中醫藥研究論叢

232.4 牡丹皮、天門冬精華液在減輕女性臉部皮膚暗沉之研究
TJ TCM.23(2) : 49-66, 2020
 
牡丹皮、天門冬精華液在減輕女性臉部皮膚暗沉之研究
The Lotion Containing the Extract of Paeonia Suffruticosa and Asparagus Cochinchinensis Attenuated Skin Pigmentation in Women: A Pilot Study   
趙家儀1,3 胡楚松2 朱建福1 顏峰霖3*
1 天主教聖功醫療財團法人聖功醫院中醫部,高雄,台灣
2 高雄醫學大學附設中和紀念醫院,高雄,台灣
3 高雄醫學大學藥學院香�菻~學系,高雄,台灣
【摘要】
前言:傳統中醫認為當人體長期處於體液缺乏(陰虛),血瘀和血熱會造成發炎後色素沉著。臨床中醫通常使用滋陰中藥,如天門冬來滋養人體體液及皮膚,並利用活血化瘀中藥如牡丹皮來促進血液循環來治療發炎後色素沉著。先前研究已證實天門冬和牡丹皮萃取物有效地抑制黑色素細胞的酪氨酸酶活性,但尚未有相關實證醫學研究來探討其皮膚美白功效。本研究目的在探討含有天門冬及牡丹皮萃取物的精華液對女性發炎後色素沉著之改善效果。
方法:本研究是隨機單盲臨床試驗,共有60 位年齡為25 至60 歲健康女性受試者,其Fitzpatrick 皮膚類型為III 及IV 型,將其隨機分為3 組,0.5%牡丹皮、天門冬精華液,2% 牡丹皮、天門冬精華液及未含牡丹皮、天門冬精華液之安慰劑,每組各20 人。受試者每日2 次臉部清洗後塗抹樣品於皮膚暗沉部位。之後在試驗前(第0 週)及試驗後(第8 週)經數位膚質檢測儀(VISIA)評估臉部黑色素程度。
結果:在使用後的第8 週,0.5% 及2% 牡丹皮、天門冬精華液確實改善受試者全臉的皮膚表淺斑點(p<0.05)。
結論:含有牡丹皮及天門冬萃取物精華液對皮膚色素沉著的受試者具有良好美白效用,未來可做為皮膚嫩白的保養品原料應用在化�菻~或醫藥品產業上。
【關鍵詞】皮膚色素沉著、牡丹皮、天門冬、數位膚質檢測儀
 
Chia-Yi Chao1,3Chu-Sung Hu2Jeff -Chen Ju1Feng-Lin Yen3*
1Department of Traditional Chinese Medicine, ST. Joseph Hospital, Kaohsiung, Taiwan
2Department of Dermatology, Kaohsiung Medical University Chung-Ho Memorial Hospital,
Kaohsiung, Taiwan
3Department of Fragrance and Cosmetic Science, Kaohsiung Medical University, Kaohsiung, Taiwan
【Summary】
Traditional Chinese Medicine (TCM), one form of CAM, has indicated that long term body fluid deficiency(津液缺乏), blood stasis(血瘀)and blood heat(血熱)can cause SHD. Clinical TCM usually uses the enrich yin(滋陰)herb, such as Asparagus cochinchinensis (Ac), to nourish the human body fluid andmoisturize the skin for improving skin metabolism, resulting in skin whitening. In addition, TCM also uses the angiogenesis promoting herb, such as Paeonia suffruticosa (Ps), to cure SHD through promoting blood circulation to dispel blood stasis(活血化瘀). Previous studies have revealed that the extract of Ps and Ac can effectively inhibit tyrosinase activity in melanocytes, but the evidence base for its skin whitening effect has not been investigated yet. In the present study, The lotion containing the extract of Ps and Ac was used to attenuate skin pigmentation in female subjects through a pilot study. This is a randomized, placebo-controlled, single-blind clinical trial. Sixty female subjects aged between 25 and 60 were enrolled, and their Fitzpatrick skin types were type III to IV Asian skin with hyperpigmentation conditions. There are three randomized groups in this pilot study, including 0.5% and 2% lotion and placebo, with 20 subjects in each group. All subjects in each group were administered various test samples in facial pigmentation areas twice a day after cleaning. Before (0 week) and after (8 week) treatment, all subjects were non-invasively evaluated by VISIA® photography. The results indicated that there was a significant decrease in superficial spots on the entire face after using 0.5% and 2% lotion (p<0.05). In summary, The lotion can effectively improve the skin pigmentation of subjects and displays skin whitening effect, and we suggest that the lotion may be used as a skin whitening product in the cosmetic or pharmaceutical industry in the future.
 
【Keywords】Skin pigmentation, Paeonia suffruticosa, Asparagus cochinchinensis, VISIA® photograp