Director Zhang Fengchuan's Treatment Of Chloasma And Its Drug Characteristics

Purpose:By organizing,summarizing,concluding and discussing his clinical diagnosis and treatment experience and medication characteristics,the paper is aimed to systematize to facilitate the inheritance and development of the experience and medication of zhang,and provide new ideas and methods in treating chloasma.Methods:The first part sums up ideas of chloasma's syndrome differentiation and medication characteristics of professor Zhang.At the same time,reading the articles written by professor Zhang to understand further the academic thoughts of tutor.Then,Discussing and analysing chloasma's syndrome differentiation and medication with professor Zhang combined with traditional Chinese medicine classic and typical cases.On the other hand,a total of 165 cases of chloasma were collected when I was in the clinic.On the basis of collecting analysis cases,we make experience induction and idea deduction.Finally.by statistical approach,we explore Zhang's rules and characteristics of clinical medicine.Results:On the etiology and pathogenesis of chloasma,professor Zhang puts forward"deficiency of kidney and blood stasis"as the core.According to the development of the disease and the syndrome differentiation.he emphasizes heat impairing collaterals in earlier stage,deficiency of Qi,blood,Yin and Yang in the later stage.In the treatment,it is necessary to tonify kidney and activate blood circulation,and the treatment is divided into stages.On the drug,professor Zhang uses Meibaiyurong Decoction to tonify kidney.activate blood circulation,clear heat,dispel melancholy and soothe the nerves to treat chloasma according to the core pathogenesis.Externa prescription is prescription of HuoxueWaifu to skin whitening and nourish skin.External bathing prescription is prescription of HuoxueWaifu to warm yang,activate blood circulationand and dredge collaterals.The frequently-used prescriptions and herbs are Yueju Wan.Guizhi Tang,Qinghao Biejia Tang.The frequently-used herb pairs are Albizia Julibrissin and Lilium Brownii,Rhizoma Pinelliae Preparata and Bamboo Shavings,Rhizoma Alismatis and Herba Lycopi,Pseudo-Ginseng and Safflower Carthamus,Inula Japonica Thunb and Loofah Sponge,etc.Professor Zhang raises the following points on the treatment of chloasma.Chloasma's core pathogenesis is "kidney deficiency and blood stasis".The treatment divides into two stages.It also pays attention to the adjustment of three aspects.His treatment experience is concluded as "One core,Two stage,Three factor".The idea of "treatment chosen according to climate,locality and individual" applys to the treatment of chloasma.Treating chloasma both inside and outside.Conclusion:Professor Zhang has his own unique ideas and experience about diagnosis and treatment of chloasma.He consider that the core pathogenesis of chloasma is "deficiency of kidney and blood stasis",tonifying kidney and activating blood circulation is principal therapeutic principle and emphasizes the treatment of chloasma should divide into two stages.He has particular ways of syndrome differentiation,and flexible medicine usage.According to climate,region,individual and so on,He Treat chloasma based on syndrome differentiation,makes good use of external treatment,and pay attention to the adjustment of patient's mood,sleep,constitution.The application of traditional Chinese medicine method obtains good effect in clinical practice.