Alopecia areata is the phenomenon of hair loss. Normal hair loss is the hair in the regressive and resting phases. It is possible to maintain a normal amount of hair because the hair entering the regressive phase and the new hair entering the anagen phase are constantly in dynamic balance. Pathological hair loss refers to abnormal or excessive hair loss, which has many causes.
I. The causes and types of hair loss
1, androgenetic alopecia: also known as seborrheic alopecia. It is an autosomal dominant genetic trait, and its genetic characteristics need to be manifested only under the action of androgens. Generally male onset, but there are also female onset. Characterized by more oil, the top of the head and both sides of the temples hair loss obvious.
2, neurogenic alopecia: also known as spot baldness. Increased hair loss often occurs when there is excessive mental stress. Under the effect of mental stress, the human body’s hair standing muscle contraction, hair upright, plant nerve or central nervous function disorders, hair follicle papillae change and malnutrition, resulting in hair growth function inhibition, hair into the resting phase and hair loss. It is characterized by patchy round hair loss. People are commonly known as ghost shaving.
3, endocrine alopecia: hair growth is affected by a variety of endocrine hormones, so when endocrine abnormalities occur more hair loss disease, such as postpartum, menopausal hair loss. See in women.
4, nutritional alopecia: hair is the external manifestation of the body condition, malnutrition and metabolic abnormalities of the body can cause changes in hair quality and hair color, severe malnutrition even lead to diffuse alopecia.
5, physical hair loss: common physical factors that cause hair loss include mechanical stimulation and exposure to radioactive substances.
6, chemical alopecia: chemical factors can lead to hair color change or even hair loss. Commonly dyed and permed hair patients.
7, infectious alopecia: infection by various pathogens is an important factor in hair diseases, mainly including bacteria, viruses, fungi, spirochetes, parasites and other infections. It is common in patients with tinea capitis.
8, symptomatic alopecia: certain systemic or local diseases can be accompanied by hair loss. Commonly seen in systemic lupus erythematosus, syphilis, anemia and other diseases.
9, congenital alopecia: developmental defects caused by the complete absence or thinning of hair, patients commonly thin and fine hair, or normal hair at birth, soon after shedding without regeneration, can be divided into isolated defects and other deformities.
10, seasonal hair loss: generally easy to lose hair in summer, because the high temperature of summer pores expansion lead to hair loss, autumn and winter is not easy to lose hair, because the temperature of this period down pores closed.
Second, the effective treatment of hair loss
Western medicine treatment
1, available minoxidil tincture external rub, finasteride oral, scalp hair implantation is also one of the important options.
2, pathological hair loss should be treated for underlying diseases, the hair will grow back after the body recovers.
3, chemical hair loss do not use irritating hair dyes, perms and poor quality shampoos.
4, physical hair loss do not use static-prone plastic combs and plastic head brushes, wear protective caps and wash your hair in time in an environment with serious air dust pollution.
As you can see, the treatment of Western medicine is relatively limited, that is, there is no special treatment methods and means. Such as taking hormones may have significant side effects.
Chinese medicine treatment
Chinese medicine believes that: hair not only has a cosmetic function, but also is the external sign of the body’s qi and blood strength and weakness.
1, kidney deficiency said, “Yellow Emperor’s Classic of Internal Medicine” contains: women seven years old, kidney qi real, teeth more hair long …… five seven, Yangming pulse failure, face began to scorch, hair began to fall. Husband five eight, kidney qi decay, hair fall teeth wither. It can be seen that the condition of the hair is closely related to the kidney qi. Patients with kidney deficiency are usually treated with Liu Wei Di Huang Wan or Zhi Bai Di Huang Wan plus or minus.
2, lung damage said, Zhang Zhongyan said, the lung is the main skin hair, lung failure, the skin hair first extinction. It is known that the hair around the body, all the lungs are the main, check its hair color withered, can detect (sound cicada) the disease of the lung. The lung is the lung, the main qi, lung qi is strong can help the fluid and blood propagation and perfusion, internal is glorified internal organs, external is nourished skin skin hair empty orifices. Patients with lung qi deficiency are generally treated with Yu Ping Feng San.
3, blood stasis, “blood evidence theory? Stasis of Blood” says “Stasis of blood in the upper jiao, or hair loss is not born”. The “Medical Lin Correction” says that “hair falls out, all medical books say that blood is injured, but I don’t know that blood stasis outside the skin and flesh block the blood path, new blood can’t feed the hair, so the hair falls out”. Patients with blood stasis are usually treated with Peach and Red Four Things Soup.
4, blood heat, “Confucianism” said: “young hair white early fall, this blood heat is too much, the world only know that the hair of the blood of the remainder, blood failure, so ear! Do not know the blood heat and hair against not luxuriant; liver wood, fire more water less, water against not glory, fire to the top, the inflammation of the very top also, heat illness after sweating, hair more off. The “Medical book” said: “too much pungent hot medicine and eyebrow hair fall off, is the liver blood injury and fire, not wind also”, “medical whatsay” said: “young hair white early off, or head white flakes, blood heat is too much. (mostly refers to oily hair loss and juvenile gray hair). The patient with blood heat is usually treated with Qing Ying Tang or Rhizoma Dihuang Tang.
5, blood deficiency said, “the source of diseases said:” Chong Ren of the veins, called the sea of blood ……, if the blood is weak, the meridians are exhausted, can not glory, so hair hair fall “. Patients with blood deficiency are generally treated with Siwu Tang.
6, damp heat, said the Qing “clinical guide” said “wet from within, must be next to clean wine and liquor excess, or addicted to drinking tea and soup, or eating cold melons and fruits and sweet and greasy things”. It means that eating fatty and sweet, easy to damage the stomach and hurt the spleen, damp-heat contained within, through the meridian on the top of the steam, erosion of the hair root and fall off. Patients with damp-heat evidence are usually treated with Artemisia Inchi soup or Ermiao pill. (Oily hair loss) The above can be summarized into two categories: deficiency and actual, deficiency refers to deficiency of qi and blood, liver and kidney deficiency, and actual refers to blood heat or blood stasis.