Differences Of Lesion Color, Dermatoscope And MASI With Different Dialectical Types Of Chinese Medicine For Melasma

Objectives: Discuss the differences between the lesion color, dermatoscope data,lesion area and severity index score standard(MASI) with different dialectical types of chinese medicine for melasma. So as to make the dialectical types of chinese medicine of melasma more objective, to provide a objective theoretical basis for the treatment of melasma for combining traditional Chinese medicine and western medicine.Thus to achieve a deeper understanding of the disease in the clinical.Method:1.Collect clinical information on eleven cases of female melasma by using epidemiological methods and a unified questionnaire. 2. According to dialectical typesaof chinese medicine of melasma,acategorize melasma into liver-weak and breath-astagnatatype,aspleen-adeficiencyatype,akidneya-positivea-deficiencyatypeaand kidney-liver-negative-deficiency type. 3. Collect the information of patients, including common photos,dermoscopic pictures and colorimeter values, and measure the lesions area and severity index score(MASI), comparison and analysis if it have the differences and investigate the lesion color with chinese medicine theory.Results: 1. There is a corresponding relationship between the different dialectical types of Chinese medicine and lesions color of the melasma. The lesions color of the liver-weak-and-breath-stagnat type is light brown, and kidney-positive-deficiency type is puce, while the lesions color of spleen-deficiency is taupe, and for the kidney-liver-negative-deficiency type, the lesions color is dark brown. 2. There is no significant ddifferences in the colorimeter values and the display of dermoscopy among differentdialectical types. 3. There is a difference among the MASI for different dialectical types of Chinese medicine of melasma,while spleen-deficiency type and kidney-positivedeficiency type> kidney-liver-negative-deficiency type, while the kidney-liver-negativedeficiency type> liver-weak and breath-stagnat type.Conclusion: Different dialectical types of chinese medicine with the melasma, its lesions color, and MASI have certain differences, while its colorimeter values and the display of dermoscopy have no significant regularity, it is likely provided a objective basis for the dialectical of chinese medicne.