The traditional Chinese medicine treatment of vitiligo mainly includes oral administration of traditional Chinese medicine, external application of traditional Chinese medicine, acupuncture and moxibustion therapy, cupping therapy, diet conditioning and other methods. Vitiligo is a common depigmented skin disease, which is believed to be related to factors such as disharmony of qi and blood, deficiency of liver and kidney, and external invasion of wind pathogens in traditional Chinese medicine. Treatment should be based on individual conditions according to syndrome differentiation.

1. Oral administration of traditional Chinese medicine
Oral administration of traditional Chinese medicine is a commonly used method for treating vitiligo, usually based on the patient's constitution and condition. Bai Shi Wan can be used for the type of Qi and blood deficiency, which has the effects of nourishing qi and blood, dispelling wind and unblocking collaterals. Vitiligo capsules can be used for patients with liver and kidney deficiency, which can nourish the liver and kidneys, and harmonize qi and blood. The liver depression and qi stagnation type can be treated with Qu Bai Ba Bu Qi tablets, which have the effects of soothing the liver, relieving depression, promoting blood circulation, and dispelling wind. For the blood hot air dryness type, Taohong Qingxiu Wan can be used, which can cool the blood, promote blood circulation, dispel wind and moisten dryness. The spleen and stomach weakness type can be treated with modified Shen Ling Bai Zhu San, which has the effects of strengthening the spleen, nourishing qi, and dispelling dampness and evil. Traditional Chinese medicine should be taken orally under the guidance of a doctor for a long time, and self adjustment of the prescription should be avoided.
2. External application of traditional Chinese medicine
External application of traditional Chinese medicine can directly act on the white spot area, promoting local qi and blood circulation. Bu Gu Zhi Ding is a commonly used topical medicine containing ingredients such as Fructus Psorale and safflower, which can warm the meridians and promote pigment production. Baizhi tincture has the effects of dispelling wind and dampness, promoting blood circulation and unblocking meridians, and is suitable for vitiligo caused by wind invasion. Compound Kalizi Ran Tincture contains various traditional Chinese medicine ingredients that can improve local microcirculation. Ume tincture has a astringent and muscle generating effect, suitable for stable white patches. White thistle tincture can dispel wind, relieve itching, promote blood circulation, and remove blood stasis. Attention should be paid to skin reactions when using topical medications. If redness, swelling, and itching occur, discontinue use and consult a doctor.
III. acupuncture and moxibustion therapy
acupuncture and moxibustion regulates the movement of qi and blood by stimulating the meridians and points, and filiform needle acupuncture is commonly used in combination with moxibustion. The selection of acupoints is mainly based on local white patches surrounding acupuncture points, combined with acupoints such as Zusanli and Sanyinjiao. Fire needle therapy uses specially designed needles to heat and puncture the edges of white patches, which can warm up meridians and promote the activation of pigment cells. Plum blossom needle tapping can improve local blood circulation, and it is more effective when combined with cupping. Ear acupressure selects corresponding ear points such as the lungs, liver, and kidneys, and regulates organ function through continuous stimulation. Acupuncture and moxibustion treatment should be performed by professional doctors to avoid infection, scald and other adverse reactions.

Fourth, Cupping Therapy
Cupping promotes local Qi and blood circulation by creating negative pressure on the surface of the skin. The cupping technique is performed on the bladder meridian in the back, which can clear meridians and regulate organ function. The flash cupping method can quickly remove and place around white patches, which can improve local microcirculation. Puncturing and cupping with plum blossom needles before cupping has the effect of promoting blood circulation and removing blood stasis. The medicinal cupping therapy combines traditional Chinese medicine decoction with cupping to enhance the effect of dispelling wind and dampness. After cupping, there may be bruising or blisters, and skin care should be taken to avoid infection. People with weak constitution should use cupping therapy with caution.
Fifth, Dietary Regulation
Traditional Chinese medicine emphasizes the same origin of medicine and food. Vitiligo patients can eat more black foods such as black sesame, black beans, and black rice appropriately, which have the effect of nourishing the kidneys and essence. Walnuts and goji berries can nourish the liver and kidneys, improve qi and blood deficiency. Mulberry and seaweed are rich in trace elements, which help with pigment synthesis. Avoid excessive consumption of spicy and stimulating foods such as chili peppers and alcohol to prevent the growth of wind heat. Eating less fruits rich in vitamin C, such as citrus, may affect melanin production. Dietary adjustments need to be persisted in the long term, and the effect is better when combined with other treatment methods. Patients with vitiligo should maintain a regular schedule and avoid staying up late and overworking. Pay attention to sun protection to prevent sunburn in areas with white spots. Wear loose cotton clothing to reduce skin friction and irritation. Maintain an optimistic attitude and avoid anxiety and depression affecting the effectiveness of treatment. Engaging in soothing exercises such as Tai Chi and Ba Duan Jin can help balance qi and blood. Regular follow-up visits during treatment, adjusting the plan according to changes in the condition. Avoid using folk remedies with unknown ingredients to prevent skin allergies or worsening of the condition. The treatment of vitiligo requires patient adherence to comprehensive conditioning in order to achieve ideal results.

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