基于中医体质学说的"毛-肤-体"辨治模式探讨OA

Hair disorders are characterized by complex etiologies and protracted clinical courses.Although conventional local symptomatic treatments can improve symptoms,they remain limited in reducing the risk of recurrence.This paper extends the"theory of traditional Chinese medicine(TCM)constitution"and the"theory of skin-constitution correlation"to the field of hair disorders and explores the establishment of a"hair-skin-constitution"differentiation and treatment model.The model clarifies the pathogenic progression characterized by"constitution as the root,scalp as the pivot,and hair as the external manifestation"and summarizes the associations between eight biased constitution types and hair disorders.On this basis,a three-dimensional integrated assessment of hair,skin,and constitution is proposed,together with a composite diagnostic classification incorporating constitution type,disease diagnosis,disease stage,and severity,as well as a stage-specific efficacy evaluation approach.A clinical differentiation and treatment strategy and a full-cycle implementation process are further developed according to the principles of"constitution regulation as the core,disease-specific treatment as the supplement,and stage-based adjustment according to disease progression."By integrating TCM constitution theory with the clinical management of hair disorders,this model may provide a theoretical and practical framework for the holistic and individualized prevention and treatment of hair disorders.