基于"阴阳水火气血论"辨治围绝经期黄褐斑OA

Perimenopausal chloasma,a common pigmented skin disease in women during a special physiological stage,is characterized by a high incidence rate,easy diagnosis but difficult treatment,and a high recurrence rate.Based on the theory of"yin-yang,water-fire and qi-blood"in Xue Zheng Lun written by Tang Rongchuan,this article explored the etiology,mechanism,syndrome differentiation,and treatment of perimenopausal chloasma.It proposed that the imbalance of yin and yang is the initiating factor for the occurrence of this disease;the disorder of qi and fire is the key link in the progression of the disease course;and the mutual binding of phlegm and stasis is the core pathogenesis of the protracted illness.In treatment,first,nourishing the liver and kidney,replenishing essence and enriching blood are used to strengthen the root;second,regulating qi movement and subduing excessive fire are used to treat the symptoms;finally,resolving phlegm and removing dampness,promoting blood circulation and dispelling stasis are used to eliminate the stubborn stagnation.By regulating the smooth flow of qi and blood in the body,achieving the balance between water and fire,and maintaining nutritional equilibrium,continuous improvement of skin pigmentation can be achieved,which would provide new ideas for improving the syndrome differentiation and treatment of perimenopausal chloasma.