Scleroderma
Scleroderma is a traditional Chinese medicine, “muscle weakness”, “skin numb” and other areas.
[Etiology and pathology]
The cause of scleroderma has internal and external causes of the points, because Congenital deficiency within and outside because the feel the wind, cold, heat and other evil, Blockage caused by meridians, blood disorders and for the disease.
Pathological changes such as cold or hot evil poison attack on lung health, lung failure Xuan casual, business health disharmony, blood running negative, Blockage of the collaterals, and see the joint and muscle pain, hard skin. Gas as the commander of blood, qi and blood stagnation is; the main warm Yang Yun, Yang and the Hanning, can be caused by blood stasis coagulation, loss of wing skin, and see the skin plate as hard as wax. Love falling evil, righteousness burned, blood loss, and Lane, involving the five internal organs.
[Diagnostic points
1 The initial back of the hand and upper eyelid edema of unknown causes and the symmetry of the diffuse sclerosis, advanced hardening of the skin and finger flexion contracture.
Extremities more than a Raynaud’s phenomenon, and intractable ulcer and scar formation, multiple joint pain and arthritis, or difficulty swallowing, breathing difficulties.
(2) forearm extensor side of the skin biopsy, showing swelling of collagen fibers, or fibrosis, also showed similar changes in the vessel wall.
[Type] dialectical
1 cold Bi Network symptoms: chills, fever, hard skin, muscle and joint pain, cough, sputum, or see the white. Pink tongue, thin white, floating and tight pulse.
Syndromes: cold hit the table, Ying-Wei disharmony, the chills, fever;
Measured lung failure Xuan Su cough sputum white; evil Bi collaterals, blood negative, then the hard skin, muscle and joint pain; pink tongue, thin white, floating and tight pulse, are cold hit the table, Blockage of lung health levy.
(2) toxic heat Yu network symptoms: fever, cough, shortness of breath, muscle and joint pain, numbness, fingers and toes end wet or dry necrosis. Red tongue, yellow dry or less pain, rapid pulse.
Syndromes: hot poison attack, the first human lung health, lung failure declared, then fever, cough, shortness of breath; evil Yu muscle network, heat toxin forced, blood runs negative, then the muscle and joint pain, numbness; evil into the camp blood heat toxin force, heat stasis of fingers and toes end rot measured wet or dry necrosis; red tongue, yellow dry or less moss, pulse, are heat toxin Yu, disability allowance into the camp of the levy.
3 symptoms of qi and blood stasis: swarthy, thin skin, skin board hard, mouth difficulty swallowing. Dark purple tongue, thin fur, pulse string.
Syndromes: Yu steam gas is the main blood stasis, muscular network Stagnation, loss of support in Confucianism, the meeting swarthy color, skin thin, hard skin plate; gas initiative, qi stagnation, the mouth difficulty swallowing; tongue purple dark, thin, thin veins string, both qi and blood stasis of the levy.
4. Hanning Blood symptoms: chills, joint pain, tense muscles, swelling, a hard wood like wax. Tongue pale and dark, gray moss slippery pulse.
Syndromes: weak yang, the Hanning meridians, blood stasis, then chills, joint pain, tense muscles, swelling; blood stasis caused by virtual, loss of wing skin is hard like wax technique; tongue pale and dark , moss gray slip, the pulse small, both Yang Hanning Blood of the levy.
5 is virtual evil love symptoms: Xingshou tired limbs, palpitation, shortness of breath, dizziness, white face, muscle pain, skin thin hard paper, withered skin, hair loss. Tongue pale and thin, weak pulse.
Syndromes: falling into evil love, righteousness burned by steam blood deficiency, five internal organs dystrophy. Heart blood, lung air, cardiopulmonary dystrophy is white face, palpitation and shortness of breath; spleen governs the muscles, the main limbs, kidney stores the essence, marrow-filled brain, spleen and dystrophy, the Xingshou tired limbs, dizziness, hair loss; for virtual and stasis, skin and muscle loss in long-term blood Ru Yang, the muscle pain, skin thin hard paper, color wither; pale tongue, thin, weak pulse, are righteousness burned, blood deficiency symptoms.
[Type] treatment
1 Blockage of Therapeutic Lung Health: Xuanfei cold, blood circulation network.
Recipe: Decoction Jing anti-sepsis.
Nepeta wind 9 g 9 g 9 g Notopterygium 9 g Bupleurum living alone 9 grams Angelica 12 grams Chuanxiong imperatorin 9 g 12 g 6 g 3 grams of licorice Campanulaceae subtraction with the disease: muscle pain and sweat-free table, plus ephedra 9 g , Gui 9 grams, to declare sweating; joint pain evident, plus Clematis 15 grams, anti had 15 grams Speranskia 15 grams, 9 grams hematoxylin to enhance cold Shufeng, blood and pain of the meridians power.
(2) Yu-toxic heat contact rule is: detoxification, cool camp meridians.
Recipe: Yin Qiao San Qingying Decoction.
12 grams 15 grams of honeysuckle forsythia Arctium Platycodon 6 g 15 g 12 g habitat TPG 15 Kedan Pi Scrophulariaceae 12 g 15 g 12 g Lithospermum grass 15 grams to 30 grams 30 grams Yiyiren Caulis Lonicerae with the diseaseModified: cough, sputum yellow person, Gabay mother 9 grams, 15 grams of skullcap to phlegm; muscle pain, stiffness, plus Guizhi 6 grams, Anemarrhena 9 grams, Angelica 9 grams, 15 grams network Ishido to reconcile the business health, blood circulation network.
3 qi and blood stasis rule is: qi and blood circulation, circulation meridians.
Recipe: body pain Decoction.
Chuanxiong 9 g peach kernel safflower 9 g 9 g 9 g Angelica Wulingzhi 9 grams (package) Cyperus rotundus Achyranthes 9 g 9 g 9 g Gentiana Notopterygium 9 g to 12 g Long addition and subtraction with the disease: skin thin, add chicken cuneata 15 grams, 30 grams of astragalus to help gas nourishing; Blood fever, plus system, 9 grams of rhubarb, Dan 9 grams, the circulation heat.
4. Hanning Blood rule is: yang and cold, meridians circulation.
Recipe: Yang and Decoction.
Sunburn Angelica 9 grams 15 grams ephedrine 9 g Rehmannia antler 9 grams (molten into) Mustard Seed 9 g Baojiang 6 g cinnamon 3 g (later) safflower 9 grams subtraction with the disease: chills even more, Yaotuisuanruan who attach film 15 grams of Eucommia 12 grams, to Wenshen Zhuangyao; loose stools, greasy moss, to the cultivated land, plus herb 10 grams, 30 grams Yiyiren to spleen dampness; local skin hard, plus turtle nine grams of vinegar, kelp, seaweed 15 grams, the soft strong circulation.
5 is virtual evil love rule is: BNI, blood circulation network.
Recipe: Sijunzitang Taohongsiwu Tonga flavor.
Astragalus Codonopsis 15 grams 30 grams 12 grams Atractylodes Poria 15 grams Angelica 10 grams 10 grams Chuanxiong peach kernel safflower 9 g 9 g 15 g earthworm Millettia 9 grams subtraction with the disease; muscle and joint pain were evident, plus 15 g Gentiana , as Ling Xian 15 grams, the system frankincense, myrrh, 6 grams each system to Qufeng network, circulation and pain relief.
[Chinese medicine]
1 whole deer pills 6 grams each time, 3 times a day.
2 small rolling Dan; 6 grams each time, 3 times a day.
3 Shiquandabu pill each one three times a day.
[Simple] side
30 grams of astragalus, angelica 9 grams, Guizhi 9 grams, 30 grams of Millettia, antler pieces 12 grams, Shuijianbi day one.Apply to blood shortage, Yang will be blood stasis skin disease.
[Other therapies]
External: Gui, Chuan Xiong, hematoxylin, safflower, Asarum, the leaves of 20 to 45 grams, water decoction, fumigation or limb and hand, foot soak, every 20 to 40 minutes (to keep propellant temperature). 1 or 2 times a day, 1 month course of treatment.
Acupuncture: acupoints for the four groups. ① Ojo, Shenshu; ② Vital, spleen; ③ the sea air, sea of blood; ④ separated Yu, Feishu. Acupuncture for more than four turns to make up the main method, and applied moxibustion. 3 times a week.
Point injection: Angelica injection 2 to 4 ml, more than a set of points selected local injection, daily or every other day injection of 1, 10 days for a course of treatment.
Massage Therapy: The press, pressure, friction, push, point, dial and other techniques, the relevant point massage on the limbs. 1 day, 30 times as a course of treatment. Means there is a certain intensity, the degree of patient tolerance.
[Note]
1. Scleroderma are currently no effective therapy, should adhere to long-term treatment in Chinese medicine.
(2) will promote abortion and easy delivery worsening of the disease, it should avoid pregnancy.
3 Note that cold, especially cold water to avoid irritation, to maintain body temperature extremities.
4 active removal of infected lesions, prevent fatigue and severe mental stimulation.
Dermatomyositis
[Overview]
Dermatomyositis is a kind of skin, muscle damage for the outstanding performance of autoimmune connective tissue disease. The affected skin (face and neck, eye and other parts of] purple red edema, erythema, myalgia, muscle weakness as the main clinical features. Disease also can affect other body organs, only those who violate the muscles without skin lesions, known as as polymyositis. dermatomyositis can occur at any age, peak incidence in children 5 to 15 years old, adults 30 to 50 years old, women slightly outnumber men. pathogenesis may be related to tumor, infection, drugs, endocrine, metabolic and otherof factors. dermatomyositis was most of the development of chronic progressive, the prognosis is good, 2 to 3 years return to normal, a small number of acute hair, often complicated by infection due to death, complicated by cancer, is also very poor prognosis. dermatitis is a traditional Chinese medicine “muscle weakness”, “atrophy disease”, “Consumption” and other areas.
[Etiology and pathology]
The cause of dermatomyositis has both internal and external factors, internal as endowment, because outside the cult poison attack, or steeped in hot and humid, causing lung and spleen injuries and two for the disease.
Pathological changes of the upright element two, health and foreign non-solid, cult poison outside attack, Yun in skin and muscle, or feel the heat, steeped in the skin, blood stasis, can cause skin irritation purple spots, muscle pain. Cult poison just only, often caused by fluid and Hyperactivity. Heat spleen, often caused by stomach empty loss. Liver and kidney disease for a long time, tendons and skin disorders that may cause hand, foot and atrophy without waste.
[Diagnostic points
1 The main clinical manifestations characteristic skin lesions, such as purple swollen eyelids and surrounding erythema, and finger extensor side of the scaly erythema, erythema trunk or limbs. Reduced muscle strength, muscle tenderness and induration, slow movements and proximal limb muscle atrophy significantly.
(2) Laboratory examinations showed serum creatine phosphokinase, aldolase, lactate dehydrogenase, elevated transaminase equivalent, electromyography and muscle biopsy revealed myositis exist.
[Type] dialectical
1 Hyperactivity fluid and symptoms: acute onset, more fever, skin rash, dry cough, throat choking, upset thirst, fatigue, body soft, yellow urine, dry stool. Red tongue, thin yellow coating, rapid pulse.
Syndromes: warm cult poison Fan Fei, Yu in the skin, and see acute fever, skin erythema; Hyperactivity Jin injury, compresses the body fluid can not see the side choke throat dry cough, upset thirst, yellow urine, dry stools; Heat disability allowance consumption of gas, the soft body weakness; red tongue, thin yellow coating, rapid pulse, excessive heat fluid and are the sign.
2 hot and humid steeped symptoms: swollen purple skin spots, muscle pain, atrophy of soft body weight difficulties, or have a fever, chest abdominal swelling, nausea, poor appetite, loose stools stagnation. Red, yellow and greasy fur, slippery pulse.
Syndromes: heat soaking the skin, blood stasis, the skin red and swollen spots, muscle pain, atrophy of soft body weight difficulties; Yu steam heat, negative air machine, not the visible fever, chest abdominal swelling nausea; heat spleen , card lost health movement, poor appetite, loose stools stagnation; red tongue, yellow greasy number, are filled with the hot and humid levy.
3 spleen and stomach symptoms: limb weakness Wei Ruan, gradually increased, Bansi less loose stools, floating face minimalist, Shenpi fatigue. Pale tongue, thin white fur, thready and weak pulse.
Syndromes: persistent illness, stomach becoming empty, no water, grain refined with metaplasia, muscular dystrophy, limb weakness measured limb Wei Ruan, and gradually increased;
Spleen and stomach health movement disorders, is eating less sugar; little bad blood, wet depression, so, then the surface floating minimalist, Shenpi fatigue; pale tongue, thin white fur, thready and weak pulse, blood gas spleen and stomach are less bad of the levy .
4 symptoms of liver and kidney: disease extended course of time, slow illness, muscle pain, atrophy of soft limb weakness, muscle atrophy caused by gradual, limb disuse, lumbar and knees, can not long stand, or with dizziness dizziness, hair loss, ringing in the ears. Red, less pain, rapid pulse.
Syndromes: evil love the course of time, its potential has been bad, so the illness is slow, muscle pain; long blood loss, liver and kidney deficiency, bones and blood can not Ru Yang meridians, the body atrophy soft weakness, muscle atrophy and even then,Waste not atrophy; back to the House of kidney, renal bone, the essence, then the lumbar and knees, can not long stand; head for the liver of the awakened, awakened ear for the kidney, fat is more than blood, liver and kidney essence and blood deficiency,can not be measured on the order of dizziness, dizziness, hair loss, ringing in the ears; red tongue, little coating, rapid pulse, both liver and kidney of the levy.
[Type] treatment
1 Hyperactivity fluid and rule: heat and moistening, Nourishing fluid.
Recipe: Qingzao rescue lung Tonga flavor.
30 grams of gypsum (Xian Jian) Adenophora 12 12 Sanger winter oats almond leaf 9 g 9 g 9 g hemp seed Zhimu 9 g Forsythia honeysuckle 12 grams 12 grams 12 grams TCS Caulis Lonicerae 20 grams with 12 grams of Gentiana Modified disease: superheated vapor points, high fever, thirst, sweat who, re-plaster at 60 grams, to the Qing in the heat; if choking cough with little phlegm, can be added melon basket jen 12 grams, Fritillaria 6 grams, the moist phlegm; skin irritation purple spots were evident, plus 15 g habitat, paeonol 12 grams, to Qingreliangxue of plaque.
(2) immersed heat treatment: heat dampness, Tom Lee veins.
Recipe: Four wonderful Pill.
Treats 10 grams 10 grams 12 grams herb Stephania Akebia 6 grams 12 grams 30 grams Yiyiren silkworm sand Achyranthes 12 grams 12 grams plus or minus with the disease: emphasis on wet and see chest abdominal swelling, nausea, severe limb and swelling, plus rugosa 9 grams, Perrin 9 grams, Magnolia 9 g, Poria 15 grams, 15 grams Alismataceae to aromatic turbid dampness; heat Shangyin and see Xingshou fever, red tongue, little pain, rapid pulse are, to the herb, plus habitat 15 grams, 10 grams of Radix, papaya, 10 grams, turtle version of 12 grams, to clearing away heat, Shujin network; insensitive limbs, flexion and extension negative, tongue or purple spots to see, plus peach kernel 9 grams, 6 grams of saffron , red peony 15 grams, 30 grams of Millettia to blood circulation through the network.
3 spleen and stomach rule is: Spleen Qi, nourishing gluten.
Recipe: Decoction SHENLINGBAISHU.
Codonopsis 15 grams 12 grams Atractylodes lentils 12 g Poria 12 grams Amomum 3 g (later) Citrus 6 grams yam 15 grams 30 grams Yiyiren lotus meat 12 Sanger 15 Keba parasitic killer days with 12 g 12 g Achyranthes disease Modified: aversion to cold, plus Monkshood 9 grams, ginger 5 grams, the warming-yang; disease for a long frail, blood deficiency who reuse Codonopsis, Atractylodes, Chinese yam, and add 30 grams of astragalus, Rehmannia 15 grams, 10 grams of Angelica, with BNI.
4 are liver and kidney treatment: nourishing liver and kidney, combined with heat.
Recipe: potential nine vigorous tiger subtraction.
Habitat Rehmannia 12 g 12 g 15 g Achyranthes peony 15 grams 12 parasitics Sanger deer grass title 30 Kedu Chung 12 g antler 9 grams (molten in) turtle version of glue 9 grams (molten in) Treats 9 grams Anemarrhena 12 grams subtraction with the disease: pale complexion minimalist. Palpitation, plus 30 grams astragalus, 15 grams of Radix Codonopsis, Angelica 9 grams, Millettia 15 g, with BNI; chronic illness sinister and positive, the proof see cold, impotence, urine long, pale, pulse was thin person, then the top to the habitat, Treats, Anemarrhena, turtle version of glue, plus antler pieces 12 grams, Epimedium 12 grams, 12 grams psoralen, Morinda 12 grams, to kidney yang.
[Chinese medicine]
1 large 1 active pill every time Dan, 2 times a day.
2 KMSHT tablets each one (0.25 g / piece), 3 times a day.
[Simple] side
Honeysuckle, forsythia, saxifrage, madder, red peony 15 grams, Alisma, plantain, each with 12 grams, 10 grams of licorice, Shuijianbi day one, applied to the skin purple spots with obvious swelling .
[Other therapies]
Acupuncture: Meridian acupoints to the main, upper limb: shoulder grate, music pool, gu; lower limb: thigh clearance, Zusanli; Hyperactivity plus foot Ze, Feishu;
Heat plus Yin Ling Quan, spleen; liver deficiency were added liver Yu, Shenshu. Acupuncture: Hyperactivity and the hot and humid, not a single needle moxibustion, with reducing method; liver and kidney yin deficiency by using fill method, with moxibustion.
External: salt, 500 grams, 120 grams cumin seeds, stirring up the pot with a cloth wrap it hurts. 2 or 3 times a day. For dermatomyositis muscle and joint pain.
Food therapy: Placenta powder l copies, or cooked pork (or beef) 3 copies of the bone marrow, mash, and into the rice, the amount of sugar transfer service. Comparatively good appetite, is also available amount of fresh bone marrow by adding soy cooking. Dermatomyositis patients for long legs, weakness, muscle atrophy.
[Note]
1 was mostly chronic dermatomyositis development, some involving the internal organs, causing respiratory, digestive and other systems or heart damage, or concurrent cancer. Clinical treatment of various complications should actively.
(2) Taboo spicy food stimulation of the goods, and living rest appropriately.