The image of a father? Tall, simple, majestic… but in some families, does the image of a father also include “thinning hair”, “receding hairline”, “bald poop”, etc.? “etc.? Today is Father’s Day, so let’s also focus on the issue of male hair loss!
There are so many causes of male hair loss, which can be related to race, age, family history, external environmental factors, lifestyle habits, mental conditions and other factors . Among the many reasons, there is a kind of hair loss is the most common, that is – androgenic alopecia, also known as common baldness, early baldness, male pattern baldness, because more with seborrhea, previously known as seborrheic alopecia, the disease is a common disease in the dermatology clinical, multi-morbidity, is also one of the difficult to treat disease, the disease process slowly and the incidence increases with age. It not only affects the quality of life, but also has a negative psychological effect on the patient.
The most common form of hair loss is androgenetic alopecia (MAGA), which affects up to 80% of men and 50% of women and causes a progressive loss of hair diameter, length and pigmentation.
The commonly used hair loss classification methods are: Hamilton-Norwood and Ludwig classification for female pattern hair loss; BASP classification, which covers the different characteristics of male pattern and female pattern and is closer to the Asian population hair loss type, is a more practical and easy to grasp and remember method (Figure below).
Currently, there are two FDA-approved treatments: minoxidil and finasteride. Minoxidil was the first over-the-counter drug approved by the FDA for the treatment of hair loss. Minoxidil may promote hair growth by stimulating the proliferation and differentiation of hair follicle epithelial cells, by promoting angiogenesis, and by increasing local blood supply through upregulation of VEGF expression in hair papilla cells. Finasteride is the first 5a-reductase inhibitor approved by the US FDA for clinical use. It is a highly effective inhibitor of type II 5a-reductase, which acts on the dermal ritual head area to inhibit the conversion of testosterone into dihydrotestosterone by type II 5a-reductase, thus reducing the serum and hair follicle dihydrotestosterone levels. The usual dosage of 1mg/d, adverse effects include mild liver function abnormalities, sexual dysfunction, moderate to severe depression, mood disorders, sleep and eating habits abnormalities.
Chinese medicine’s understanding of hair loss
Chinese medicine has an earlier understanding of male hair loss, and believes that the growth and metabolism of hair originates from the internal organs, is based on the essence and blood, glorifies the meridians and grows in the skin couples. The Ling Shu – days and years” contains; “forty years old, the five organs, six internal organs, twelve meridians, are large Sheng to calm, couples began to thin, glory hair declined, hair temples gray.” And the “Golden Horoscope” contains “the loss of essence home, dazzling hair fall, the pulse is extremely hole pulse late.” Chinese medicine called “hair spot hair loss”, “moth-eaten hair ringworm”. As early as in the Nei Jing, hair loss is called “hair fall”, “hair plucking”, “hair fall”. The Book of Difficulties calls it “hair fall”. Prof. Xuan of our hospital emphasized the cause of this disease, while his disciple Prof. Chen suggested that most of the patients, due to the stress of study and work, often stay up late and do not get enough sleep, resulting in the dark depletion of kidney yin, resulting in the imbalance of yin and yang, the lack of yin and blood, then there is no source of hair growth, the hair root is empty and the hair falls.
External treatment method
Accurate medication is not easy, and some patients are unable or unwilling to take oral medication, so the choice of external treatment for hair loss is also very popular in the treatment, in ancient Chinese medicine, the relevant descriptions are.
In ancient Chinese medicine, the relevant descriptions are: “Ancient and modern medical unification book” melon leaf: cure people without hair, pounding juice to apply it will be born. The evidence of the treatment of the standard”, “thousand gold to formula” hemp seeds, hemp leaves, mulberry leaves: treatment of hair fall does not grow, so long, hemp seeds a liter, boiled so black, pressed oil, to put on the hair; hemp leaves, mulberry leaves two, boiled in slop, hair seven times, can grow six feet. The “Meishi formula” side cypress leaves: hair does not grow, side cypress leaves dried for the end, and sesame oil to apply it. The herbal formula of the Complete Book of Medicine barley: long eaten, the hair does not gray. It can be seen that the ancients have attached great importance to the treatment with external treatment method.
The patient also has some easy ways to deal with hair loss at home, such as the following simple topical recipe recommended by me: 20g of fresh Phellodendron leaves, 20g of bone marrow, 10g of safflower, 20g of heshouwu. practice: soak in 50-65% white wine, occasionally shaking 14 days to take the impregnation solution, strain, put in a bottle and set aside. Apply 2ml/time daily on the hair loss area, once in the morning and once in the evening, for several months.
The “Compendium of Materia Medica” said that the leaves of Phellodendron are mainly used to treat “hair loss”. Some studies have shown that the hair growth and hair growth effect of Phellodendron is mainly due to the total flavonoids of Phellodendron can activate the hair cells and promote scalp blood circulation, revive the hair growth capacity of the declining hair follicles and promote blood circulation, supplement the head of nutrients and play a role in hair nourishment, hair growth. In addition, patients can also use freshly squeezed ginger juice applied externally to the hair loss area, once in the morning and once in the evening, which also has a good effect.
Acupuncture also has its own unique advantages in the treatment of male pattern baldness. This includes skin needling, milli-needling, acupuncture point injection, moxibustion, and fire needling. Among them, the more used is the percussion method. The sites of percussion include: hair loss area, cervical vertebrae (1-7) area, and the meridian patrol line of the foot three Yang meridians. The tools used include plum blossom needle, electric plum blossom needle, and trigeminal needle. Acupuncture can improve the blood volume of cerebral circulation, increase the amplitude of cerebral blood flow, and improve the neurohumoral and endocrine dysfunction of the whole body in patients with alopecia areata, including the improvement of the function of the vegetative nervous system that governs vasoconstriction and diastole and the correction of sebaceous gland dysfunction, which has significant effects.
Food therapy
If patients with alopecia areata can reasonably adjust their dietary structure so that they have sufficient qi and blood in their bodies, they can promote hair regeneration and improve symptoms such as hair loss, dry hair and easy breakage.
1. boiled eggs with Radix et Rhizoma Polygoni
Ingredients: 10 grams of Radix et Rhizoma Polygoni, 2 eggs.
Usage: Boil the eggs together with the Radix et Rhizoma Polygonati in a pot with an appropriate amount of water over a moderate fire, peel off the shell after the eggs are cooked and continue to boil for 5 minutes.
It is suitable for patients with symptoms such as dizziness and weakness, dry skin, massive hair loss, premature graying of beard or scorched hair, etc. It is more effective for those who are “deficient in tonic”.
2. Sheep bone porridge
Ingredients: 100-150 grams of glutinous rice, 1 to 2 sheep shin bones, 10 cinnamon, 10 red dates.
Usage: Pound the sheep shin bone, and red dates, cinnamon, glutinous rice together into a pot with the right amount of water boiled until the glutinous rice is cooked, can be long-term use.
Efficacy: This formula has the effect of tonifying kidney energy, strengthening tendons and bones, strengthening the spleen and stomach, and nourishing hair, and is suitable for patients with symptoms such as lumbago and weakness, dizziness and dizziness, loss of appetite, and massive hair loss.
3. Winter melon and grass carp casserole
Ingredients: 500 grams of winter melon, 250 grams of grass carp, salt, monosodium glutamate, vegetable oil in appropriate amounts.
Directions: Peel the winter melon, wash and cut triangular pieces, grass carp, clean and leave the tail to be used. First fry the grass carp (with tail) in oil until golden brown, take a casserole, put the appropriate amount of water inside, put the fish, winter melon together into the casserole, first boil the fire, and then change the fire to stew until about 2 hours, the soup see white, add salt, MSG seasoning can be eaten.
Efficacy: This formula has the effect of calming the liver, dispelling wind, dampness and heat, suitable for dampness and heat fumigation type, the plain wanton eating fatty, sweet and thick taste, hair thinning and falling off, accompanied by shiny scalp flush, dandruff more obvious or itchy hair.