Volume 21 Issue 1
Jan.  2023
Turn off MathJax
Article Contents
XIA Ji-ning, XIANG Jing. Clinical effect of Tougucao Cebaiye Decoction on androgenic alopecia and on the level of anxiety and depression[J]. Chinese Journal of General Practice, 2023, 21(1): 123-126. doi: 10.16766/j.cnki.issn.1674-4152.002827
Citation: XIA Ji-ning, XIANG Jing. Clinical effect of Tougucao Cebaiye Decoction on androgenic alopecia and on the level of anxiety and depression[J]. Chinese Journal of General Practice, 2023, 21(1): 123-126. doi: 10.16766/j.cnki.issn.1674-4152.002827

Clinical effect of Tougucao Cebaiye Decoction on androgenic alopecia and on the level of anxiety and depression

doi: 10.16766/j.cnki.issn.1674-4152.002827
Funds:

 2020ZB250

  • Received Date: 2022-05-19
    Available Online: 2023-04-07
  •   Objective  This study aimed to observe the therapeutic effect of Tougucao Cebaiye Decoction combined with western medicine on androgenic alopecia (AGA) and its relief effect on anxiety and depression level of patients.  Methods  A total of 124 patients with AGA admitted to Jiaxing Hospital of Traditional Chinese Medicine from June 2019 to June 2021 were selected and divided into the treatment group and control group by using the random number table method, with 62 cases in each group. Both groups were given finasteride tablets and minoxidil tincture orally. On this basis, the treatment group was given Tougucao Cebaiye Decoction for 6 months. The objective indexes (total number of hair stems, variation of hair stem diameter), TCM syndrome score (alopecia, pruritus, greasy, scaly) and clinical efficacy were compared before and after treatment in two fixed observation areas (frontal horn and head). The anxiety and depression of AGA patients were analysed, and the effects of Tougucao Cebaiye Decoction on the mood of patients with AGA after treatment were compared.  Results  After treatment, the variation in vertical hair stem diameter was lower in the treatment group than in the control group (17.31±3.16 vs. 23.67±3.78, t=10.164, P < 0.001). The total number of hair stem count was higher than that in the control group (55.18±4.32 vs. 53.09±4.95, t=2.505, P=0.014), and the total number of hair stems in frontal horn was higher than that in the control group (48.83±3.24 vs. 46.66±3.37, t=3.681, P < 0.001). After treatment, the scores of alopecia, pruritus, greasy and scaly were lower in the treatment group than in the control group (all P < 0.001). The total effective rate of the treatment group was 88.71%, which was higher than that of the control group (74.19%, χ2=4.324, P=0.038). After treatment, the GAD-7 and PHQ-9 scores were lower in the treatment group than those in the control group (all P < 0.05), and the WHOQOL-BREF scores of physiology, psychology, independence and environmental domains in the treatment group were higher than those in the control group (all P < 0.001).  Conclusion  Tougucao Cebaiye Decoction combined with western medicine can effectively inhibit hair loss symptoms in patients with damp heat type AGA, improve TCM syndromes, improve therapeutic effect, alleviate anxiety and depression and improve quality of life.

     

  • loading
  • [1]
    OCAMPO-GARZA S S, FABBROCINI G, OCAMPO-CANDIANI J, et al. Micro needling: a novel therapeutic approach for androgenetic alopecia, a review of literature[J]. Dermatol Ther, 2020, 33(6): e14267. DOI: 10.1111/dth.14267.
    [2]
    曾武城, 应航宇, 杨敏, 等. 黄芪赤风汤加味联合非那雄胺治疗雄激素性脱发临床研究[J]. 新中医, 2021, 53(10): 20-23. https://www.cnki.com.cn/Article/CJFDTOTAL-REND202110006.htm

    ZENG W C, YING H Y, YANG M, et al. Clinical study on modified Huangqi Chifeng Tang combined with finasteride for androgenetic alopecia[J]. Journal of New Chinese Medicine, 2021, 53(10): 20-23. https://www.cnki.com.cn/Article/CJFDTOTAL-REND202110006.htm
    [3]
    朱宝华, 陈怡欢, 朱红柳, 等. 湿热型脂溢性脱发中医研究进展[J]. 辽宁中医杂志, 2020, 47(10): 203-206. https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY202010067.htm

    ZHU B H, CHEN Y H, ZHU H L, et al. Progress research on androgen alopecia of damp-heat type by TCM[J]. Liaoning Journal of Traditional Chinese Medicine, 2020, 47(10): 203-206. https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY202010067.htm
    [4]
    赵辨. 中国临床皮肤病学[M]. 南京: 江苏凤凰科学技术出版社, 2017: 1185-1186.

    ZHAO B. Clinical Dermatology of China[M]. Nanjing: Jiangsu Phoenix Scientific and Technical Publishing House, 2017: 1185-1186.
    [5]
    杨志波. 中医皮肤性病学[M]. 上海: 上海科学技术出版社, 2020: 232.

    YANG Z B. Dermatology and Venereology of Traditional Chinese Medicine[M]. Shanghai: Shanghai Scientific and Technical Publishing House, 2020: 232.
    [6]
    王爱娟, 胡慧, 冯放, 等. 中药育发洗剂治疗雄激素性秃发的疗效及安全性评价[J]. 实用临床医药杂志, 2021, 25(5): 45-49. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202105011.htm

    WANG A J, HU H, FENG F, et al. Evaluation in effects of Traditional Chinese Medicine named Yufa lotion in the treatment of androgenic alopecia[J]. Journal of Clinical Medicine in Practice, 2021, 25(5): 45-49. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202105011.htm
    [7]
    国家食品药品监督管理局. 中药新药临床研究指导原则[M]. 北京: 中国医药科技出版社, 2002.

    National Food and Medical Products Administration. Guiding Principles for Clinical Research of New Chinese Medicine[M]. Beijing: China Medical Science and Technology Publishing House, 2002.
    [8]
    曲姗, 史欣欣, 谢稚鹃, 等. 病人健康问卷和广泛性焦虑量表在非心源性胸痛患者中筛查抑郁焦虑的效度和信度[J]. 中国心理卫生杂志, 2021, 35(5): 376-381. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202105006.htm

    QU S, SHI X X, XIE Z J, et al. Validity and reliability of the patient health questionnaire and the generalized anxiety scale for screening depressive anxiety in patients with non-cardiac chest pain[J]. Chinese Mental Health Journal, 2021, 35(5): 376-381. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202105006.htm
    [9]
    BALALLA S K, MEDVEDEV O N, SIEGERT R J, et al. Validation of the WHOQOL-BREF and shorter versions using research analysis in traumatic brain injury and orthopedic populations[J]. Arch Phys Med Rehabil, 2019, 100(10): 1853-1862. doi: 10.1016/j.apmr.2019.05.029
    [10]
    MU Z L, GAO Y J, LI K, et al. Androgenetic alopecia among hospital saff: a study of prevalence, types and a comparison with general population in a secondary hospital in China[J]. Clin Cosmet Investig Dermatol, 2021, 14: 1387-1392. doi: 10.2147/CCID.S333789
    [11]
    汤顺利, 方红. 雄激素性秃发的发病机制[J]. 中华皮肤科杂志, 2019, 52(3): 208-210. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZS202103005.htm

    TANF S L, FANG, H. Pathogenesis of androgenetic alopecia[J]. Chin J Dermatol, March, 2019, 52(3): 208-210. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZS202103005.htm
    [12]
    赵俊英, 左亚刚, 李航, 等. 中西医结合诊疗雄激素性秃发专家共识[J]. 临床和实验医学杂志, 2021, 20(17): 1902-1905. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLC202117032.htm

    ZHAO J Y, ZU Y G, LI H, et al. Expert consensus on diagnosis and treatment of androgen alopecia with integrated traditional Chinese and Western medicine[J]. Journal of Clinical and Experimental Medicine, 2021, 20(17): 1902-1905. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLC202117032.htm
    [13]
    侯思凡, 顾炜. 脂溢性脱发中医诊治源流探析[J]. 中医临床研究, 2021, 13(29): 117-120. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY202129035.htm

    HOU S F, GU W. Analysis on the origin of TCM diagnosis and treatment of seborrheic alopecia[J]. Clinical Journal of Chinese Medicine, 2021, 13(29): 117-120. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY202129035.htm
    [14]
    王爱娟, 胡慧, 冯放, 等. 脱发中医诊治源流考[J]. 中国医药导报, 2021, 18(22): 129-132, 136. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202122030.htm

    WANG A J, HU H, FENG F, et al. Historical evolution on alopecia of diagnosis and treatment with Chinese medicine[J]. China Medical Herald, 2021, 18(22): 129-132, 136. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202122030.htm
    [15]
    雷萌. 侧柏叶挥发油诱导C57BL/6小鼠毛发生长的作用机制[D]. 西安: 西北大学, 2018.

    LEI M. The mechanism of volatile oil from Platycladus orientalis leaves to induce hair growth in C57BL/6 mice[D]. Shanxi: Northwest University, 2018.
    [16]
    张艺丹, 张海萍. 常见心身性皮肤病患者焦虑抑郁状态的现况调查[J]. 东南大学学报(医学版), 2020, 39(5): 638-642. https://www.cnki.com.cn/Article/CJFDTOTAL-NJTD202005017.htm

    ZHANG Y D, ZHANG H P. Assessment of anxiety and depression on patients with common psychosomatic dermatosis[J]. J Southeast Univ (Med Sci Edi), 2020, 39(5): 638-642. https://www.cnki.com.cn/Article/CJFDTOTAL-NJTD202005017.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(6)

    Article Metrics

    Article views (384) PDF downloads(7) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return