〔摘要〕 白癜风是一种常见的色素脱失性皮肤病，白斑可全身泛发，病程较长，严重影响患者的生活质量。据白癜风的病症特点，认为阳气内虚、外邪侵袭是基本病机。白癜风的发病与微生物的免疫反应密切相关。结合文献资料及临床经验分析，中医药可通过调理肺脾功能和改善菌群失调，调节免疫，以达到治疗白癜风的目的，可为临床治疗提供新的思路和方法。

    〔关键词〕 白癜风；阳虚；免疫反应；肺脾论治；菌群失调

    〔中图分类号〕R275" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.11.025

    Treating vitiligo of yang deficiency pattern with regulation of the

    lung and spleen

    FENG Lishuang1， LIU Hongwei1， LI Hui1， ZHANG Siyuan1， DONG Xiaoyi1， WANG Yuanhong2*

    1. Heilongjiang University of Chinese Medicine， Harbin， Heilongjiang 150040， China; 2. The First Hospital of

    Heilongjiang University of Chinese Medicine， Harbin， Heilongjiang 150040， China

    〔Abstract〕 Vitiligo is a prevalent skin condition characterized by the appearance of depigmented patches， which can extend across various parts of the body， with a prolonged disease course. This condition notably affects the quality of life for those affected. Based on the characteristics of vitiligo， it is believed that the internal deficiency of yang qi and invasion of the body by exogenous pathogenic factors constitute the underlying pathogenesis. The onset of vitiligo is closely related to immune responses to microorganisms. By delving into literature and clinical experience ......