Chapter 861: : Treatment of purpura

Systemic lupus erythematosus is a kind of autoimmune inflammatory connective tissue disease that affects multiple organs and is more common in young women. Early, mild and atypical cases are increasing.
Some critically ill patients (except those with diffuse proliferative glomerulonephritis) can sometimes relieve themselves. Some patients have a'transient' attack, and the disease disappears completely after a short course of several months.
In Western medicine, the cause of this disease has not yet been determined. A large number of studies have shown that heredity, endocrine, infection, immune abnormality and some environmental factors are related to the onset of this disease.
In Western medicine treatment, there are general treatments that are suitable for all patients with lupus erythematosus. Including psychological and spiritual support, avoiding sun or ultraviolet radiation, preventing and treating infection or other comorbidities, and choosing appropriate exercise methods according to the condition.
In addition, there are medications, including non-steroidal anti-inflammatory, antimalarial, glucocorticoids, immunosuppressants, and other treatments.
Now Ye Chen can see from the young man's medical record that the other party received hormone therapy for more than a year.
However, the effect was not obvious, and he was transferred to Renji Hospital to prepare for Chinese medicine treatment.
Many of those medical records were proper Western medical terms, Ye Chen couldn't understand it, but Yu Shaohua explained to him by the side, and Ye Chen understood it.
The research directions of Chinese and Western medicine are different, so if Ye Chen hasn't studied Western medicine before, there is nothing wrong with not knowing them.
Ye Chen saw that this young man received Western medical treatment this year, all with hormone therapy and the changes in his condition.
After he finished reading it, Yu Shaohua asked, "Ye Chen, what do you think?"
"I don't know the principles of western medicine, because I studied Chinese medicine. But from the perspective of Chinese medicine, I know how to treat."
In Chinese medicine, when this symptom was classified as purpura, Ye Chen performed dialectical treatment of Chinese medicine just as he classified the patient's leukemia as fatigue.
Let's start with the explanation of purpura in Chinese medicine. Purpura is a hemorrhagic disease characterized by dark purple patches on the skin and mucous membranes and bleeding from other parts.
The etiology is divided into two types: exogenous feelings and internal injuries. It is often due to damp heat and evil toxins that inhibit the veins, or due to congenital factors, or due to chronic illness, spleen deficiency, etc., causing blood to overflow outside the veins.
In clinical practice, three types of heat are the most common, namely, yin deficiency and fire, and qi not ingesting blood. For purpura caused by exogenous damp-heat disease and evil heat entering the camp, please refer to the relevant content of TCM febrile disease for diagnosis and treatment.
Purpura caused by internal injuries and miscellaneous diseases is mainly seen in Western medicine in primary thrombocytopenic purpura, allergic purpura and secondary thrombocytopenic purpura caused by drugs, chemical, and physical factors.
Ye Chen observed the situation of this young patient Li Xiang, and learned that he had this kind of situation, which appeared suddenly a year ago. He also didn't know what caused it at the beginning?
From Li Xiang's words, Ye Chen asked about the news and the medical records that he had just seen. He probably knew how he was doing?
After reading those and asking some questions, Ye Chen looked at his pulse and tongue, and quickly learned the main reason for his symptoms.
"Professor Yu, have you prescribed a prescription for him before?" Ye Chen asked.
"Not yet." This Li Xiang himself had just transferred here not long ago, and at most he just accepted some slings. Yu Shaohua didn't rush to get treatment, because he learned that Ye Chen would come, so he came to have a look.
Looking at Ye Chen's expression now, he could see that maybe Ye Chen could really treat this patient's condition.
"The condition has been there for some time, and it is difficult to treat with Western medicine. However, in Chinese medicine, if the right medicine is prescribed, it should not be treated." Ye Chen said.
"Doctor Ye, can you really cure my son?" Li Xiang's father hurriedly asked.
"Mr. Li, I never lie to patients." Ye Chen said.
Of course, Yu Shaohua is more aware of Ye Chen's situation and medical skills. Since he can say that, it means that Ye Chen is not talking big.
"Ye Chen, then you can help with the treatment." Yu Shaohua smiled.
In this case, Ye Chen would naturally take action. What's more, this Li Xiang has been tortured by this illness for more than a year. If this continues, he may not be killed for the time being, but it is also very uncomfortable.
Ye Chen asked the female nurse to fetch the new medical record of Renji Hospital. Ye Chen wrote directly on the new medical record: "Li, male, 27 years old. There are large butterfly-shaped erythema on both cheeks of the face at the end of the year. "
"First visit: The patient has large butterfly-shaped erythema on both zygomatic areas, brown spots on the bridge of the nose, dental bleeding at the beginning of the disease, lasting 48 days, and dry mouth in the morning. After receiving hormone therapy in a dermatology hospital for one year, the effect was not obvious. "
"Examination: Tongue condition: dark red tongue and yellowish coating. Pulse condition: thin and slippery pulse. TCM dialectic: diagnosis of heat toxin and blood stasis butterfly spot. This is an acquired life failure due to maintenance, liver and kidney depletion, yin deficiency and internal heat, and blood pressure Reckless action, staying for blood stasis, stasis for a long time, heat accumulates to become poisonous, so it causes large butterfly-shaped erythema on both zygomatic areas of the face for more than a year, teeth bleeding for more than a month, and dry mouth in the morning. Kidney Yin Injury Syndrome. Treatment: clearing away heat and toxins, cooling blood to remove blood stasis, nourishing liver and kidney.
"Prescription: 20 grams of buffalo horn tablets (fried first), 10 grams of red peony root, 10 grams of paeonol, 20 grams of raw land, 10 grams of comfrey, 15 grams of reed, 20 grams of Ragwort, 10 grams of Scrophularia 10 grams of Chrysanthemum, 12 grams of Eclipta prostrata, 25 grams of Smilax, 15 grams of Kochia scoparia, 10 grams of Sophora flavescens, 5 grams of Tripterygium wilfordii. 7 doses, decocted in water, 1 dose a day."
After Ye Chen finished writing, he double-checked to make sure that there were no other problems. When he handed it to Yu Shaohua, Yu Shaohua looked over. He only knew that when he saw the dialectic and treatment of Chinese medicine above, Ye Chen prescribed it. The prescription is correct.
Therefore, in many cases, TCM dialectics is the basis for judging a doctor to prescribe drugs. If the dialectical is wrong, the prescriptions prescribed will definitely be problematic, so if the patient drinks the medicine, it is definitely impossible to cure the disease.
Based on Li Xiang's pulse, tongue, and onset of symptoms, Ye Chen learned that the other party was suffering from heat toxins, blood stasis, and liver and kidney damage.
It can be said that Li Xiang’s situation is that there is heat in the blood, which forces the blood to cause prolonged bleeding of the teeth, heat toxins damage the yin, causes dry mouth, blood heat, burns the blood, burns the blood, and becomes congested over time. The tongue is dark and the fur is thin and yellow, which is a symptom of congestion and fever.
Ye Chen is developing the current prescription based on these symptoms.
Li Xiang and his father didn't understand, but after Ye Chen wrote it out, Professor Yu was an expert in internal medicine of traditional Chinese medicine. He naturally knew what was going on.
Therefore, Yu Shaohua looked at the female nurse and said, "Follow this prescription to get Li Xiang's medicine and decoction."