The family history of alopecia areata accounts for about 65,438+00% ~ 20%, and twins may occur besides mother and daughter.
(4) Endocrine abnormalities: thyroid diseases are often complicated with alopecia areata, which is more closely related to hyperthyroidism. Female alopecia areata often heals itself during pregnancy, but it will recur after delivery, which is estimated to be related to hormones.
(5) Low immune function: Some diseases caused by immune system disorder, such as leukoplakia vulgaris, diabetes, pernicious anemia, lupus erythematosus, ulcerative colitis, idiopathic hypothyroidism, etc., are often accompanied by alopecia areata. British scholars have found that patients with alopecia areata have low phagocytosis of peripheral blood leukocytes and often suffer from autoimmune diseases. An American scholar found in 1977 that T lymphocytes in peripheral blood vessels of patients with alopecia areata decreased significantly, which is a system that plays an important role in human cellular immune function. Clinical and experimental studies have proved that there are some obstacles in humoral and cellular immunity and complement system function of patients with alopecia areata.
(6) Focal infection: An American scholar believes that focal infection can indeed lead to baldness, because infections such as bacteria can lead to blood vessel thrombosis or small vessel inflammation, and the hair in its control area will lose its hair due to blood supply obstruction. Another scholar also pointed out that the existence of impacted third molar or periapical infection should be considered as a factor of persistent alopecia areata.
(7) Infection: Some scholars believe that alopecia areata can be caused by fungi, bacteria or viruses. The reason is that alopecia areata can occur collectively in school dormitories and barracks.
(8) Poor circulation of blood supply to the scalp: It has been pointed out that if the skull is improperly matched with the scalp and the scalp is too tight, it will cause poor local blood flow, causing hair to fall off easily due to insufficient nutrition supply, and it is easy to lose hair from the forehead to the top of the head.
7. What mental factors can lead to alopecia areata?
There are many factors that lead to alopecia areata, but what is the real reason is not fully understood at present. It is generally believed that mental factors are closely related to the incidence of alopecia areata. According to statistics, more than half of patients have clear emotional tension before alopecia areata, and more are accompanied by insomnia and dreaminess.
According to the analysis of relevant medical experts, the mental factors causing alopecia areata mainly include the following aspects.
(1) Family factors: such as family financial difficulties, life disputes, serious illness or death of relatives, children's education, etc.
(2) Personal factors: such as entrance examination, frustration in love and marriage, contradiction among colleagues, criminal punishment, missing relatives and friends, etc.
(3) Disease factors: such as terminal illness, paralysis, physical disability, blindness, etc.
(4) Work factors: such as busy official business, business trip and heavy work pressure.
How does mental factor lead to alopecia areata? After analysis, medical scientists have deduced such a principle: when people are stimulated by various mental factors, under emotional pressure, the endocrine function of the body is disordered, and the function of the immune system is reduced, which leads to the temporary suppression of hair growth on the body surface, the temporary reduction of blood circulation of the hair growth base-papilla, ischemia and hypoxia, the lack of nutrients needed for hair growth, and the atrophy of papilla, thus causing hair loss.
Medical experts also found that patients with alopecia have outstanding personality characteristics, and more than 4 1% patients are introverted and unstable. They are often withdrawn, taciturn, indifferent, sentimental, moody, prone to depression, insomnia, excitement, and prone to strong anxiety about various stimuli. The study also found that the incidence of alopecia areata in introverted personality is twice that in stable personality. People who have been stimulated by psychological and social factors in the past year are more than three times more likely to suffer from alopecia areata than those who have not been stimulated, so that some people call alopecia areata "psychogenic alopecia". According to the analysis, the basic cerebral blood flow of introverts has remained at a relatively constant level for a long time, even under the frequent stimulation of the outside world, the cerebral blood flow has not increased significantly, which may lead to relative ischemia of the cerebral cortex and relative lack of nutrition in scalp hair follicles, thus leading to hair loss.
Psychological, family and social factors can make the human body in a state of tension, thus producing a series of psychological and physiological reactions. Repeated or long-term existence of these reactions will damage the body's defense system, coupled with the influence of personality characteristics, genetic tendency and abnormal immune system, alopecia areata may occur.
According to statistics, alopecia areata mostly occurs in young people in their twenties and thirties. This may be because young people have just entered the society and are facing various pressures such as life, work, study and interpersonal relationships. The nervous system is not stable enough, and its ability to withstand setbacks and difficulties is poor. They are vulnerable to mental trauma, leading to disorders of immune, endocrine and other systems.
8. Will children have alopecia areata?
Alopecia areata patients are mostly young people, but children and even infants can also have alopecia areata, but it is rare.
Philip Kingsley, a British hair expert, reported a case in which a mother took her 6-year-old daughter to see a doctor. The child is bald except for six long black hairs on his head. From the medical history, I know that the baby's baldness is "born perfect", and I also know that the mother's marriage is very tragic. After their marriage, the couple have been making a scene. When I was seven months pregnant, I was beaten by my husband and then ran away from home. She gave birth to the baby after being abandoned by her husband. A 7-month-old baby can live and develop well, but when the woman's daughter was born, there was no hair at all. This should be regarded as the youngest alopecia areata patient.
When the baby was still in the womb, some of her hair fell off. Before she was born, she swallowed some of her own hair. On the first 10 day after birth, she excreted the swallowed hair into the diaper. When she was born, it was also found that some of her hair that had fallen off in the womb had entered the folds behind her elbows and knees. During childbirth, the doctor had to cut off the hair stuck in the folds.
Dr Kingsley also reported a case: a couple gave birth to three children, the first two were women and the third was a boy. About three months after the boy David was born, his second daughter Helen, then two and a half years old, lost a hair.
When analyzing the reasons, I think that Helen's hair loss is because her parents pay too much attention to David and not enough attention to Helen, which makes her feel uneasy, nervous and worried.
Domestic scholars have also reported 4 1 cases of alopecia areata in children, ranging in age from 8 months to 12 years old, among which 1 1 cases suffered from mental stress (before and after study or examination).
It is observed that children with alopecia areata have a higher family incidence rate, and the closer the blood relationship, the higher the incidence rate. About 15% of patients with alopecia areata have family history, and 34. 1% of children with alopecia areata have family history of immediate family members.
Alopecia areata in children often occurs at the same time as allergic eczema or asthma, and most children with alopecia areata have specific allergic genetic constitution. In addition, some children with alopecia areata are accompanied by low hemoglobin anemia and positive fecal ascaris eggs.
Hair loss in children with alopecia areata is often atypical, which can be crawling hair loss and banded hair loss along the hairline of the back of the head. Children with alopecia areata will have itching, pain and other abnormal feelings in the early stage of alopecia or in the process of alopecia, and some will be accompanied by nail damage.
9. What should we pay attention to first in the treatment of alopecia areata?
Alopecia areata, especially alopecia totalis and alopecia universalis, will bring great pain to patients, especially psychological pain. Patients seek medical advice everywhere, and their eagerness is understandable. But patients with alopecia areata should know the fact that alopecia areata is self-limiting. Although the course of disease can last for months or even years, most patients can recover completely or partially naturally.
Therefore, patients with alopecia areata should be optimistic, maintain a good mental state, not be nervous and anxious, have confidence in treatment, and actively eliminate the negative emotional and mental burden caused by alopecia. You know, there is a process of recovery from disease. The course of alopecia areata mostly lasts for more than several months, and the hair grows gradually. If you are immersed in a serious mental burden all day, it may affect and hinder the growth of hair, thus delaying the self-healing time of alopecia areata, and even causing a vicious circle and aggravating the condition of alopecia.
All the nutrition of hair comes from the brain. Under normal circumstances, the nutrition provided by the human body to the brain is limited. If the hair is too long, the consumption of nutrition will inevitably increase, and the brain may have a nutritional crisis, which will affect the normal activities of the brain. So in addition to general factors and contempt for breakfast, excessive sweets, constipation and so on. There is also a special factor that affects children's intelligence. Long hair is one of the external characteristics of women, but although long hair is beautiful, the head nutrition it consumes is hard to calculate for many years. Generally speaking, women are more prone to dizziness than men, and there are more girls with long hair than girls with short hair. It is not difficult to understand that brain overnutrition may be a reason, and the saying that "hair is long and knowledge is short" seems to have a "basis" from now on. Based on these "anecdotes", we don't take preventing this kind of hair loss as an emergency measure to avoid brain disorders, dizziness and other diseases caused by lack of nutrition. If so, alopecia areata is every cloud has a silver lining! Why worry?
What are the local therapies for alopecia areata?
For mild alopecia areata (alopecia areata is about the size of thumb, the number is 1~3, and the hair on the edge of alopecia areata is firmly attached), local treatment can be adopted, including: local blocking, acupuncture treatment, freezing and external drug treatment.
(1) block therapy: triamcinolone acetonide A (3 ~ 5mg/ml) and 2% lidocaine suspension were injected into the hair loss area in segments, once a week, and the condition could be controlled within 1 ~ 2 weeks.
(2) Acupuncture therapy: Take Shenshu, Ganshu, Taixi and Sanyinjiao, and add Xue Hai and Shu Ge. Millimeter acupuncture, tonic method, or local tapping with seven-star needle.
Another prescription: first wipe the part with ginger or raw garlic, and then pat the skin with a seven-star needle at the alopecia area, every other day 1 time,1time is a course of treatment.
Formula 1: Shenshu, Taixi Bushen Qi and Yishen Shui: Ganshu regulates liver qi; Yin fluid of Sanyinjiao Tonifying Sanyinjing; Blood and Shu Ge promote blood circulation and replenish blood.
Select points according to syndrome differentiation, and choose liver, kidney and Zusanli for blood deficiency type; Blood-heat type takes wind pool, blood sea and Zusanli; Blood stasis type, take Taichong, Neiguan, Waiguan, Sanyinjiao and Shu Fei, and tap the plum blossom needle locally, once a day/kloc-0.
(3) Cryotherapy with low-temperature liquid nitrogen: Cryotherapy with low-temperature liquid nitrogen can make the alopecia area repeatedly stimulated by cold, regulate the function of nervous system through nerve conduction, and reflect it on autonomic nerve, promote the relaxation and contraction of skin blood vessels, increase the blood supply of hair follicles, improve local nutrition and promote hair growth. Cryotherapy has the function of enhancing immunity.
The specific method is: apply a liquid nitrogen cotton swab to the alopecia area, so that thin cream appears locally, and repeat it 2-3 times after natural melting until flushing is obvious, once a week 1 time, 4 times as a course of treatment, and the cure rate can reach 93.2%. The effective rate was 100%. The fur that regrows after freezing is rough black normal hair. Practice has proved that this method can stimulate pigment cells to synthesize melanin in large quantities.
1 1. What external western medicines can treat alopecia areata?
(1) Highly effective steroid hormone preparations: such as 0. 1% Bai Wan solution, Decavan solution, Diwan solution, etc. Is prepared from hormone and penetrant such as dimethyl alum and azone.
(2) Sensitizer
Dinitrochlorobenzene: The method is to sensitize the skin with 2% dinitrochlorobenzene acetone solution, and then apply 0.00 1%, 0.0 1% or 0. 1 dinitrochlorobenzene ointment every day. The effective rate is 25%~80%.
Dibutyl squaric acid is a strong contact sensitizer with an effective rate of 28%~87%, which is more effective for adult dermatitis patients within 3 weeks after treatment. Diphenyl basic cyclic acetone is considered to be more stable than dibutyl ester and will not induce mutation. The side effects of their treatment are itching and eczema-like reactions.
Nickel sulfate: Some people use 0. 1%~0.5% nickel sulfate ointment to treat alopecia areata, and the effect is remarkable. There are no other side effects except itchy scalp.
(3) Stimulants
Diaminoxidine (minoxidil): External use can dilate blood vessels, increase blood flow of dermal papilla, directly act on hair follicles, and promote mitosis and local immune regulation of hair follicle epithelial cells. 1%~3% external cream, ointment or tincture, compound diazepam (1% diazepam, 2% azone) solution.
Nitrogen mustard hydrochloride solution: each ml contains nitrogen mustard hydrochloride 0.2% mg.
0.0 1%~0.25% anthracene ointment: it can promote the increase of superficial blood vessels and promote the regeneration.
12, which traditional Chinese medicines are effective in treating alopecia areata?
Chinese medicine has long known baldness. In addition to storing blood in the liver, the kidney dominates the bone, and its glory lies in the hair. Blood deficiency can not nourish the skin, so the hair falls off in pieces, indicating that the cause of hair loss is related to kidney deficiency and blood deficiency. In recent years, there is a theory of blood stasis, so the treatment of alopecia is mainly based on tonifying kidney, nourishing blood and promoting blood circulation. Its TCM classification is roughly as follows: deficiency of heart and spleen, deficiency of liver and kidney, liver depression and blood stasis, deficiency of both qi and blood. Patients can be treated by doctors based on syndrome differentiation, such as nourishing blood and blood, nourishing liver and kidney, invigorating spleen and qi, nourishing blood and cooling blood, soothing the liver and regulating qi, and arresting astringency and dredging collaterals.
(1) Yangxue Buxue recipe: Shen Ying Yang Zhen Dan, for example, is composed of Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Fructus Ligustri Lucidi, Semen Cuscutae and Notopterygii Rhizoma. A few patients have sore throat, dry mouth and other reactions after taking the medicine, and add Liuwei Dihuang Pill or Cao Dan Xiegan Pill. In addition, there are 20 grams of Radix Rehmanniae Preparata, Polygonum Multiflori Radix, Poria, Radix Adenophorae, Fructus Lycii, Fructus Ligustri Lucidi, Ecliptae Herba, Radix Salviae Miltiorrhizae, Fructus Tribuli15g, Notopterygii Rhizoma, Radix Saposhnikoviae, Rhizoma Ligustici15g, and Herba Schizonepetae10g for wind. Codonopsis pilosula 15g and Astragalus membranaceus15g in patients with qi deficiency; Radix Dipsaci, Rhizoma Polygonati and Fructus Schisandrae Chinensis10g are added for patients with liver and kidney deficiency; Adding Semen Persicae, Radix Paeoniae Rubra, Carthami Flos and Bupleuri Radix for qi stagnation and blood stasis; Remove Radix Rehmanniae Preparata and Fructus Lycii for those with severe damp heat, and add Rhizoma Atractylodis, Rhizoma Cimicifugae and Fructus Crataegi 15g each.
(2) Prescriptions for nourishing liver and kidney: Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Radix Morindae Officinalis, Herba Cistanches, Radix Rehmanniae Preparata, Mulberry, Notopterygii Rhizoma, Radix Paeoniae Rubra, Radix Salviae Miltiorrhizae each 65,438 02g, Rhizoma Chuanxiong and Herba Schizonepetae each 65,438 00g, which is especially effective for teenagers with short course of disease and small alopecia area. On the other hand, Herba Epimedii, Semen Cuscutae, Radix Arnebiae, Radix Rehmanniae, Herba Lycopodii, Flos Magnoliae, and Radix Angelicae Sinensis each 65438±00g, Caulis Polygoni Multiflori 20g, and Radix Puerariae 65438±02g are made into 500 ml syrup, 50 ml each time, 3 times a day, and generally it will take effect in 4 weeks.
(3) Jianpi Yiqi recipe: Gong Yi powder is the main ingredient, and Radix Astragali 30-60g, Radix Codonopsis 12g, Rhizoma Atractylodis Macrocephalae, Poria 9- 12g, Pericarpium Citri Tangerinae 6g and Radix Glycyrrhizae 12g are added. 20g of Ginseng Radix Rubri, 50g of Radix Astragali, 30g of Radix Paeoniae Alba, 45g of Atractylodis Macrocephalae, 20g of Radix Glycyrrhizae Preparata 1 2g, 30g of Cortex Cinnamomi, and 20 pieces of Fructus Jujubae, all of which are ground into fine powder. 500g of honey and 10g of refined honey10g are pills, and each pill contains 3.8g of crude drug,1pill every day.
(4) Recipe for nourishing blood and cooling blood: 9 grams of Radix Rehmanniae, Ligustrum lucidum, Alisma orientalis, Crataegus pinnatifida, Scutellariae Radix, Radix Angelicae Dahuricae and Mulberry Leaves, 24 grams of Polygonum Multiflori Radix and Ecliptae Herba, 6 grams of Radix Gentianae and Cortex Phellodendri, and 0/2g of Cortex Moutan.
(5) Shugan Liqi Prescription: Treating alopecia areata with Xiaochaihu Decoction and other prescriptions, and it has also been reported in Japan that Xiaochaihu Decoction is effective in treating this disease, especially for those alopecia areata patients related to mental factors.
(6) Gushi Tongluo Recipe: such as Ramulus Cinnamomi, Os Draconis, Concha Ostreae, Radix Paeoniae Rubra, Radix Glycyrrhizae, Fructus Ligustri Lucidi, Eclipta prostrata, Fructus Schisandrae Chinensis, etc.
13, which Chinese patent medicines are effective in treating alopecia areata?
(1) Shiquan Dabu Pill, each time 10g, twice a day.
(2) Nourish germinal pill, once 10g, twice a day.
(3) Yangxue Shengfa capsules, 4 capsules each time, twice a day.
(4) Polygonum multiflorum Thunb tablets, 5 tablets each time, 3 times a day.
(5) Angelica tablets, 5 tablets each time, 3 times a day.
(6) Qiju Dihuang Pill, 6g each time, 2-3 times a day.
(7) Yangxue Anshen tablets, 6 tablets each time, 3 times a day.
(8) alopecia areata pills, 5g each time, three times a day, or 9g each time, twice a day.
(9) Qibao Dumeidan, 65438 0 capsules each time, twice a day or three capsules each time, twice a day.
(10) Thin-coated Ganoderma lucidum tablets, 3 times a day, 4 tablets each time; Injection, 4 ml each time, intramuscular injection 1 time every day.
14. Is there any coup to cure alopecia areata?
(1) 5 grams of Chuanxiong, 20 grams of Polygonum Multiflori Radix and 30 grams of Walnut, which are smashed and soaked in boiling water instead of tea, and treated with topical drugs.
(2) Poria powder, 6 grams each time, twice a day, or 10 grams before going to bed, can also be taken orally with Poria decoction, and the effect is quite good. Poria cocos was considered by the ancients as a medicine for strengthening the body resistance and consolidating the foundation. Materia Medica once recorded that Poria cocos won't be hungry and prolong life if taken for a long time, indicating that it has the effect of tonifying deficiency and prolonging life. Modern pharmacological experiments have also confirmed that it can regulate the nervous system and improve the immune function of the body, so it is speculated that its therapeutic effect may be achieved by enhancing the immune function of the body.
(3) Tripterygium wilfordii and Polygonum Multiflori Radix are mainly made into mixture, each milliliter contains about 1g of Tripterygium wilfordii, and the adult dose is 10ml, three times a day, and two months is a course of treatment. If necessary, continue to take a course of treatment, 10 ml twice a day. The chemical composition of tripterygium wilfordii in the prescription is complex and has many physiological activities, so its pharmacological effects are also diverse. Clinical and experimental studies show that tripterygium wilfordii mainly has the functions of anti-inflammation, regulating immune function and improving microcirculation. Polygonum multiflorum Thunb. It has the functions of nourishing blood, benefiting liver and strengthening kidney, and the combination of the two can nourish liver and kidney, nourish blood and dispel wind.
(4) Treatment of intractable alopecia areata with Radix Astragali: Radix Astragali 60g, decocted in water twice, mixed, taken in the morning and evening, and taken continuously until hair regrowth. The course of treatment is 3 months to half a year, and the effective rate is 79.3%.
(5) Stir-fry Endothelium Corneum Gigeriae Galli, 25g each time, three times a day, and take it with warm water, with good effect.
15. What external Chinese medicine is used to treat alopecia areata?
Commercially available Chinese patent medicine solutions are: 10% Mylabris tincture, 20% Psoralea corylifolia tincture, 25% Zanthoxylum bungeanum tincture, alopecia areata hair tonic, etc.
Other prescriptions are as follows:
(1) hibiscus variegatus wine: 9 hibiscus variegatus flowers, 30g hibiscus skin, camphor 12g, 300ml liquor, soaked for 2 weeks and then applied externally.
(2) 7 grams of Mylabris, 0/2 grams of Rhizoma Drynariae, Siraitia grosvenorii/kloc, and 30 grams of fresh arborvitae leaves. Chop the above four medicines, soak them in 500 ml of 75% alcohol or common white wine, and apply them externally one week later.
(3) Soak capsicum frutescens 15g, fresh ginger and cacumen Platycladi in a glass of Chinese liquor, take out the wring juice and a small amount of Chinese liquor after overnight, and apply it to the affected area every morning and evening.
(4) Platycladus orientalis leaf wine: Platycladus orientalis leaf 15g, Angelica sinensis, Cuscuta chinensis and ginger, soaked in Chinese liquor (covered with medicinal powder), and applied externally one week later.
(5) Rhizoma Drynariae and Radix Polygoni Multiflori each 30g, Semen Cuscutae and Radix Stemonae each 65438 05g, soaked in 40% Chinese liquor, and applied the juice to the affected area once a week later, morning and evening.
(6) Put 90g of fresh Platycladus orientalis leaves, 45g of Kaempferia Kaempferia Kaempferia and 700ml of 75% alcohol in a bottle for 7- 10 days, then dip ginger slices in medicine and smear them repeatedly.
(7) Cut 2 1 flower and fresh ginger (Rhizoma Drynariae) into 17 pieces, put the above two medicines into a middle bowl, put sorghum wine on the top, seal the bowl with paper, put it into a pot, steam for about an hour, and rub the affected area with medicated wine 4-5 times a day, and the hair will grow after one month. This medicine is poisonous and should not be taken into the mouth.
(8) Sulfur, realgar, phoenix coat each 15g, pangolin 9g, talcum powder and pig's fat each 30g, all of which are fine powders. Mix petroleum and pig bile, mash, wrap with gauze and rub on the affected area, 2-3 times a day, and keep it for 1-2 weeks.
(9) Folium Ginseng, Folium Platycladi, Rhizoma Zingiberis Recens and Cortex Dictamni Radicis each 12g, soaked in sorghum wine for one week, and externally applied to the affected area, three times a day.
(10) 25g of Psoralea corylifolia and 25g of Eclipta prostrata were soaked in 200ml of 75% alcohol for one week, and then applied to the affected area several times a day.
(1 1) 6 grams of ginger and 5 grams of raw Pinellia ternata (ground)/kloc-0. Rub ginger on the affected area for one minute, then rub it for one or two minutes, and then rub it with raw Pinellia blending oil. Continuous application can stimulate hair growth.
16, what are the unilateral aspects of alopecia areata?
(1) Garlic external application: Garlic is pungent and warm, and has the functions of dispelling wind and cold, calming the heart and relieving itching. It is a sulfur-containing plant volatile oil, which has the functions of exciting nerves, promoting blood circulation and sweating.
(2) External application of ginger: Ginger contains "gingerol", which can excite nerves, dilate skin mucosal blood vessels and improve blood circulation. Fresh ginger juice can be used, and bald spots can be brushed with a small brush dipped in ginger juice three times a day.
(3) Wash fresh Eclipta prostrata, extract natural juice, and apply it to the affected area 3-5 times a day.
(4) Dry the leaves of Platycladus orientalis in the shade and grind them into powder, and apply them with sesame oil.
(5) Glycerol red garlic juice: Peel and mash fresh red garlic to get juice, stir the garlic juice with glycerol at a ratio of 3: 2, and then apply it to the alopecia area.
(6) External application of Pinellia ternata dipped in vinegar.
(7) 50 grams of raw Radix Aconiti powder is externally applied with vinegar, 65438 0 times a day in the morning and evening.
(8) Grapefruit core 15g, soaked in boiling water for half an hour, and externally applied to the affected area.
(9) Take Saururus chinensis (also known as grass, named after its upper three leaves can turn from white to green), mash the upper three leaves, soak them in mature vinegar (1:1) for 5-7 days, take the juice, dip it in the affected area with a white cloth, or pour it on the affected area with the palm of your hand once a day.
(10) 30g of Cordyceps sinensis, soaked in 100ml Chinese liquor for one week, filtered to get juice, and externally applied to the affected area, five times a day.
17, what western medicine can alopecia areata be treated with?
For severe alopecia areata (multiple alopecia areata, rapid facial alopecia, loose hair at the edge of alopecia areata and easy to pull out), in addition to local medication, oral drugs can be systematically applied under the guidance of doctors.
(1) corticosteroid therapy: it has been reported abroad for a long time, but the doses are very large, and some of them are as high as 120 mg of prednisone taken orally every other day. Most scholars believe that this dose therapy has early germinal response and is effective for all types of alopecia areata, including alopecia totalis and alopecia universalis. Of course, this therapy may lead to more serious side effects and a high recurrence rate after withdrawal. Therefore, except for a few cases, most of them advocate the use of low-dose regimen, which has been proved to have good curative effect in clinic. For example, adult prednisone is 20 ~ 40mg daily, and gradually reduced after 65,438+0 ~ 2 months, or adult prednisone is 65,438+0 and 65,438+05mg daily for 2 months, 65,438+00 mg daily for 3 and 4 months, 5mg daily for 5 and 6 months, and then 5 mg is taken orally every other day. Children should be given drugs according to their weight. In addition, "6, 5, 4, 3, 2, 1 therapy" was adopted, that is, 1 month took 6 tablets (30 mg) of prednisone orally every day, 5 tablets every day in the second month, and so on. These are all safe and effective drug delivery schemes.
(2) Other oral western medicine therapies: While taking prednisone, you can take thyroxine tablets (30mg daily, calcium pantothenate 60mg daily) and cysteamine acid (300mg daily) for three times, in addition to taking B vitamins and vitamin E, etc. For patients who are obviously related to mental factors, sedatives should be given, such as bromide, limianling and diazepam.
When individual cases are ineffective, oral 8- methoxyosteopontin tablets can be tried, such as long-wave ultraviolet radiation. In addition, from the point of view of correcting possible cellular immune function defects, some people have tried transfer factors, thymosin, thymosin and other immunomodulators, and achieved good results.
18, how to promote hair growth through local massage?
Massage is an ancient and practical fitness and treatment method. Hair massage can promote the local blood circulation of scalp, increase the blood supply of hair root hair balls and get more nutrition for hair mother cells? /ca & gt；
Interviewee: Shihuatan 10 1-24 22:00
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Long-term study
Responder: Eclipse Sirius-Scholar Level 3 1-25 09:40
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