Lingnan Rheumatology | Two or Three Three Three Three Three of them
Author:Guangdong Provincial Hospital Time:2022.07.18
"Hard skin disease" -as a disease that everyone is not familiar with and is easy to get in childcare, there are many doubts on their bodies. Today, Dr. Huang Yueyue talked to you about the two or three things about "hard skin disease"!
What is hard skin disease? Intersection
First of all, let's understand what hard skin disease is.
"Hard skin disease" is a kind of self -immune diffuse connective tissue disease. It is called "skin paralysis" in the field of Chinese medicine and is also a kind of paralysis.
Traditional Chinese medicine believes that the human qi and blood losses, and the righteousness cannot protect the body, which causes the wind, cold, and wet evil to enter the deficiency, disturb the normal activity of the human air machine, and ultimately cause the human meridian obstruction, qi and blood stagnation, which causes paralysis.
Volume 6 of the ancient book "Zhang's Medical Tong" recorded: "Those who are paralyzed, that is, cold paralysis. Evil is in fur, addicted to rashes, sores, no pain, at first the skin is like insects."
Main symptom manifestation
The main symptoms of hard skin diseases are Renault phenomenon and skin damage on the skin.
For example: After the patient's skin is stimulated by cold or nervous, his fingers (toes) skin suddenly pale, and then purple and redness, with short -term manifestations such as local cold, sensory abnormalities, and pain. , Severely accumulate organs such as dirt, lungs, kidneys, digestive tracts.
Harm to patients
The harm caused by hard skin disease to patients is mainly manifested in the following aspects:
1. As a result, the patient's limited skin or whole body skin is hardened, which can occur on the patient's head and face, which will have a certain impact on the patient from the outside and affect the patient's external aesthetics -for example "It usually occurs at the forehead, which has a certain impact on the patient's mental health.
2. Patients may have joint damage, such as limited activities such as flexion and extension due to joint malformations, which will have a certain impact on the quality of life of the patient.
3. The damage of the organs, patients with systemic hard skin diseases are prone to suffering from visceral, liver, spleen, and kidneys. In severe cases, it can endanger patients' lives and safety, such as heart failure, kidney fibrosis, hard skin and kidney crisis. And the lesions of the nervous system, such as nerve card compression disease, overlap syndrome, and so on.
4. Patient's white blood cells and platelets are reduced, which causes anemia.
Seeing here, everyone has a little concept of hard skin disease, and then we will see how "hard skin disease" should be treated together.
What is the difference between western medicine and Chinese medicine in treating this disease? Compared with Western medicine, what are the advantages of Chinese medicine?
How does Western medicine treat scleroderma?
In the field of western medicine, the treatment methods are mainly anti -inflammatory and inhibiting immune reactions.
Among them, anti -inflammatory and inhibitory immune reactions are mainly the early stage of skin lesions and interstitial pneumonia.
When patients with inflammatory diseases or other internal organs such as nephritis are generally treated, glycotherapy hormones and immunosuppressive agents are generally used for treatment.
It should be noted that during the treatment of glucocorticoids, we need to be alert to the occurrence of hard skin and kidney crisis, that is, severe hypertension and acute renal failure occur suddenly.
How does Chinese medicine treat scleroderma?
Traditional Chinese medicine believes that the cause of "skin paralysis" is due to the invasion of the external feeling of wind, cold and dampness, and the inner spleen and kidney yang deficiency, and the qi and blood loss and the loss of qi and blood.
The symptoms of patients can be divided into::
1
Cold and damp blockers
Patients are mainly manifested as: pain in body joints. The pain is more obvious when the temperature decreases or the cold water is soaked. The pain is reduced after heat compress or temperature recovery, and the pulse is tight.
2
Spleen deficiency and yang deficiency syndrome
The main manifestations of the patients are: easy to cause large intestine dysfunction, causing diarrhea, constipation and other conditions. The patient's cold limbs, cold abdomen pain, weak waist and knee, unfavorable urination, white or limb swelling, pale tongue, white and slippery moss and smooth fur. , The pulse is fine.
3
Blood stasis meridian syndrome
Patients are mainly manifested as: pain in body joints, soreness, or swelling, or numbness, or cracks, or relaxed, soft and soft.
The tongue coating is thin or yellow or white or greasy. Fine, numbers. and many more;
Therefore, TCM advocates treatment through dialectical discrimination, and treats them one by one according to different symptoms of patients.
Comparison
Where is the advantage of traditional Chinese medicine to treat scleroderma?
Western medicine advocates hormone therapy -in the early stage of disease, it is mainly anti -inflammatory and inhibitory reactions, and drugs such as glucocorticoids are used in the later stage.
Chinese medicine does not adopt general hormone therapy and advocates staging.
"Suwen · Pu Lun" cloud: "The wind, cold and dampness are mixed, and it is paralyzed ... so the bone is paralyzed, the reciprocity is in evil, the internal is in the kidneys. Evil, the interior is in the liver. The pulse is paralyzed, the sense of recovery is in the evil, and the internal relief is in the heart ... from the human body, the reason is open, so the evil evil is also "
That is, from the perspective of traditional Chinese medicine, the "wind, cold and dampness" three qi invading the human body will form a paralysis ... If the bone paralysis does not heal, the human body is infected again Causes harm and so on.
In a word, if the human body is at the stage where the body is low and the body is weak, the skin's sweat hole is opened, and it will be easily eroded by the three qi of "wind, cold and dampness", and suffering from paralysis.
"The Source of Diseases" cloud: "The shape of rheumatism ... or muscle soreness ... from blood deficiency, it is rheumatoid, and the disease is long. Fighting in the Yang Jing also changed the body's hands and feet. "
That is to say, the "rheumatism syndrome" is mainly due to the lack of qi and blood of the patient, which leads to the invasion of the evil of rheumatism. The meridians are stuffed (not through, blocked), so that the patient's skin, muscles, and joints have lost nourishment.
How to treat it in installments?
Patients with "skin paralysis" are treated according to the development period and stability period through dialectical treatment. 1. Treatment of the development period
During the development of the disease, the deficiency of qi and blood is the inherent foundation of the onset. Blood nourishing blood is mainly for the patient Wenyang Sanhan Tongluo.
2. Treatment of stable period
The condition enters the stability period. After the physical experience of the patient, most of the physical fighter is fixed, and the liver and kidney yin deficiency is mainly deficient. Therefore, the prescription medication should focus on nourishing liver and kidney.
Applicable soup
The following Dr. Huang Yueyue introduced a soup medicine applied to patients with "Pi Pi" -Angelica Siwu Decoction.
The ancient book "Treatment of Treatment of Treatment" records this: "The hands and feet are cold, the pulse is nesty, and the angelica Sini soup is the master".
This disease and pathogenesis are mostly virtual. Although the symptoms of patients seem to be empirical, the root cause is physical deficiency. Among them, most of them refer to spleen and kidney deficiency and lack of qi and blood. Most of the "standard" in hard skin diseases are cold, blood stasis, and qi stagnation.
Because "long -term illness is more deficiency, long -term illness and more stasis", "Yang deficiency and blood stasis syndrome" is the most common syndrome in this disease. Therefore, patients can use Angelica Sini Decoction properly under the guidance of a specialist to add and subtract, and the warm menstruation is scattered with warm menstruation. Cold, nourish blood.
Daily attention
The trend of hard skin is lingering, and it is difficult to heal. The control of the disease not only requires drug treatment, but also the life care of patients in daily life is also critical.
So what problems do patients need to pay attention to?
Patients need to quit smoking. This kind of quit smoking is not to slowly reduce the number within a year, but it is best not to touch it at all.
At the same time, we must also pay attention to keeping warm, cold, and avoid using vibration tools; keep hands and feet clean; rub the hand cream in autumn and winter to prevent skin cracking and prevent ulcers.
Huang Yueyue's warm reminder
Do not panic if you get hard skin diseases. Please go to the Rheumatology and Immunology Department to find a specialist for face -to -face treatment.
references
[1] "Zhang's Medical Tong"
[2] Sun Siyi "Thousands of Gold Fang"
[3] Huangdi Nei Jing · Su Wen [M]. Tian Daihua, sorting. Beijing: People's Health Press, 2005: 85.
[4] Chaoyuan Fang. The source of the diseases [m]. Beijing: People's Health Press, 1956: 5.
[5] Professor of Guo Guowei, a master of Chinese Medicine, the experience of treating hard skin disease in installments*
[6] Jiang Xuelong. Loan Different Care of Renault Diseases [J]. Chinese and Western medicine combined cardiovascular disease magazines: electronic version, 2015, 27 (3): 133-134.
(This article is a science science and is for reference only. If there is a disease, please be diagnosed and treated with special specialties in the hospital.)
Source: "39 Health Network" public account
Executive editor: Wu Yuan Tuan, Chen Yibing
Audit school pair: Zhuang Yingge
Editor in charge: Song Liping
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