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2014年03月04日
Traditional Chinese medicine internal and external washing ecthyma
Cui Yan Liu Hui Wu Jianping Henan college of traditional Chinese medicine YiFuYuan
China's traditional Chinese medicine to
Ecthyma is occurred in the lower extremities is not healing ulcers, often secondary to venous insufficiency of lower extremities disorder, about ecthyma that generations of physicians have a more detailed discussion, choose the medical result set load: "two Lian ecthyma, was born in, swelling in the beginning, which has become decayed or jin Yin long itch, broken and ichor dripping wet..." , its performance is to lower calf inside and outside ulcer, is painless and more again shortly after the collapse of characteristics, so it is also called old rotten mouth boils legs, skirt, pants poison, etc. Much by long standing or weight, time consumption of qi and blood, to the calf channels cross solution, the veins stood out, YuZu context, affect blood running, compound for treating, qi and blood stagnate; Or because of a calf skin damaged canister, insect bite eczema and induce. Most of the lesion site on the medial malleolus (Lian) within three inches, inside than the outside, to itch pain, redness, erosion, ulceration, wound subsidence, edge shape is characterized as crock mouth. The disease is always hot and humid betting, deter a meridian, poor camp guard, qi and blood freeze.
Cui Gong let professor argues that the disease on the treatment should be combined with the tongue, pulse, syndrome and review for the dialectical, syndrome differentiation. In acute infection period should been detoxification, treatment is given priority to with qing dynasty; Chronic blood stasis demurrage and wound healing period is given priority to with "blood stasis", "empty", treatment with "tong", the "patch" for this. Internal advocate using Chinese medicine external treatment at the same time, the differentiation stage, comprehensive treatment. Evidence type in different phase, respectively to give clear heat, qushi, spleen and replenishing qi and blood drug therapy, combined with surgical cleaning processing, can achieve good curative effect.
Ecthyma is equivalent to the lower extremity venous ulcer in western medicine, often secondary to venous valve insufficiency of lower limb, lower limb varicose veins, and lower limb trauma after lower extremity deep vein thrombosis, and after the operation.
Parting syndrome differentiation
Hot and humid betting type
Main performance: wound rotten dark, wet dripping wet, stinking, localized itching, redness and swelling searing pain, thirst, constipation, urine yellow, yellow greasy moss, pulse number.
Therapeutic principle: heat lishi, detoxification of t2dm.
Syndromes: ulcers outside wash to add and subtract.
Of drugs: alum 60 grams, pomegranate peel 60 grams, 30 grams of cortex phellodendri, tsubaki root skin 30 grams, 30 grams of folium artemisiae argyi.
Add and subtract using: heat and rhizoma coptidis, glauber's salt, bone skin; Wet is filled with bitter ginseng, myrobalan; Itch plus belvedere fruit, crane lice obviously; Pain with wood, red flowers, tougucao obviously.
Qi deficiency and blood stasis type
Main performance: the course of the day for a long time, wound pale color dull, granulation color light, around the dark hair hard, though with heavy body trapped, languid, lavender or tongue ecchymosis, whitish, pulse fine acerbity.
Therapeutic principle: invigorate the circulation of qi and remove stasis gave birth to the new.
Syndromes: ulcers outside wash to add and subtract.
Of drugs: alum 60 grams, pomegranate peel 60 grams, 30 grams of cortex phellodendri, tsubaki root skin 30 grams, 30 grams of folium artemisiae argyi.
Add and subtract: dull, induration obviously with wood, red flowers, common clubmoss herb; With effusion plus rhizoma atractylodis, bitter, myrobalan refs.
Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2014-03/03/content_83067.htm