Ms. Xu, 35 years old, suffered from hair loss due to staying up late and stressing down five years ago, and her hair slit widened significantly. In order to alleviate the hair loss, Ms. Xu had applied minoxidil intermittently on her own, but there was no obvious effect, and the hair loss gradually worsened. Every time she looked in the mirror and combed her hair, seeing her hair thinning day by day, Ms. Xu became irritable, depressed, and under great psychological pressure. So, she came to the dermatology department of Nanchang Hongdu Hospital of Traditional Chinese Medicine for diagnosis and treatment, hoping to be improved and controlled.
Yao Dongmei, the attending physician of the Department of Dermatology, received Ms. Xu, and after physical examination, the patient's hair on the top of the head was fine and thin, and the hair pulling test (+) was graded as grade 3 according to female hair loss, and the diagnosis was androgenetic alopecia.
Ms. Xu at the time of her visit
During the treatment, Dr. Yao gave Ms. Xu the department's characteristic hair loss sequential therapy, and at the same time combined with internal Chinese medicine for conditioning. After 3 months of treatment, the results were noticed, and after 2 months of treatment, the hair was significantly thicker than before.
After 3 months of treatment
After 5 months of treatment, Ms. Xu's hair is noticeably thicker
Androgenetic alopecia
In recent years, the incidence of hair diseases, especially various types of hair loss, has been increasing year by year. There are about 250 million people with hair diseases in mainland China, of which androgenetic alopecia and alopecia areata account for more than 95%.
Androgenetic alopecia, also known as seborrheic alopecia (AGA), is the most common type of hair loss and is a hair loss condition that begins during puberty or late adolescence with the miniaturization of hair follicles. It can affect both men and women, with a prevalence of about 21.3% in men and 6% in women.
The disease is a polygenic recessive genetic disease with a genetic predisposition, and the cause is not fully understood, and 53.3%-63.9% of patients have a family history of hereditary inheritance. Androgens play a decisive role in the pathogenesis of the disease. Inflammation of hair follicles, emotional problems (such as increased stress, tension and anxiety, poor lifestyle and eating habits, etc.) can aggravate the symptoms of AGA.
Manifestations of androgenetic alopecia
Androgenetic alopecia generally begins during adolescence and is characterized by progressive thinning of hair diameter, decrease in hair density, and hair loss, until varying degrees of baldness, often accompanied by increased scalp oil secretion.
In the early stage, the hairline of the forehead, bilateral frontal horns, and bilateral sideburns is receding, or progressive hair loss on the top of the head, with increased vellia hair at the hairline and an enlarged exposed area of the scalp, usually accompanied by symptoms of increased scalp oil secretion.
The main manifestations are diffuse thinning and fine hair between the top of the head and the hairline, the scalp is not fully exposed at the hair loss, and the position of the forehead hairline does not change, which is also accompanied by the symptoms of increased scalp oil secretion.
There is a detailed grading scale for androgenetic alopecia in women, which is divided into 5 grades by the width of the central part of the hair loss area:
Class I: Normal.
Level II: Widening of the median divide.
Grade III: Translucent bands between the widened median line and the hairs on both sides.
Grade IV: Enlargement of the bald area along the anterior side of the median divide.
Grade V: Late baldness.
Conventional treatment of androgenetic alopecia
(1) Topical treatment: topical use of 5% minoxidil.
(2) Systemic therapy: oral finasteride (male only), spironolactone, cyproterone, etc. are commonly used in female patients.
(3) Others: Laser, physical therapy, etc., such as patients with very severe hair loss are recommended to consult a doctor for hair transplant treatment.
Sequential therapy treatment for hair loss
(1) Dermoscopic examination
(2) Introduction of microneedle minoxidil
(3) Plum blossom needle percussion
(4) Laser treatment
(5) Dredging of scalp meridians
(6) Traditional Chinese medicine cultivation package
Tips: Most patients with androgenetic alopecia are able to regrow their hair through timely and standardized treatment. It is recommended that patients with androgenetic alopecia go to a professional and regular dermatology specialist for treatment of the disease, and treat it as soon as possible to avoid further aggravation of hair loss and affect the curative effect.
Dermatology
The Department of Dermatology of Nanchang Hongdu Hospital of Traditional Chinese Medicine has been established for decades, with rich clinical experience, mature technology and the characteristics of integrated traditional Chinese and Western medicine. The department uses Chinese and Western medicines for internal use, external use, and external treatment of traditional Chinese medicine to treat various skin diseases. In particular, the effect in the diagnosis and treatment of hair loss (androgenetic alopecia/seborrheic alopecia/alopecia areata), seborrheic dermatitis, acne vulgaris, rosacea, eczema dermatitis, herpes zoster, ringworm, skin lumps, ulcerative wounds, warts and other diseases is affirmative, which fully reflects the characteristics of the hospital. At present, the department has also carried out skin cosmetology and TCM beauty projects, including photorejuvenation, ultra-pulsed carbon dioxide fractional laser, Q-switched laser, semiconductor red and blue light, AHAlic acid salicylic acid peel, whitening mask, microneedling, beauty needle, fire needle, plum blossom needle, prickly cupping and bloodletting, traditional Chinese medicine stain fumigation, microwave introduction and other projects, with a variety of treatment methods, combination of traditional Chinese and Western medicine, syndrome differentiation treatment, flexible application to solve skin-related problems, especially for melasma, freckles, age spots, Ota nevus, acne scars, acne pits, scars and other projects.
Recommend an expert
Yao Dongmei: Attending physician of dermatology and medical cosmetology
Attending Dermatovenereological Physician, Aesthetic Dermatology Attending Physician. He is a member of the Laser Cosmetology Group of Jiangxi Medical Cosmetology Branch, a member of the Jiangxi Provincial Skin and Venereal Disease Special Committee of Integrated Traditional Chinese and Western Medicine, a member of the Dermatology Branch of Jiangxi Medical Doctor Association, and a member of the Nanchang Dermatology and Venereal Disease Committee.
He has been engaged in skin work for 15 years, and has studied and advanced in the dermatology and medical cosmetology departments of major hospitals for many times, and is good at treating various skin diseases by comprehensive means such as the combination of Western and Western medicine and various laser photoelectric equipment, especially for acne, rosacea, hormone lazy dermatitis, atopic dermatitis, hair loss, herpes zoster and melasma, freckles, age spots, birthmarks, wrinkles, enlarged pores, acne scars and other skin problems. During his tenure, he published more than 10 academic papers, participated in the compilation of 1 skin book, and participated in a number of projects.
Source: Nanchang Hongdu Hospital of Traditional Chinese Medicine
Correspondents: Qiu Peijun Zeng Huilan
Editor: Huang Menglin
Reviewer: Chen Shirui
Issued: Daley Red
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