White spots on the skin are also called "white spots". Refers to the symptoms of spots and flaky white changes on the skin.

This disease Zhubing Yuanhou Lun is called "white mottled" and "vitiligo"; Shengji Zonglu is called "駮白" (that is, mottled white) and "white spots". , "mottled"; later generations called it "spotted", "purpura vitiligo", etc.

"Leukoplakia on the vulva" belongs to gynecology Zabing and there is a separate article.

[Syndrome Analysis]

1. Disharmony between Qi and Blood︰Sudden round white spots on the skin gradually expand, and the skin color deepens at the edges. There may be brown spots in the center. They may become red and scorching after being exposed to the sun. The hair in the spots may turn white. They often occur on the face, neck, around the navel, external genitalia, etc., and progress. Slowness, or accompanied by emotional depression, or dysphoria, irritability, insomnia dreamfulness, flank swelling, menstruation imbalance in women and other symptoms. The pulse may be stringy and slightly astringent, the tongue texture may have ecchymosis, and the tongue coating may be thin and white. Any internal damage to the seven emotions can lead to disorder of qi movement, or wind evil may reappear on the skin, causing qi and blood to stagnate, and the hair orifices may be blocked, which is the primary disease. The key points of syndrome differentiation are: white spots suddenly appear on the skin, gradually expand, vary in size, are milky white in color, and may have a dot in the center, with the skin color deepening. The edges are uneven, but the boundary is clear. The skin color around the white spots is often darker than the normal skin, and there is no scale on the surface. For mild cases, the dispelling wind and blood method can be used to choose vitiligo pills; or the harmonizing qi and blood method can be used to choose dispersing; if the tongue For patients with ecchymosis and slightly astringent pulse, invigorating blood and resolving stasis should be treated with Orifice-Opening Blood-Activating Decoction.
2. Disharmony between Qi and Blood︰Sudden round white spots on the skin gradually expand, and the skin color deepens at the edges. There may be brown spots in the center. They may become red and scorching after being exposed to the sun. The hair in the spots may turn white. They often occur on the face, neck, around the navel, external genitalia, etc., and progress. Slowness, or accompanied by emotional depression, or dysphoria, irritability, insomnia dreamfulness, flank swelling, menstruation imbalance in women and other symptoms. The pulse may be stringy and slightly astringent, the tongue texture may have ecchymosis, and the tongue coating may be thin and white. Any internal damage to the seven emotions can lead to disorder of qi movement, or wind evil may reappear on the skin, causing qi and blood to stagnate, and the hair orifices may be blocked, which is the primary disease. The key points of syndrome differentiation are: white spots suddenly appear on the skin, gradually expand, vary in size, are milky white in color, and may have a dot in the center, with the skin color deepening. The edges are uneven, but the boundary is clear. The skin color around the white spots is often darker than the normal skin, and there is no scale on the surface. For mild cases, the dispelling wind and blood method can be used to choose vitiligo pills; or the harmonizing qi and blood method can be used to choose dispersing; if the tongue For patients with ecchymosis and slightly astringent pulse, invigorating blood and resolving stasis should be treated with Orifice-Opening Blood-Activating Decoction.
3. Disharmony between Qi and Blood︰Sudden round white spots on the skin gradually expand, and the skin color deepens at the edges. There may be brown spots in the center. They may become red and scorching after being exposed to the sun. The hair in the spots may turn white. They often occur on the face, neck, around the navel, external genitalia, etc., and progress. Slowness, or accompanied by emotional depression, or dysphoria, irritability, insomnia dreamfulness, flank swelling, menstruation imbalance in women and other symptoms. The pulse may be stringy and slightly astringent, the tongue texture may have ecchymosis, and the tongue coating may be thin and white. Any internal damage to the seven emotions can lead to disorder of qi movement, or wind evil may reappear on the skin, causing qi and blood to stagnate, and the hair orifices may be blocked, which is the primary disease. The key points of syndrome differentiation are: white spots suddenly appear on the skin, gradually expand, vary in size, are milky white in color, and may have a dot in the center, with the skin color deepening. The edges are uneven, but the boundary is clear. The skin color around the white spots is often darker than the normal skin, and there is no scale on the surface. For mild cases, the dispelling wind and blood method can be used to choose vitiligo pills; or the harmonizing qi and blood method can be used to choose dispersing; if the tongue For patients with ecchymosis and slightly astringent pulse, invigorating blood and resolving stasis should be treated with Orifice-Opening Blood-Activating Decoction.

[Documentation]

1. Shengji Zonglu． Volume 18: "The theory of vitiligo is that the skin becomes chapped and white spots appear. It is caused by lung heat, wind evil takes advantage of it, wind and heat combine, spread to the body, and block..."

[Symptomatic Therapy]

1. malaytea scurfpea fruit has photosensitizing effect and can treat vitiligo. Grind it into powder and soak it in wine to make a 20% to 30% tincture, and apply it locally.
2. puncturevine caltrop fruit, Qianjin Fang can be used alone to grind into powder for eye application to treat vitiligo.