基于中医理论探讨黄褐斑与失眠的阴阳气血 关联及异病同治思路

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xploring the Yin-yang and Qi-blood Co-relation in Melasma and Insomnia and the Strategy of “ Same Treatment for Different Diseases” Based on Traditional Chinese Medicine Theory

LIUChanghua，YAODong，WANGJiamei，LI Taibiao （TheFifthHospitalofXiamen，Xiamen36liO1，China）

AbstractMelasmaand insomia，aschronicdiseases，areclosely interelated in TraditionalChineseMedicine（TCM） theory.Melasma，kowas“LiheiBan（blackishfacialspots）inTCM，primarilystemsfromdfunctionof theliver，spleenand kidneys，withdisharmonyofqiandblood，qistagnationwithbloodstasisandyin-yangimbalance，ledtopoorfacialouris mentInsomnia（“BuMei”）ismainlycausedbythe“failureofyangtoenteryin”，involvingvisceraldysfunction，qi-bloddeficiency，andplegm-stasisotructionresultingindisarmonyofutrient-defense.Modemstudiesindicatetatmelasmaatints arepronetosuferfrominsomniaduetoappearance-relatedanxietyhileinsomiaexacerbatesmelasmabyaggravatinginflammtion，oxidativestress，ndhormonalimbalances，formingaviciouscyle.TCtheoryhighlightstheirsharedpathologicalbsis liverstagnation，spleendeficiency，ndkidneyinsuficiency—whichcolectivelycauseqi-bloodstasisandyin-yangimbalance.Treatmentsouldfocusonolisticsdromedferentiation，armoningyi-angndqi-blod，sothingtheliverrgthe ningthespleen，tonifyingthekidneys，ntegratingblood-activatingandmind-calming.Thisstudysystematicallyelucdateseommonpathogensisofelasaandisomniafromtheprspectivsofyi-ng，qi-lood，andzng-fuorgans，mingtoprodeew insights for clinical treatment.

KeywordsMelasma;Insomnia；Traditional Chinese medicine（TCM）；Yin-yang；Qi andblood； Zang-fuorgans；Syndrome differentiation and treatment； Same treatment for different diseases

中图分类号： R758.4+2 ;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.07.063

黄褐斑（Melasma）属中医学“黧黑斑”“肝斑”范畴，是一种以面部对称性黄褐色斑片为特征的皮肤病， 90% 患者为女性，亚洲育龄期女性发病率达30% [1]。（剩余8593字）