Seborrheic alopecia is a common refractory disease in dermatology. It is characterized by greasy scalp and hair loss

which seriously affects the quality of life of patients. Based on the theory of

zhuoxie haiqing

(turbid pathogens impairing the clear)

it is proposed that spleen and stomach dysfunction and endogenous dampness and turbidity are the root causes of the disease

and the symptoms of disease result from the upward-invasion of turbid pathogens and stagnation of damp heat. In clinical practice

the in-row and fire needling with filiform needles is used to eliminate the turbid pathogens

and promote meridian circulation and hair growth

bloodletting technique is operated to reduce the turbid heat from the governor vessel

and

Wang

's "ten-acupoint needling" therapy is delivered to regulate the function in the middle

jiao

to block the source of turbid pathogens. The paper provides a new insight to the pathogenesis of seborrheic alopecia and its treatment with acupuncture and moxibustion.