Objectives: Understand xanthelasma pathogenesis from both Western and TCM views, focusing on phlegm damp and Qi stagnation. Learn the principles of Zhuang medicated thread moxibustion. Apply TCM based therapy safely and effectively in dermatologic settings.
Introduction: Xanthelasma palpebrarum is a benign lipid rich lesion, often seen in middle-aged women. In TCM, it reflects phlegm accumulation and Qi stagnation around the eyes. Zhuang medicine applies medicated thread moxibustion threads soaked in herbal decoctions and ignited to deliver heat and medicinal effects. This technique aims to resolve stagnation, transform phlegm, and restore local balance. This study explores its role as a non-invasive treatment in clinical dermatology.
Materials / method: Middle-aged female patients diagnosed with bilateral upper eyelid xanthelasma received Zhuang medicated thread moxibustion as an alternative to conventional treatment. A total of three patients (aged 34, 45, and 55) underwent three treatment sessions at 10-day intervals. Threads made from 0.7 mm ramie, soaked in herbal decoctions, were ignited and briefly tapped on lesions using the “pearl fire” technique. Topical lidocaine was applied prior to treatment. Outcomes were assessed via a 4 point clearance scale, clinical photography, and patient feedback over a 3 month follow up.
Results: All patients achieved full resolution by the third session, with visible reduction after the second. Mild transient edema resolved within 24 hours. No scarring, pigment changes, or infections occurred. At 3 month follow up, no recurrence was seen. Compared with TCA peeling or laser therapy, Zhuang moxibustion provided safer, well tolerated outcomes and greater patient satisfaction.
Conclusion: Zhuang medicated thread moxibustion is a traditional TCM therapy with promising dermatologic use in xanthelasma. It likely works by heat induced disruption of dermal foam cells and enhancing circulation, plus transdermal herbal absorption. The technique avoids pigment changes or scarring, is low cost, and requires no complex equipment. As a bridge between tradition and integrative dermatology, it warrants wider clinical recognition.
利益冲突声明
您有否接受任何资金来支持研究这个主题？
是
请注明名称（个人，公司，学会等等）: This study was supported by grants from the Shanghai Engineering Research Center of Hair Medicine, the National Science Foundation of China, and other public funding bodies in China.
您是否接受过关于这项研究的任何酬金或其他报酬？
否
你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
否
你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否
这项工作的完成感谢以下机构的支持： This work is presented thanks to public research funding from the Shanghai Engineering Research Center of Hair Medicine, the National Science Foundation of China, and other institutional grants supporting clinical innovation in dermatology. The authors de
