Differentiation sjogren's syndrome experiences

- LiuYan hospital li rheumatism lead in jiangsu province

Drying syndrome (Sjogren 's syndrome, SS) is a major involvement WaiFenBi gland body chronic autoimmune disease, in order to dry mouth, dry eye, arthralgia, repeated parotid enlargement, fatigue for major clinical manifestations, serious can involving the viscera. SS in our prealence was 0.3% ~ 0.7%, in the older population prealence was 3% ~ 4%, women see more. The disease causes not clear, at present there is no ideal treatment method.

SS in Chinese medicine without similar problems in the literature, and now mostly recorded believed to be necessary for "dry permit belonging" category. The national Chinese medicine by the illness professional committee polio-free polio-free reserch of the illness, the merger of the joint pain, belong to a "dry bi-complex", the zang-fu viscera can be called "damage", how to attack in the clinical Yin products. The author thinks that, in the process of fundamental cause disease, should give full consideration to the product multiple turbidity sticky Yin greasy, multi-purpose, long with, will have to be bored of growing concern of hinder the stomach. To combine the conditions of patients, complete with dredging wind tongluo, blood circulation, the spleen and stomach, qufeng drugs, always regard such phlegm, will protect flatulence conducive to disease recovery.

pathogenesis

Sjogren's syndrome, in the category of "dry permit" TCM pathogenesis areas, the disease is the key lies in the "Yin", light is lung and stomach liver-kidney Yin feiwei yam injuries, heavy then deficit. Many factors body deficiency of Yin or infection evil poison and send the body fluid, Yin deficiency XieKui biochemical shortage, which KuHe, fluid obsessed, joints, meridian clear lost to moisten. The disease mainly and lung, stomach, liver, kidney Yin deficiency, relevant, duration, five zang-organs are available for disease.

Dialectical point

The disease is the dialectical point, dry evil wound Yin or tianjin injury to the dry, multiple system, multiple organ damage, time can be caused by dry attack. The closed also polio-free, impassability meaning. So the disease have viscera angry machine disorders, qi qi lost touch, the pathological changes of the SeZhi operation. Clinical visible but cyanazine kui lost, Yin deficiency fever, dry stasis cardiac or dry phlegm in the characteristics of mutual ".

Cause the disease early dry evil unionizing list who committed lung disease, more urgent, of short duration of table is true; And innate endowment shortage or loss to the long illness and disease, the onset of a long, slow, duration of qi, blood, body fluid, visceral injury consumption of impaired, the deficiency of; In the long ShengTan turbidity deficiency in stagnant if, or after feeling of the pericardium, it was unionizing the inclusion.

Cause disease and qi-blood early invasion, dry body to lung health table card is given priority to, loss and body fluid, day long illness and Yin blood, "jin blood, appear hemopenia tianjin homologous" deficit performance. Qi deficiency, and later appear because of deficiency and blood can cause qi stag. indescribable line of blood stasis syndrome. If the deficiency of operation, phlegm turbidity water wet adverse cardiac blood and endogenous, complex knot in subcutaneous visible gall nuclear; Bi-complex resistance in meridian veins can cause painful numb.

Bian viscera deficiency in the nose, Lord lungs begin to understand and master xuan drop angry machine fur, lung Yin involvement is body see dry cough, nose dry and clarify the skin or dry throat discomfort; Spleen in mouth, Lord strictest limbs for stomach muscles and do its fluid, therefore, is not spleen disease not limbs bearing and send cyanazine Yin deficiency stomach dry mouth, XuHuo more attack on what is dry mouth sores easy dyke, your breath was born, the gut is shit BiJie lost embellish; For the heart seedlings, tongue heart Yin damaged visible dry mouth, burning pain, if what is lost is a mind raise palpitation, insomnia syndrome; Goose liver in eye, advocate muscle, the main factor is clear, liver Yin qiao channels raise and see dry eye lost fewer tears, inspect content faintness, numbness, if factor disorders, angry machine stagnation and blood stasis and visible performance; Renal hide fine bones, and if the Lord kidney Yin deficiency has visible angular, lumbar debility, vexed and hot night sweats etc card.

Parting of the syndrome differentiation and treatment

Dry evil committed lung clinical manifestations of the muzzle dry, dry eye less swelling pain, tears, gums without phlegm or phlegm less dry, difficult to cough up a sticky, often associated with fever, general sour, Sou red and they. Tongue dry wine, moss thin yellow, pulse count. The certificate in sjogren's syndrome early. Cure to clear dry cough runfei, square with clear dry save lung tonga decreases. Furthermore, cough and mouth thirst with jade bamboo, donnell, britannica (sacks Fried); The GanYan dry mouth, add burdock and pain son, and as etc; Vexed thirsty dramatically, plus jade bamboo, ebony, stone duhu etc; The bitter and dry mouth, square straight ladybell, loquat leaves; add Yin tianjin after consumption, dry mouth, furthermore, plus stone dendrobium straight ladybell jade bamboo,.

Lung and stomach's tianjin injury the clinical manifestations of the dry mouth, jin less to clarify burst, easy to colds or dry throat mouth dry, dry cough little phlegmy, can be associated with fever, constipation, red tongue moss small qualitative dry, pulse count. Cure to clear lung benefit stomach with Yin, square, sitting straight ladybell dwarf lilyturf decoction and leaves gesso soup. The stomach hot dry filled, add gypsum (first Fried), altogether; The new full in wan, add the stalking, pain, acid-insoluble ash sprouting, tangerine peels, fumaric; Nausea, add Sue to the vomit after stalk (next), bamboo radha, britannica (sacks Fried); Move bowels dry, add XiaZhe Rachel difficult pericarpium trichosanthis, fry frutus aurantii, fire fat-soluble.

Two empty syndrone clinical manifestations of the surface HuangShaoHua, dizziness mesh astringent, dry mouth nose dry, exhaustion, anxiety fidgety, insomnia, skin hair boring, tongue NenGong neupogen, moss less, less pulse fine. Governance Yin dryness, to raise blood to tranquilize the nerves, square land mei siwu decoction combinated huanglian donkey-hide gelatine soup. The heart, with raw horrified to upset LongChi (first Fried), amber powder (points blunt); Palpitations bosom frowsty chest pain, who added danshen, pericarpium trichosanthis, vinegar fumaric; The palpitation and shortness of breath, add taizi pilosula, lotus seed meat.

Liver-kidney Yin deficiency clinical manifestations of dizziness tinnitus, dry mouth mesh astringent, inspect content faintness, lumbar debility, form gaunt, vexed hot night sweats, little mei much dream, red tongue moss little or no moss, pulse count. This card more common in women over 50 or sjogren's syndrome illness JiaoChongZhe. To nourish "Yin" by nourishing liver kidney, sitting with bright eye shot, fang digitalis fits greatly tonifying Yin pills.

Blood stasis resistance clinical manifestations of GanYan dry mouth, dry eye eye astringent, skin is rough, skin armor wrong, visible nodal erythema, skin rashes, parotid enlargement, limb joint pain or activities unfavorable, tongue qualitative dark, little tianjin or have stasis point, pulse fine acerbity. The certificate in JiaoChongZhe illness. With qi and promoting blood circulation to remove blood stasis, square, eliminating phlegm «¥ bug pill with rhubarb addition and subtraction. The whole, plus honeysuckle sour pain cane, stretch muscle grass, dilong; The JianBei pain, add WeiLingXian, tablet turmeric, donnell chek lap kok; Muscle pain, add Fried the damagement, winding SangZhi, dilong ShiTeng, danshen, etc.; The ­À channels, add dynamic root, GuiBan (first Fried char oysters (first), born fry).

Yin scorching clinical performance for dry eye eye astringent, oropharynx, dry lips red, facial hot, dry mouth, easy to burst, tongue dry without saliva, no moss, tongue qualitative deep, pulse small and number. Cure to heat, cool blood nourish "Yin" dryness, party XiJiao hope to add and subtract in land.

Drug precautions

1. The dualism of the treatment should attach great importance to the disease with complexity, in increasing fluid, nourishing carambola moistening dryness, also the objective situation with patients, complete with dredging wind tongluo, blood circulation, the spleen and stomach, qufeng drugs, always regard as eliminating phlegm to protect flatulence. Because the product, Yin multiple turbidity sticky greasy, multi-purpose, long with, not hinder the specter of bored of growing spleen.

2. Belong to improve disease Yin medicine when the primary drugs. But as the body fluid TCM, because not born but embellish dry, dry deficiency due to the delay, born stasis born, said ziyin, while using the sluggish, also should notice the scattered stasis, dispel standard real side. Can make the stasis to blood, angry machine adjustable chang, live touch body fluid.

3. The flavour, promoting blood circulation to remove blood stasis also when using Kennedy cold or bitter micro cold, hard temperature of danshen, shows, root, Dan skin, towel gourd collaterals, etc. If the.tmp with warm, safflower, angelica, JiXieTeng etc., its dosage should be small, lest Yin liquid not complex and again damage. Big bitter taste, if not the under solstitial real hot, appropriate is used, with less, with bitter can turn the dry as a result.

Dry permit, the heaviest blood, blood, dredging up, is for general established for glands occlusion. This kind of block basic pathologic lesions, cure inflammation hyperplasia with detoxification to remove blood stasis. Often reuse white snake tongue grass, swollen section wind, honeysuckle cane, JiXieTeng; Stasis long there will be hot poison, applied some extreme of qing stasis poison medicines such as coptis chinensis franch, gardenia and root, golden cypress, altogether.

4. The wind medicine appropriate USES GanXinPing, GanXin cold or hard smooth, hard quality, the lukewarm embellish of medicine for the wind, neither the injured agent, and in conformity with the disadvantages Yin to runzhi "" zinn by decree. Such as towel gourd collaterals, honeysuckle ShiTeng, cane, winding Xi Xian grass, SangZhi, HaiTong skin, windbreak, QingFengTeng, sea wind cane, cane, fairy stretch muscle grass to wait, all have the loose, proclaims bi-complex hydrophobic pain mohan.

5. The disease came late YinSun and Yang, qi and Yin, forming two empty, Yin and Yang of two empty, vital qi deficiency syndrome. When this, put to appropriate and move Yin and Yang, qi and blood, greatly tonifying roots. If the muscle and pure kui pulp lost honor, empty, bone and joint, then raise blood shapechangers tendon, fill in honor of zhuang lean pulp, onyang zadok, even worm ants can all be found such method of vigilance. Anyhow, treatment should be flexible reach change, not constrained.

6. During the course of treatment, food therapy effect cannot be ignored. But ask patients service lily, lotus seed, tremella, medlar, lily porridge, fresh turnip.he soup, chrysanthemum tea lotus, cassia seed substituting tea, etc.