Systemic lupus erythematosus
[Overview]
Referred to as systemic lupus erythematosus SLE, a systemic multi-organ involvement of autoimmune connective tissue disease. With varying degrees of fever, skin exposed parts of edema, erythema, joint pain, oropharyngeal ulcers as the main clinical features. Cardiac involvement appeared pericarditis, myocarditis, or endocarditis, or heart failure. Renal involvement appeared nephritis, nephrotic syndrome, renal insufficiency.Digestive system involvement appeared hepatitis, gastrointestinal ulceration and bleeding. Nervous system involvement appeared epilepsy, meningitis, cerebral vascular accidents. SLE incidence in young women as the main crowd.Rapid onset of acute type, with severe symptoms of poisoning, and multiple organ involvement, failure and poor prognosis.Chronic discoid-type damage, lesions confined to the skin, rarely involving the viscera, and slow progression, prognosis is good.SLE is a Chinese “yin and yang poison,” “Red Butterfly sore,” “Lantana”, “heart palpitations”, “internal heat”, “Bi Syndrome”, “edema”, “Consumption” and other areas.
[Etiology and pathology]
Etiology of SLE, both internal and external causes. Period for Congenital inadequate; outside because living carelessly, sunlight exposure, feel cult poison, impassioned internal injuries, workers want to over, etc., caused by imbalance of yin and yang organs, blood, drugs, heat and blood stasis within the health and disease.
Pathological changes of the toxic heat flaming, broadcast burning business of blood, damage the blood network, then see fever, glossopharyngeal ulcer pain, skin erythema, spit, vomit, urine, blood in the stool. Hot burning deficiency, blood stasis virtual networks, network paralysis evils, the joint pain. Yin gas consumption, cult poison Bi heart, the palpitations, shortness of breath, chest tightness or pain, lip purple. Deficiency and blood stasis, then fever, erythema dark color. Measured loss of kidney yin, dizziness, hair loss. Yin Sun and Yang, spleen deficiency, the lower extremity edema, lumbar and knees. In addition, emotional injuries, liver qi stagnation, poor blood, Ecchymosis measured flank pain within the end use to do the next block.
[Diagnostic points
1 Department of butterfly or discoid skin exposure erythema, photosensitivity, oral ulcers, arthritis and so on.
(2) proteinuria, tubular urine or hematuria, white blood cells, or thrombocytopenia, or hemolytic anemia, increased ESR, fluorescent antinuclear antibodies; anti-double-stranded DNA (+), or to find the LE (lupus) cells; skin (non- Ministry of lesions) lupus band test (+) or biopsy (+) and so on.
[Type] dialectical
1 flaming hot toxic symptoms: high fever, facial erythema or purpura, blood blisters, or vomiting blood, Nvxue, hematuria, blood in the stool, joint and muscle pain, irritability, thirst, delirium or coma. Red or purple, thin yellow tongue coating, slippery pulse. The type seen in acute or subacute cases.
Syndromes: toxic heat flaming, then see high fever; Camp Blood is broadcast, where hot flaming, overflow in the skin, for the facial skin erythema. Chi and blood stasis, compared with purpura; Ecchymosis infestation, compared with blood blisters; thermal injury of blood contact, the vomiting, Nvxue, hematuria, blood in the stool; stasis virtual network, rheumatic fever, evil, Blockage of the meridians, the joint and muscle pain ; Heat disability allowance, the irritability thirst; heat into the heart of business measured coma delirium; red tongue, thin yellow coating, slippery pulse, are heat toxin Chi, Heat-blood of the elephant, purple tongue, compared with blood signs of heat-induced blood stasis.
2 deficiency and blood stasis symptoms: fever downs or with Fanre, skin purpura, muscle sorrow and grief, joint pain, swelling or pain was migratory. Dark red tongue, thin yellow fur, rapid pulse. This type of activity seen in mild cases.
Syndromes: Heat vaginal injury, deficiency and blood stasis, the undulating fever, skin purpura; venae emptiness, the joint pain; rheumatic fever evil into the table by the muscle meridian, Blockage of the blood test muscle sorrow and grief, migratory joint pain, swelling; dark red tongue, thin yellow fur, rapid pulse, for the deficiency and blood stasis, paralysis of evil as the virtual network.
3 Qi and Yin Deficiency symptoms: palpitations, shortness of breath, chest tightness or pain, dark purple skin, purple lips, spontaneous perspiration, insomnia, manic, or coma. Dark purple tongue, yellow fur, rapid pulse, or knot generation. This type of damage seen in lung or central nervous system damage cases.
Syndromes: cult poison long-Yu, Qi and Yin deficiency, heart failure has raised is not measured spontaneous sleep, paralysis cult poison the heart, the palpitations, shortness of breath, chest tightness or pain; blood stasis, the skin is dark purple, purple lips; cult poison the hearts and minds , then the coma manic; dark purple tongue, yellow coating or intermittent pulse breakdown, are Yin Deficiency, cult poison heart like Bi.
4 liver blood stasis symptoms: flank pain, chest tightness, abdominal swelling of the liver, or see the scars Xiexia block Anhei skin, subcutaneous ecchymosis, menstrual disorders.Purple tongue or ecchymosis, thin yellow tongue coating, thready pulse string or astringent. This type of damage found in liver function, hepatosplenomegaly cases.
Syndromes: liver qi stagnation, blood stasis, the flank pain, chest tightness, abdominal swelling of the liver, skin, Hei, subcutaneous ecchymosis; Ecchymosis within the knot, then Xiexia scar block; woman with hepatic blood is used, the liver and blood stasis, Chong and Ren disorders, menstrual disorders are; purple tongue or ecchymosis, thin yellow tongue coating, thready pulse string or astringent, both stagnation and blood stasis, cult poison within the knot of the elephant.
5 yin and yang deficiency symptoms: erythema bleak, backache, dizziness, head dark, hair loss, looking Shaohua, poor appetite bloating or loose stools, Shenpi edema, chills. Tongue dark fat, thin, weak pulse. The type seen in cases of lupus nephritis.
Syndromes: evil JI is true, the liver and kidney Yinxue, nothing to nourish the organs and meridians, the backache, dizziness, head dark, hair loss, looking Shaohua; sinister and positive, less blood and stagnation, the erythema bleak; spleen Yang, the poor appetite bloating or loose stools, Shenpi edema, chills, etc.; tongue dark fat, thin, weak pulse, the yin and yang of the elephant.
[Type] treatment
1 toxic heat flaming rule is: detoxification, cooling circulation.
Recipe: Decoction Qingwenbaiduyin.
30 grams of gypsum (Xian Jian) buffalo horn 30 grams (Xian Jian) Anemarrhena 12 grams berberine 5 grams 15 grams of skullcap forsythia gardenia 12 grams 12 grams 15 grams of raw land 15 Kedan Pi red peony 15 grams Angelica 9 grams Caulis Lonicerae 30 g Gentiana 12 grams subtraction with the disease: high fever and see coma speaker, plus antelope horn powder 0.6 g (versus service), to heat the frightened; ecchymosis bleeding worse, plus multiple intersecting 15 g, Rhizoma Imperatae 30grams, Radix 15 grams to enhance cooling blood to stop bleeding; dry stools who increase the yellow 9 g (later) to heat Tongfu diarrhea.
2 deficiency and blood stasis rule is: Yin stasis, dispelling evil meridians.
Recipe: Dabuyin pill, Si Xuan Bi Tang decoction.
Habitat 15 grams turtle version Treats 10 grams 15 grams 10 grams 10 grams of Angelica Anemarrhena red peony 15 grams Guizhi defense has 12 grams 9 grams 30 grams Yiyiren forsythia silkworm sand 12 g 15 g (including) Caulis Lonicerae 30 grams with the disease in Canada Less: fever endless, plus silver Bupleurum, Artemisia annua, to. 8 Paper 15 grams to Qingxudong heat; joint Tong Shen who also sticks Ghassan 20 grams Gentiana 12 grams, Millettia 15 g, and choose nosed pit viper, 10 grams, or choose Scorpion 6 grams, centipede 2amended to strengthen the power of dispelling evil Tongluo pain.
3 Therapeutic Qi Deficiency: Qi Yin, pure heart and detoxification, Huoxuetongmai.
Recipe: Baked Licorice Decoction Qing Tang.
Zhigancao 9 g 9 g Gui Zhi 9 grams of ginseng habitat 15 grams Scrophulariaceae 12 Winter oats 15 g lotus 6 g Forsythia 13 g diffusa 30 Kdan parameters safflower 9 g 15 g 12 g fumarate addition and subtraction with the disease : Qi spontaneous person, plus 30 grams of astragalus, Schisandra 6 grams to Qi sweating; upset, insomnia, plus Suanzaoren, Bozi 10 grams each, with uneasiness of mind; coma manic, plus magnet, keel 30 grams (Xian Jian) to Anticonvulsant sedative.
4 liver blood stasis treatment: Liver Li Qi, stasis.
Recipe: Decoction for Removing Blood Stasis Decoction Simiao.
Bupleurum Radix Angelica 9 grams 9 grams 15 grams 15 grams Citrus aurantium habitat 15 grams 15 grams 15 grams of honeysuckle Scrophulariaceae diffusa 30 g 12 g Tri Curcuma 12 Kechuan?? Sub 12 grams with 3 grams of licorice Modified disease: hepatosplenomegaly were evident, plus turtle version, turtle shell, 15 grams to Ruanjian scar; wood is the spleen, spleen qi stagnation see poor appetite, abdominal distension, or those with loose stools, plus Codonopsis 15 grams, 15 grams Atractylodes, 15 grams of yam, dried tangerine peel 9 g to Spleen qi.
5 yin and yang rule is: Zi-yin yang, kidney detoxification.
Recipe: Zuoguiwan together Immortals Decoction.
Rehmannia 15 grams 15 grams of yam dogwood 9 grams, 12 grams medlar Dodder Curculigo 12 g 15 g 12 g Epimedium Angelica 9 Kedan Pi 12 g 20 g Serissa deer grass title diffusa 30 g 30 g with the disease Modified: back pain who Gadou Chung 12 grams, Morinda IZ grams to kidney Zhuangyao; foot swelling, proteinuria, plus 30 grams astragalus, 15 grams Atractylodes, psoralen IS g, Poria 30 g of soil to spleen and kidney, water swelling; hair loss, plus Radix 15 grams, white peony root 15 g, to Yangxueshengfa; aversion to cold, plus Monkshood 12 grams, 3 grams of cinnamon (versus service), to yang and cold.
[Chinese medicine]
1 piece each compound gold buckwheat 6 to 8, 2 to 3 times a day.
2. Tripterygium 1 2 tablets each time, 2 or 3 times a day.
[Simple] side
Three cane syrup: Hook, SFAS, Millettia the same amount of syrup. Every 10 to 15 ml, 3 times daily doses. 2 months for a course of treatment. Applicable to all types of SLE.
[Other therapies]
External: madder, rhubarb 30 grams, decoction cool wet wash skin erythema, several times a day.
Acoustic-electric acupuncture therapy: selection of points Jue Yin Yu, liver Yu, Xinyu, the door of God, Song Ze, the customs, gu, Daling, too River, Yanglingquan, Sanyinjiao so. Each selected according to the dialectical point 5, mm needle into, after the gas sound waves pass into the music, the daily working time. Every 30 minutes.
Food therapy: fresh Kalimeris 500 grams, boiling water through finely chopped, fragrant tofu 150 Kocse end, mixed with fresh spices were added. SLE patients can eat it.
[Note]
1 is a systemic lupus erythematosus involving the systemic multi-organ autoimmune disease, the rational application of corticosteroids, combined with Chinese medicine treatment can greatly improve the prognosis of this disease, adhere to long-term treatment.
(2) avoid the sun, over exertion and emotional stimuli, life to the law, active exercise, enhance physical fitness.
3 Avoid eating spicy, quit wine.
4 time, infection control, hanged or worsening of the disease induced by drugs.