Seborrheic alopecia is a relatively common clinical condition. Seborrheic alopecia was the previous name for the condition, which is currently called androgenic alopecia. The main manifestation is the gradual loss of hair on the top of the head and the gradual thinning, softening and reduction of hair.
As the name implies, androgenetic alopecia means that the disease is related to androgens. It is said that the excessive secretion of androgens causes hair loss. This disease currently has several causes: one is genetic factors; one is endocrine factors; one is the psychological factors caused by excessive social pressure. The earliest manifestation of seborrheic alopecia is greasy hair, which gradually falls out and eventually becomes very little and exposes the scalp.
It is recommended that seborrheic alopecia should be treated early, because once it falls out, it is difficult to grow back, so the purpose and key of treatment is to control the hair to keep it from falling out.
I have divided the treatment of seborrheic hair loss into three steps.
The first step is to control the head oil. Make the hair less greasy. Many people who have hair loss will feel that if their hair is greasy, they will lose a lot of hair, but if their hair is fresh, they will lose less. So the first step in controlling seborrheic hair loss is to control head oil and regulate endocrine secretion. In this step, personal experience using Chinese medicine evidence-based treatment, according to the different prescriptions of men and women with changes in medicine. For men I generally use the method of clearing heat and removing dampness to strengthen the spleen. Male patients tend to stay up late, drink alcohol and other causes of spleen and stomach damp heat, is a major cause of greasy hair. Female patients mainly dredge the liver and blood to dispel dampness and control oil treatment.
The second step requires strengthening the spleen to dispel dampness. Adjust the state of body functions. At the beginning, there is dampness and heat, and after the dampness and heat is cleared, the state of spleen deficiency gradually shows up, so the spleen needs to be strengthened to remove dampness. When the hair is not greasy at all, the hair sheds less or does not shed anymore, then take the third step, the method of tonifying the kidneys and strengthening the spleen to let the hair grow out partly.
At present, hair loss treatment can only be controlled, there is no very reliable way to make hair grow back completely. That’s why I have made control of hair loss my main effort. The following is the first step of the treatment. That is, hair loss control. My regular tricks are the following.
1.Oil control to stop hair loss
For male patients with obvious greasy hair, use spleen strengthening and heat clearing to dispel dampness. I use Hawthorn Qu Ping Stomach San plus reduction.
Hawthorn Qu Ping Stomach San prescription composition: raw hawthorn 10g, Shen Qu 10g, Hou Pu 10g, Cang Zhu 15g, Chen Pi 10g, raw licorice 6g, Dandelion 15g, Sheng Di Huang 15g, Phellodendron 15g, Sour date 15g, Dan Shen 20g, Lady’s mantle 15g, Mulberry 15g.? The above is the basic formula.
The basic formula will be further reduced according to the individual situation. If the damp-heat in the spleen and stomach is more serious, showing a red tongue, thin yellow tongue coating, and a slippery pulse. Add gong ying, mudanpi, and di ding. If dampness is predominant, the tongue coating is yellow and greasy, and the tongue body is fat. Drugs that focus on dispelling dampness, patchouli, pelargonium, calamus, poria.
Application points: male patients with TCM evidence belong to damp-heat in the spleen and stomach, usually with heavy breath, dry or sticky stools, and greasy hair. At the same time there is no fear of cold hands and feet cold and lumbago. Patients with other conditions with obvious kidney deficiency and spleen deficiency are not in the scope of application of the sub-formula and need to be prescribed according to individual conditions.
For female hair loss use soothing the liver and Qi, nourishing the blood and strengthening the spleen to dispel dampness. The formula I commonly use is Chai Hu, Gui Zhi and Gan Jiang Tang combined with Angelica Sinensis and Peony San.
Prescription composition: Chai Hu 12g, Gui Zhi 15g, Dry Ginger 10g, Pollen 10g, Oyster 20g, Angelica Sinensis 15g, Radix Paeoniae 15g, Poria 15g, Atractylodes Macrocephala 15g, Ze Di 15g, Chuan Xiong 10g, etc.
Application points: female patients with obvious hair loss and no obvious damp-heat symptoms are recommended to use this formula.
The above two prescriptions are the basic prescriptions that I commonly use in the clinic, and most of them are so used. You can apply them under the guidance of Chinese medicine practitioners, and the specific changes need to be added or subtracted according to individual conditions.
Both men and women can take small doses of Tylenol orally when their hair is particularly greasy, which can quickly control greasy hair. However, Tylenol is not recommended for men and women who are planning to have children. After all, this medicine has an effect on the fetus.
The above is the first step, this is also the most critical step, the course of treatment is relatively long, generally take three months or even longer. After the first step is done, you are basically halfway there. After the head oil disappears, the hair loss will end naturally. Then use the hair growth method of strengthening the spleen and tonifying the kidneys to promote hair growth.
2.Strengthen the spleen and dispel dampness, regulate body functions
Personal experience often uses Ginseng and Atractylodes, Dampness dispelling and hair strengthening soup, etc. to strengthen the spleen and dispel dampness. There are differences in medication for individual cases. Need to depend on the specific situation.
3.Growing hair
The third step is to regrow hair, once the hair falls out, regeneration is very difficult, we learn from domestic and foreign experience, combined with their own clinical practice, and constantly sum up experience, the use of Chinese medicine internal medicine with kidney tonic hair tincture fractional laser import, play a certain effect. The fractional laser can stimulate the environment around the hair follicle and promote hair regeneration.
Of course, the above three steps are not isolated treatments, but comprehensive treatments according to individual conditions.
Regarding hair loss treatment, the following points should be noted.
1, early detection and early treatment, do not wait until the hair becomes Mediterranean, and then it is too late to cure.
2, the strip smooth mood is very important, keep a relaxed mood is conducive to control hair loss, but also conducive to the growth of new hair.
3, to adhere to a sufficient course of treatment. Hair loss treatment is a course of treatment by quarter, not by week, not by month. So the treatment must be adhered to and not abandon the treatment.