1, try to avoid taking vitamin C, and eat less or no vegetables and fruits rich in vitamin C. Such as green pepper, tomato, citrus, grapefruit and so on. 2, eat more foods rich in copper, if the copper ion content in the body increases, the production of melanin will also increase. Therefore, we should eat more foods containing copper, such as snails, mussels and clams. 3. Auricularia auricula, kelp, sea cucumber, celery, eggplant, Toona sinensis tooth, walnut kernel, turtle, amaranth, leek, Nostoc flagelliforme, black rice and elm leaves all have the function of preventing vitiligo and can be eaten regularly. Do not eat strawberries, bayberry, hot and sour food and hair products such as chicken and sheep. 4, usually eat more food containing tyrosine and minerals, such as meat (beef, rabbit meat, lean pork), animal liver, eggs (eggs, duck eggs, quail eggs), milk (milk, yogurt), fresh vegetables (radish, eggplant, kelp, etc. ), beans (soybeans, peas, mung beans, bean products), peanuts, black sesame seeds. 5: Chinese medicine. Nourishing liver, benefiting qi and strengthening kidney, such as Baidian Fuzheng powder, can be supplemented with immunomodulators, and the cure rate is high. 6. Melanocyte transplantation has high cost and quick curative effect.
Knowledge of vitiligo treatment
In April 2005, the Pigment Group of the Dermatology and Venereology Committee of the Chinese Society of Integrated Traditional Chinese and Western Medicine formulated the Knowledge of Vitiligo Treatment, which was revised at the Security Council meeting in April 2006. 1, common type of advanced vitiligo (1): 1. Local type: topical glucocorticoid or other immunosuppressants, immunomodulators (transfer factor, thymosin, etc.). ), local phototherapy: narrow-band ultraviolet, excimer laser, excimer light, etc. Chinese medicine. 2. Dispersed type, generalized type and acromegatype: traditional Chinese medicine, immunomodulator (transfer factor, thymosin, etc. ), whole body glucocorticoid, phototherapy: narrow-band ultraviolet, excimer laser, excimer light, etc. Topical drug therapy (refer to the late defined type). (2) Segmental type: refer to late limited treatment. 2. Common type of vitiligo in stable stage (1): 1. Topical type: Psoralea corylifolia drugs, glucocorticoids, nitrogen mustard, etc. Autologous epidermal transplantation, local phototherapy or photochemical therapy: NBUVB, excimer laser and excimer light, etc. Chinese medicine. 2. Dispersed type, generalized type and acromegatype: traditional Chinese medicine, phototherapy or photochemical therapy: narrow-band ultraviolet B (NBUVB), excimer laser, excimer light, PUVA, etc. Autologous epidermal transplantation (vitiligo at the exposed site or at the site required by the patient,
), local topical drug therapy (refer to stable limited type). (2) Segmental type: autologous epidermal transplantation; Others refer to limited treatment in stable period.
3. Adjuvant therapy
If necessary, you can cover the exposed parts with different shades according to the skin color, but it is not recommended to use masking agents. When necessary, psychological counseling, relieving worries, building confidence, insisting on treatment, and supplementing vitamin B, vitamin E, folic acid, zinc and calcium may be helpful.
Edit this paragraph of Chinese medicine treatment of vitiligo
Vitiligo is a common acquired depigmentation skin disease, which is called "vitiligo" or "Whitestorm" in Chinese medicine. There may be round or oval white spots with clear boundaries and deep pigments on the skin. Modern research shows that vitiligo affects not only the skin, but also the eyes and ears. The disease occurs at any age, gender and race, especially in young people aged 20-30. The incidence rate of the general population is about 0.5% ~ 4%, and it has been increasing year by year in recent years. Vitiligo is easy to diagnose and difficult to treat, and it affects the appearance. At present, there is a lack of satisfactory treatment at home and abroad. However, Chinese medicine has a long history of discussion and treatment of this disease and accumulated rich experience, among which vitiligo has a better curative effect. The treatment of vitiligo by traditional Chinese medicine in recent 10 years is summarized as follows:
I. Treating both internal and external problems
Traditional Chinese medicine usually treats vitiligo through syndrome differentiation. Generally speaking, due to the different constitutions of patients, the causes of vitiligo are different, so the treatment methods are different.
1, method of invigorating qi and blood
The patient has deficiency of both qi and blood, exogenous wind and cold, and disharmony between camp and health. Most of them belong to the stable period of vitiligo, mainly manifested as pale leukoplakia, fatigue, pale face, pale tongue, heavy and thin pulse. Treatment should be invigorating qi and blood, expelling wind and promoting blood circulation. [1] Prescription II (Radix Codonopsis 15g, Radix Astragali 20g, Rhizoma Atractylodis Macrocephalae 10g, Poria 20g, Radix Salviae Miltiorrhizae 20g, Flos Carthami 10g, Radix Angelicae Sinensis 10g, Radix Saposhnikoviae 10g, and Rhizoma Bletillae) produced by Shang et al. For those with leukoplakia on the face, Bupleurum chinense10g or angelica dahurica10g, Notopterygium incisum10g or Ligusticum chuanxiong10g, and Radix Puerariae in the neck 20g; Radix Dipsaci10g; Curcuma longa10g for upper limbs; Achyranthes bidentata10g; Clematis chinensis10g is added to the hair with extensive hair; In the late stage, Mume 10g and Schisandra chinensis 10g are added, and at the same time, nitrogen mustard alcohol or Psoralea corylifolia tincture is applied externally, 2-3 times a day. * * * 84 cases of vitiligo were treated and 17 cases were cured, with a total effective rate of 78.57%.
2. Tonifying liver and kidney method
Patients with liver and kidney yin deficiency, qi and blood disharmony, skin dystrophy. The course of disease is long, and leukoplakia is localized or systemic. Hair turns white, skin is dry, accompanied by dizziness and tinnitus. My waist and knees are sore, my tongue is red with little fur, and my pulse is weak. Treatment should benefit liver and kidney, promote blood circulation and dispel wind. [2] I made a self-made "Nourishing Liver and Kidney and Eliminating White Decoction" (angelica, Paeonia lactiflora, Chuanxiong each 65438 00g, Ligustrum lucidum, Psoralea corylifolia and Astragalus each 65438±05g, Polygonum Multiflori Radix, Tribulus terrestris and Sesamum nigrum each 30g, Bupleurum, Saposhnikovia divaricata and Astragalus each 65438 00g) by combining oral Chinese medicine with external medicine. White spot on face, Radix Angelicae Dahuricae or Rhizoma Chuanxiong10g, white spot on head, Radix Puerariae10g on neck and back, Radix Dipsaci10g on waist and abdomen, and white spot on upper limb.
Knee 10g or Radix Angelicae Pubescentis 10g, Radix Clematidis 12g for generalized leukoplakia, Fructus Mume 10g for advanced leukoplakia, Fructus Schisandrae Chinensis 10g, etc. For external use, use compound Psoralea corylifolia tincture, ebony tincture or nitrogen mustard tincture for external application, 2-3 times a day. Treating 90 cases of vitiligo, 9 cases were cured10, 40 cases were markedly effective, and 2 cases were effective, with an effective rate of 88.8%. [3] Xing et al. used Bushen Huoxue Qufeng Decoction (prepared Polygonum multiflorum Thunb. 30g of black sesame, 20g of tribulus terrestris, Radix Rehmanniae Preparata and Radix Rehmanniae, Radix Angelicae Sinensis, Radix Paeoniae Alba 15g, Cortex Moutan, Radix Paeoniae Rubra 12g, Rhizoma Chuanxiong 15g and Radix Saposhnikoviae 6544. 36 cases of vitiligo were treated with Schizonepeta tenuifolia 12g, Mulberry 20g, Duckweed 12g, Salvia miltiorrhiza 20g and Eclipta prostrata 30g. The total effective rate is 75%. [4] WANG Yong Qufeng Qingban Decoction (black sesame 30g, black mulberry 20g, Psoralea corylifolia 20g, Angelica sinensis 15g, Salvia miltiorrhiza, Tribulus terrestris 20g, Polygonum multiflorum 20g, Carthamus tinctorius 10g, Saposhnikovia divaricata 10g, Ligusticum chuanxiong 15g) is combined with external prescriptions (. 2 grams of Borneolum Syntheticum and 500 grams of 60o liquor were soaked for one week, and applied externally. The skin lesions were rubbed twice a day in the morning and evening, and the sunshine was increased (depending on the obvious erythema blister) to treat vitiligo 4 1 case. The total effective rate is 68%.
3. Qufeng Tongluo Method
The patient suffers from rheumatism, adverse meridians and skin malnutrition. The onset and spread are rapid, and leukoplakia mostly occurs in the head or the whole body, with local itching, thin white fur and floating pulse. It is advisable to dispel wind and remove dampness, promote blood circulation and remove stasis. [5] Zou et al used Qufeng Xuetongluo Pills (tribulus terrestris 80g, Rhizoma Atractylodis 50g, Radix Sophorae Flavescentis 40g, Herba Ephedrae 50g, Cortex Dictamni Radicis 80g, Eclipta prostrata 100g, Fructus Gleditsiae Abnormalis 80g, Semen Persicae 80g, Flos Carthami 80g, Lignum Santali Albi 40g, Rhizoma Curcumae 80g, Radix Rehmanniae 65438 each. Black Sesame100g, Radix Paeoniae Rubra 80g, Fructus Psoraleae 80g, Rhizoma Chuanxiong 80g, Ootheca Mantidis 80g, Radix Angelicae Sinensis 80g, Fructus Mori100g, * * ground into fine powder, and refined honey as pills) for oral administration, and children can take it by half. * * * Treatment of vitiligo 1 13 cases, of which 65 cases reduced 1/2 or more, and 22 cases reduced 1/4 ~ 1/2, with an effective rate of 58.3%.
4, qi and blood circulation method
Most of the patients are qi stagnation and blood stasis, and the clinical manifestations are spots or flakes of different sizes, clear and smooth edges, heavy pain in limbs, dark purple tongue, or petechiae and unsmooth pulse. Treatment should promote qi and blood circulation. [6] Zhang took xiaoban decoction orally (angelica tail 15g, salvia miltiorrhiza 18g, cortex moutan 15g, radix paeoniae rubra 12g, curcuma longa 12g, safflower 12g, cassia twig/2g). Herba Siegesbeckiae 12g, Polygoni Multiflori Radix 15g, Cortex Dictamni Radicis 15g, Fructus Cnidii 12g, and Radix Glycyrrhizae 6g; Decoct with water, and reduce the amount of children as appropriate. Every day 1 dose, 15 1 course of treatment, with the interval of 10, the second course of treatment), and externally applied "scar-removing liquid" (take 30g of wood powder, 30g of fructus cnidii, 30g of safflower, 3 Agkistrodon, 50 slices of ginger, 3g of musk and 2g of toad venom). Soak it in 500 ml of 75% alcohol, seal it in a bottle, and filter it after 3 weeks), and acupuncture the affected area with plum blossom (at the same time, externally apply "Xiaoba Decoction", 1 time a day, 1 course of treatment for 5 times, and then conduct the second course of treatment after1day). Treating vitiligo 120 cases, the total effective rate is 86.8%.
5. Soothing the liver and regulating qi
Most patients are liver depression and qi stagnation. The clinical manifestations are leukoplakia, no fixed parts, bright and dark colors, which are often aggravated with emotional changes. Common in women, often accompanied by chest tightness, fever, irritability, irregular menstruation, milk caking, white fur and thready pulse. Treatment should be soothing the liver and regulating qi. [7] Yin's self-made recipe (fried Bupleurum, Radix Paeoniae Alba, Rhizoma Cyperi, Radix Angelicae Sinensis, Radix Stephaniae Tetrandrae, Fructus Xanthii each 65438±05g, Rhizoma Chuanxiong 20g, Fructus Tribuli 45g, roasted Polygoni Multiflori Radix, Pyritum each 30g, Carthami Flos and Fructus Psoraleae each 65438±00g) was decocted in water. Cimicifuga rhizome and angelica dahurica are added to the head and face; Trichosanthes kirilowii and Radix Curcumae for chest and abdomen hair; Hair in lower limbs and Achyranthes bidentata; Eclipta prostrata and Sesamum nigrum are added for patients with liver and kidney yin deficiency; Hirudo and Saviae Miltiorrhizae Radix are added for patients with obvious blood stasis. Each dose of medicine is decocted 4 times, twice a day, and a little medicine juice is left to be soaked in gauze and rubbed 4-5 times a day. * * * 56 cases of vitiligo were treated, and the total effective rate was 88%.
Second, local external treatment.
Traditional Chinese medicine is used for topical treatment of vitiligo. The main preparations are tincture, infusion, powder, ointment and so on. Because it directly acts on the focus, the curative effect is rapid and certain, especially for localized vitiligo. [8] Compound Psoralea tincture prepared by Zhang et al. (Psoralea corylifolia 300g, Mume 150g, Coptidis Rhizoma 100g, soaked in 95% ethanol for two weeks, and filtered) was externally applied to the affected area, 3-4 times a day. * * * 48 cases of vitiligo were treated, and the total effective rate was 65.2%. [9] Wang Yong's self-made compound "Psoralea corylifolia tincture" (Psoralea corylifolia 200g, Rhizoma Drynariae 65438 000g, black sesame 50g, pomegranate rind 50g, Radix Angelicae Dahuricae 50g, Saxifraga 50g, 75% alcohol 65438 0000ml). Pulverizing the above Chinese medicinal materials, soaking in alcohol for 7 days, removing residues, and sealing in glassware; Forty-five patients with vitiligo were treated with external application on the skin lesions, 2 ~ 3 times a day, and irradiated in the sun 10~20 minutes after external application, with 30 days as a course of treatment. The total effective rate was 88.89%. [10] Yang made Tincture (take 0/00g of Fructus Psoraleae/kloc, 20g of Radix Angelicae Dahuricae, 20g of Flos Carthami and 20g of Radix Angelicae Sinensis, soak them in 500ml of 50% alcohol and seal them for one week. Wipe the affected area outside the sun at 3~4 pm every day. Children bask in the sun for 3 ~ 5 minutes in summer and autumn, and adults bask in the sun for 5 ~ 10 minutes; In winter and spring, children bask in the sun for 5~ 10 minutes, adults bask in the sun for 10~ 15 minutes, and 10 days is a course of treatment. During the treatment, skin lesions may appear flushing, itching, pain, papules or herpes. If the rash is serious, you can stop using it for 3~5 days and apply anti-inflammatory ointment externally. After getting better, continue to apply the medicine for three courses of treatment. 80 cases of vitiligo were treated externally, and the total effective rate was 70%. Acupuncture therapy: For patients whose condition is stable or under control (the eschared part has not obviously turned white after injury), acupuncture therapy can be tried in' local small area'. The specific method can be consulted in books (bookstore: acupuncture and moxibustion in traditional Chinese medicine) and operated by yourself. I have a nail-sized white spot on my leg. There is a simple acupuncture therapy, and the effect is obvious. Remember: don't try all kinds of remedies, especially strange remedies. This method can only be used under the above conditions. Don't try blindly, otherwise it will aggravate the condition!
Third, the progress of modern research.
In 2009, gratifying progress has been made in the research and treatment of vitiligo, from the research of traditional Chinese medicine to modern scientific and technological theory, from the treatment experience of single prescription to cell transplantation. Traditional treatment methods, such as steroid hormones and ultraviolet radiation PUVA. And 8- hydroxy psoralen, traditional Chinese medicine, etc. , all have a certain curative effect. Autologous epidermal transplantation for vitiligo is a treatment method developed from 1950s to 1980s, that is, normal skin of patients is transplanted to leukoplakia and then treated with PUVA (black light therapy), and the effective rate can reach 90%. Although these methods can regenerate the pigment in leukoplakia of some patients, the color is uneven and has obvious limitations. 20 10 July, the internationally renowned academic journal Nature-Genetics published online the latest achievement of China's dermatological genetics research team-genome-wide association studies (GWAS) found the vitiligo susceptibility gene, and the research also confirmed that vitiligo is an autoimmune disease.