Discussion on the etiological factors and pathogenesis of chloasma / 中华中医药杂志

ABSTRACT

This article presents the discussion on the etiological factors and pathogenesis of chloasma.On the basis of clinical experience and related literature from every dynasty,the author concludes that the causes and pathogenesis of chloasma can be summarized into 8 aspects 1.Menoxenia,lesion of uterus and cunnus,tumors in pelvic cavity in women;excessive heat and deficiency of kidney essence in men.2.Damages in Chong-Ren meridians,e.g.infection of pathogen which goes directly into Chong-Ren;exhaustion of essence blood;coldness,phlegm or blood clot congests within the Chong-ren meridians.3.Stasis of liver-qi induced by insufficiency of blood storage and dysfunction in conveyance and dispersion.4.Shortage of essence blood.5.Lack of kidney-yang.6.Disharmony between spleen and stomach,including deficiency of spleen-stomach qi,spleen-stomach yang,and stomach yin,and surplus of stomach heat.7.Flooding of turbidness and heat,like moisture and heat in liver-gallbladder and in spleen-stomach.8.Invaded by exogenous pathogen of wind and sunlight.Knowing these points has great significance on directing therapy according to syndrome differentiation.