Theory, formula, method and medicine for the treatment of seborrheic alopecia

        Alopecia belongs to the category of “hair moth alopecia” and “hair ringworm” in Chinese medicine. Ancestral medicine believes that hair loss is mostly related to liver and kidney, qi and blood. “Hair for the kidney of the wait, “hair for the blood of the remainder”, the liver collects blood, the kidney collects essence of the main bone, for the innate essence, its Hua in the hair, liver and kidney essence and blood of the same origin, so the liver and kidney essence and blood nourish each other, together for the hair growth of the necessary substances. The “Nei Jing” cloud: “blood is strong, the kidney is strong, the kidney is strong, the bone marrow is full, so the hair black; blood is weak, the kidney is weak, the kidney is weak, the bone marrow is depleted, so the hair white and fall off.” If the endowment is insufficient, excessive thinking, strain the liver and kidney, deficiency of essence and blood, the hair is not moistened, the hair withers and falls off. Prof. Chen Dacan believes that the imbalance of liver and kidney yin and yang, especially the kidney yin deficiency is the main cause of seborrheic alopecia. Most patients, because of the study and work tension, often stay up late, sleep deprivation, long kidney yin dark depletion, resulting in imbalance of yin and yang, yin and blood deficiency, then hair growth without source, hair root emptiness and hair fall. The occurrence of seborrheic alopecia is not only related to the “deficiency” of liver and kidney qi and blood, but also closely related to the “reality” of dampness and heat. Su Wen – Five Organs Generation Chapter said: “The main spleen is also, therefore … eat more sweet, then bone pain and hair fall.” The spleen is the main organ of transportation and transformation, and it is the basis of the latter. If the diet is not controlled, excessive eating of fatty, sweet and thick flavors, spicy wine and fried products, it is easy to cause the spleen to be damaged, the spleen loses its health and transportation, water and dampness will stop inside, and if the depression turns into heat, dampness and heat will be generated inside; therefore, it is important to treat this disease by emphasizing tonifying the kidney and strengthening the spleen, and taking into account clearing heat and dispelling dampness.      In clinical practice, the treatment of seborrheic alopecia is mostly based on the three aspects of (liver) kidney, spleen and dampness-heat, and the treatment emphasizes on the flat tonification of liver and kidney, benefitting qi and strengthening spleen, striving to nourish water and benefit essence to contain wood, strengthening spleen and benefitting qi to produce blood, cultivating the latter to promote the innate, and taking into account the clearing of heat and dispelling dampness. In the formula, Huang Qi tonifies Qi and fixes the table, tightens the hair root, so that it is not easy to fall off; Huai Shan, Prince Ginseng (or Dang Shen), Bai Zhu strengthens the spleen and benefits Qi; “The Materia Medica Preparation” says that Female Zhen Zi can “nourish the liver and kidneys, stabilize the five organs, strengthen the waist and knees, brighten the ears and eyes, and darken the hair”; “The Materia Medica Compendium” says that Dry Lotus Grass can “darken the moustache hair and benefit the kidney yin”. “The two drugs used together to calm the Yin of the liver and kidney; He Shou Wu nourishes the liver and kidney, benefits the essence and blood, and wu hair; Yun Ling and Ze Xie strengthen the spleen and permeate dampness, and avoid nourishing too much; Dried Di Huang and Dan Shen clear heat and cool the blood to activate the blood, and Dandelion clear heat and dampness to dispel fat, which can prevent this formula from being too warm and dry, which can harm the Yin and fluid, essence and blood; Licorice nourishes the spleen and benefits the Qi, and harmonizes the drugs. The combined use of all the herbs will help to tonify the liver and kidney, benefit the Qi and invigorate the blood, clear heat and dispel dampness, and enlighten the hair. For oily seborrhea with strong secretion of sebaceous glands, greasy hair and heavy damp-heat, add Fu Ling, Mian Yin Chen, Sheng Shanzha, Bu Jie Ye and Bai Hua Shi Tong Cao to strengthen the power of clearing heat and removing dampness to dispel seborrhea. If the scalp is very itchy, add Bai Xian Pi, Di Shen Zi, and Sclerotium to dispel wind and relieve itching. If the hair is scorched and dried, with more dandruff and dryness due to blood deficiency (heat) and wind dryness, add Radix Paeoniae Alba, Radix Angelicae Sinensis, Radix Angelicae Sinensis, Radix Rehmanniae Sinensis, Radix Tribulus terrestris, Radix Phellodendron Bidentatae to nourish (cool) blood and dispel wind and moisten dryness. For those with soreness and weakness of the waist and knees and frequent nocturnal urination, add Fructus Lycii, Semen Cuscutae, Rhizoma Polygonati, Radix et Rhizoma Polygonati, Radix et Rhizoma Polygonati and Cornu Cervi Pantotrichum to enhance the function of nourishing the liver and kidney and filling the essence and blood. For those with irritability, dry mouth, ulcerated tongue, red tongue with little coating, and thin pulse with Yin deficiency and fire, add Mulberry, Zhi Mu, Huang Bai, and Xuan Shen to nourish Yin and clear heat and fire. For those with mental tension and insomnia, add oyster, dragon’s tooth, nightshade, helianthus bark and sour date palm to calm the mind and relieve depression. The use of astragalus to nourish the hair, and the use of salvia and gong ying to benefit the hair “qi is the handsome of blood”, qi can generate blood, blood, blood, blood intake. Some experts believe that between qi, blood and hair, qi occupies an important position. Qi is sufficient to promote the production of blood, which is conducive to the production and fixation of hair; the smooth flow of Qi can promote the operation of blood, which is conducive to the moistening of hair, so the prosperity of Qi directly affects the glory and solidity of hair. In clinical practice, many patients with fat loss often have signs of qi deficiency, such as general weakness, easy fatigue, spontaneous sweating, weak pulse, etc. If the treatment is simply applied to nourish the liver and kidney and nourish the blood, the effect is often slow, at this time the use of raw astragalus (30g), to take its function of nourishing the qi and blood to produce and fix the hair, the effect is significant and the treatment is consolidated. The appropriate addition of Danshen and other blood-stasis activating herbs in the formula can change this blood flow condition. Salvia miltiorrhiza is bitter and slightly cold in taste, and has the effect of activating blood circulation, removing blood stasis, clearing heat and cooling blood, nourishing blood and calming the mind. Modern experimental research shows that Salvia miltiorrhiza can dilate subcutaneous capillaries, improve microcirculation, enhance hair follicle nutrition and promote hair regeneration. Its active ingredient, Salvia miltiorrhiza, has moderate estrogen-like activity, anti-androgenic hormone, regulating immune function and antibacterial and lipid dispelling effects. Clinically, 20-30g of Salvia miltiorrhiza is commonly used for treatment, and patients are instructed to put it down after decoction to avoid decreasing the effect of salvia ketone after long decoction at high temperature. Clinical observation also found that dandelion clears heat and dampness, has a good effect of dispelling fat, can reduce the secretion of oil, which helps to improve the symptoms of the disease, a large amount of use (dosage of 30g), the effect is quite good. The Compendium of Materia Medica says that dandelion has the effect of “wooshing hair and strengthening tendons and bones”, and modern pharmacology also proves that it contains inositol, which indeed has the effect of promoting hair growth.    In terms of topical medicine, for those with itchy scalp and dandruff, use anti-itch hair growth tincture (containing fishy grass, dahurica, borneol, dafengzi, white fresh skin, licorice, peppermint, etc.) for external application and seborrheic lotion B (composed of tea seeds, chrysanthemum, Xu Changqing, Phellodendron, dahurica, peppermint, etc.) for shampooing to remove dandruff and relieve itchy hair growth; for those with obvious seborrhea and greasy hair, use seborrheic hair growth tincture (containing Xianhecao, Huo Xiang, Phellodendron, bitter ginseng, etc.). If the hair is greasy and seborrhea is obvious, we should use the tincture of seborrhea and hair growth tincture (containing Cynthia, Patchouli, Phellodendron, Bitter Ginseng, Golden Sulan, White Fresh Pepper, etc.) and seborrhea lotion S (the main ingredients are sublimated sulfur, rhubarb, menthol, etc.) to wash the affected area to remove seborrhea and hair growth. At the same time, with the plum blossom needle acupuncture, TDP ShenLan (i.e. high efficiency electromagnetic wave treatment instrument) irradiation hair loss area and DanShen injection acupoint injection bilateral hand/foot SanLi points, its effect is quite remarkable. Plum blossom needle percussion and TDP lamp irradiation therapy can unblock the meridians, run qi and blood, improve blood circulation in the hair loss area, and stimulate the hair follicles, stimulate hair growth points, and have the effect of promoting hair growth. The injection therapy at the Sanli points of both hands and feet can strengthen the spleen and stomach and benefit the biochemical source of qi and blood, so that the qi and blood will be abundant, the meridians will be smooth and the hair will be moistened.    In addition, anxiety, depression and other psychological imbalances and mental tension, as well as poor diet and lifestyle habits, can often aggravate or trigger the disease. Therefore, while paying attention to drug treatment, it is also necessary to cooperate with appropriate psychological treatment, patiently make good explanation work, eliminate the patient’s psycho-neurological triggers, and reasonably adjust their diet structure, correct bad habits, the three-pronged approach will certainly improve the efficacy and shorten the course of treatment.  In addition, some experts in the treatment of this disease, according to the individual situation, the following prescriptions are also good results: 1. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 2. 3. 3. 3. 2. 3. 3. 3. 3. 3. 3. 200g. 4.Shen Ying Yang Zhen Dan (“The Authentic Book of Surgery”): Radix Angelicae Sinensis, Chuan Xiong, Bai Shao, Tian Ma, Qiang Wu, Shu Di, Mu Gua, Cuscuta.  5, Gui Zhi Bai Ye Tang: Shou Wu 3 money Gui Zhi 3 money Dan Pi 3 money Sheng Di 3 money Bai Ye 3 money Ginger 3 money Ginseng 3 money Agaricus 3 money, decoction of half a cup, served warm. Yellow astringent early white, add mulberry, black beans. Yang failure of earth moisture, add dry ginger, poria. Lung gas is not full, heavy use of astragalus, the lung is the main skin hair so also. (cypress leaf, ginger and ginseng together with cinnamon branch, shouwu gum ground together with dandruff, hair scorching must fall all can be treated, Ying and Wei double cultivation to consolidate the original branch) 6, five accumulation of San, Xiao Chai Hu Tang.  7, experience formula: Shou Wu 9 side cypress 6 mulberry 6 angelica 6 cinnamon 1.5 yam 6 dry ginger 3 poria 6 floating wheat 12 rose hips 3.