四逆散为《伤寒论》方,由柴胡、枳实、白芍、灸甘草四味药组成,原用于热郁于内而四肢反凉的郁热症,笔者在临床中,以本方加味治疗多种疾病可获良效。黄褐斑江某,女,43岁,1996年5月初诊。面部出现黄褐斑近半年,诊见两颧部、鼻部两侧有对称性淡褐色斑块,边缘不整齐,不高出皮肤,亦 Sinisan is a prescription for “Treatise on Febrile Diseases”. It is composed of Bupleurum, Citrus aurantium, Bletilla striata, and moxibustion and licorice four herbs. It was originally used as a heat-inducing disease in the limbs and anti-cold limbs. Addition to treat a variety of diseases can be beneficial. Chloasma Jiang, female, 43 years old, first diagnosed in May 1996. Near the half of the appearance of chloasma on the face, there are symmetry light-brown patches on both sides of the temple and on both sides of the nose. The edges are not neat and do not rise above the skin.