Alopecia - You Feng

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Contents

Definition

Alopecia areata – focal hair loss , alopecia totalis – total scalp hair loss and alopecia universalis – total hair loss of whole body.

Causes and Pathological Mechanisms

Patterns

Blood Heat with Wind and Dryness

  • Symptoms: Sudden hair loss, occasional scalp itch, hot feeling in the head, vexation and irritable, quick temper and anxious.
  • Tongue: Thin tongue coating
  • Pulse: Wiry
  • Treatment strategy: Cool blood to stop wind, nourish yin to generate hair
  • Formula: Si Wu Tang plus Liu Wei Di Huang Tang
  • Acupoints:

Qi and Blood Stagnation

  • Symptoms: Long history of hair loss with headache or chest and hypochondriac pain before hair loss occurs, vexation and insomnia with nightmares.
  • Tongue: Ecchymosed
  • Pulse: Deep and Thready
  • Treatment strategy: Remove stasis to open the orifice
  • Formula: Tong Qiao Huo Xue Tang
  • Acupoints:

Qi and Blood Deficiency

  • Symptoms: Hair loss after illnesses or child birth and progressively worse, hair dry and weak, easy to break and fall out, pale lips, palpitation, lassitude, short of breath.
  • Tongue: Pale
  • Pulse: Weak
  • Treatment strategy: Tonify qi and blood
  • Formula: Ba Zhen Tang
  • Acupoints:

Liver and Kidney deficiency

  • Symptoms: Long history of hair loss, weak and grey hair, diffuse hair loss in large area or even whole body, dizziness, tinnitus, weak and achy back and knees.
  • Tongue: Pale tongue with exfoliated coating
  • Pulse: Thready
  • Treatment strategy: Nourish to tonify liver and kidney
  • Formula: Qi Bao Mei Ran Dan
  • Acupoints:

References

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