中医杂志

总结禤国维教授从肾虚火旺、灼络成瘀论治黄褐斑的临证经验。认为黄褐斑的核心病机为肾虚火旺、灼络成瘀，提出以滋肾降火、活血化瘀为核心治法。临证自拟消斑汤作为基础方，并配合针灸、穴位注射、中药外敷等外治法，强调注重防晒、保持心情舒畅和充足睡眠、健康饮食等日常调护，以期为中医药治疗黄褐斑提供参考。

This paper summarizes professor XUAN Guowei's clinical experience in treating melasma from the perspective of kidney deficiency with vigorous fire,and scorching the collaterals to form stasis.It is proposed that the core pathogenesis of melasma is kidney deficiency with vigorous fire,along with the scorching of collaterals to form stasis,for which the the core therapeutic principle is enriching the kidney and subduing fire,combined with invigorating blood and dissolving stasis.In clinical practice,the self-formulated Xiaoban Decoction（消斑汤） is utilized as the foundational formula,complemented by external therapies such as acupuncture and moxibustion,acupoint injection,and the external application of Chinese herbal medicine.Furthermore,emphasis is placed on daily care and regulation,including strict sun protection,maintaining a joyful mood,ensuring adequate sleep,and following a healthy diet.This paper aims to provide a clinical reference for the treatment of melasma with traditional Chinese medicine.