Study On The Correlation Between The Classification Of Facial Skin Lesions And TCM Syndromes

Objective:Firstly,to investigate the TCM syndrome of patients with melasma Syndrome;Secondly,to analyze the relationship between melasma lesions distribution and TCM syndrome factors in order to provide reference data for the clinical syndrome and treatment of melasma.Methods:This research has collected a total 148 patients who visted Dongfang Hospital Beijing University of Chinese Medicine from April 2015 to January 2016 with the diagnostic criteria in a random manner. These patients were asked to complete a questionnaire about basic personal information and face photo.Chloasma Western diagnostic criteria:Reference 2003 Chinese Association of Integrative Medicine "clinical diagnosis and efficacy standards melasma (2003 revised)" Professional Committee of Dermatology pigment disease study group developed. Chloasma TCM diagnostic criteria:Reference Chinese Medical Association in 2012 published "Chinese dermatology treatment of common diseases" will be divided into qi stagnation, spleen dampness, liver and kidney, bleeding resistance four syndromes. Quality of Life:(1) Dermatology life quality index, DLQI (2) Melasma Quality of Life scale, MELASQOL). Severity Rating: based on Melasma area and severity severity index,MASI.TCM symptom assessment:"Chinese medicine dermatology treatment of common diseases," chloasma portion reference the Chinese Medical Association in 2012 published the formulation.Results:There is no significant differences among ages, courses of disease, distribution of skin types, family histories. The butterfly-type melasma has a greater impact than the upper-type melasma on quality of life of patients.The widespread-type melasma has a greater impact than the upper-type melasma on quality of life of patients.MELA-SQOL score is better.Syndrome elements in patients with melasma appeared most frequent followed anxiety,chest fullness, fatigue, weakness, waist and kees pain, irregular menstruation with dark colored blood. There is a relationship between melasma lesions distribution and TCM syndrome factors.The syndrome of melisma patients is often qi stagnation and liver and kidney inclusion, accompanied by bleeding resistance. Forgetfulness is the relevant factors of the butterfly-type melasma, Dark colored menstruation is the relevant factors of the upper-type of melasma, We did not find a correlation TCM syndrome factors about lower face melasma.Conclusion:There is a relationship between melasma lesions distribution and TCM syndrome factors. A larger prospective study are needed to clearly explain the relationship in the future.