In recent days, the weather across the country has been either high temperature exposure or continuous rain. In the hot and humid weather of summer, some diseases need to be mentioned.
One day, I went to the small shop downstairs to buy water. The small shop was opened by a Henan native. The owner was a woman in her fifties. She knew me and began to consult me with a sad face. She said that she had grown breasts. Something, asked me if I had cancer.
It turned out that for many days, her breasts and armpits felt very painful. It had been a while, so she hurried to the hospital for an examination. The hospital took a lot of pictures of her and spent a lot of money, but there was no major problem from the pictures. In the end, it was thought that it was breast hyperplasia, and there was no breast cancer, but the woman said that she also had pain in her left arm and back, so various hospitals suspected that it was a heart problem, and did a detailed examination of the heart, but no problem was found. .
So she was prescribed a lot of proprietary medicines for breast hyperplasia and asked her to take them.
Now she panicked, why is it so painful, she said that she had to bear the severe pain when she slept at night, and today she met me to buy water, so she asked me, what kind of disease is this?
I also watched the film, there was no problem, and then I saw Guizhi Fuling pills on the table, as well as Chinese patent medicines for breast hyperplasia. It seems that ordinary hospitals now also prescribe Chinese patent medicines. She said that she took them for a few days No luck.
I'm also very surprised, what kind of disease is this?
So I helped her analyze: First of all, if it is a breast problem, there should be no back pain, so this kind of problem can be ruled out temporarily. If it is a heart problem, it is more dangerous. She happens to have pain in her left arm, so this is a possibility. .
So I took her pulse at the counter and checked her tongue.
After the examination, I looked at the sky again, it was this day, in such a hot and humid climate, I suddenly remembered another illness, so my heart suddenly felt relieved.
I told her, don't worry, it's not a heart disease, it's not breast cancer, it's a skin disease called shingles.
I said to her: Roll up the clothes on your arms and look for herpes.
So we searched together, and sure enough, we found a cluster of bright red herpes on the back of the arm!
Then, I asked her to look for it on her back, and her daughter also found a small piece.
In this way, I was sure that it was herpes zoster, which is called "waist-wrapped fire dragon" in Chinese medicine.
Traditional Chinese medicine believes that this disease is mostly caused by the following reasons. First, emotional dysfunction leads to damp-heat in the liver and gallbladder. In addition, eating disorders and poor spleen movement lead to internal stasis of dampness, stagnation and heat, dampness and heat, and finally internal invasion of poisonous evils. , thus causing the disease.
In terms of treatment, Chinese medicine generally has the following classifications:
1. Liver and gallbladder damp-heat syndrome
This is the period of heat and toxin accumulation. At this time, the patient's skin is flushed, the blister wall is tense, burning and stinging, and at the same time, he has symptoms of bitter mouth, dry throat, irritability, dry stool, yellow urine; red tongue, yellow or yellow fur. Tired, stringy and slippery pulse.
The treatment method is to clear away dampness and heat, detoxify and relieve pain. You can choose to add or subtract Longdan Xiegan Decoction. As a prescription, you can use Longdan Xiegan Pills.
2. Syndrome of spleen deficiency and damp accumulation
This is a patient with insufficient righteousness. At this time, the skin lesions of the patient are light, the blister wall is loose, the pain is slightly mild, the mouth is not thirsty or thirsty and does not want to drink, the appetite is poor, abdominal distension after eating, and loose stools are common in female patients. More leucorrhea; fat tongue, pale tongue with tooth marks, white and greasy fur.
The treatment method is to strengthen the spleen and remove dampness, along with detoxification. You can choose to add or subtract prescriptions such as Chushi Weiling Decoction.
3. Qi stagnation and blood stasis syndrome
This is due to stagnation of qi and blood caused by prolonged illness, so after the rash subsided, the local pain continued, the tongue was dark, even purple, the sublingual veins were distended, and the pulse was stringy.
The treatment method at this time is to promote blood circulation and remove blood stasis, promote qi circulation to relieve pain, and clear away residual toxins.
4. Kidney Essence Deficiency Syndrome
In this syndrome, the kidney essence is insufficient, resulting in both yin and yang deficiency, and the deficiency fire leaks out, causing skin diseases. At this time, the patient will feel hot in the upper part and cold in the lower part, and the legs and feet will feel cold. Sudden onset of oral ulcers, headaches, sore throat and other symptoms of upper scorching fever, soreness and weakness in the waist and knees, impatience with fatigue, dull and dark red tongue, and often tooth marks on the edges of the tongue.
The treatment method is to nourish the kidney essence and bring back the fire. For the recipe, you can use Chen Shiduo's fire-inducing soup. (Tips from Mr. Yun: Related links are at the end of the article)
The Western medicine treatment of this disease is to use antiviral drugs such as acyclovir, and the effect is also good. On the basis of taking decoctions orally in traditional Chinese medicine, if you ask an acupuncturist to do acupuncture and bloodletting, and then cupping, the effect is also very good.
It is worth reminding that this disease is a clear sign of lack of health and low immunity. If the disease occurs frequently and repeatedly, a tumor-related examination should be done, because studies have shown that in patients with herpes zoster that often occurs, the tumor The incidence rate has increased significantly, because tumor patients are also immunocompromised, and there is a certain correlation between the two. Therefore, how important it is to enhance righteousness and protect righteousness.
This disease usually grows on the waist, but it can also grow on other parts, and some patients don't emit much pathogenic factors, but grows in the skin. At this time, it needs experience to judge.
The longest part of this woman's body is on her upper body.
In fact, if the doctors in each hospital think carefully, they can make a correct judgment. However, now each department only considers the disease of its own department. I consider the heart, he considers the breast, but no one considers the patient's body as a whole. At this time, The impact of the weather on people and so on, the result is that people took so many films for nothing, and they thought that they had breast cancer, and they were scared to death.
There are many types of syndromes in this disease, and I judged her to be damp-heat in the liver and gallbladder.
So, I asked her to take Longdan Xiegan Pills to clear away dampness and heat in the liver and gallbladder. At the same time, I used Chixiaodou boiled water as a drink to dehumidify and detoxify.
It's over. The next day, it suddenly occurred to me that I should take a photo of the lesions on her arms and keep them for reference, so I took the camera and ran downstairs to find her. As a result, I saw that the herpes had basically receded and the color was very bright. Qian, there is no need to take pictures anymore.
She said that she only took the medicine three times, and now she feels no pain.
This means that the poison of dampness and heat has receded and the disease has gone away.
This disease must be dealt with in time, otherwise the pain of some patients will last for a long time, even years.
Just now, the doorbell rang. It was this woman who asked her family to bring me two boxes of water. She ran away without taking the money. After a while, I was done with my work and wanted to send the money to others. In fact, it was just a little effort for me, and... I am also very happy to help others with my knowledge.
Then I thought about collecting information about this disease on the Internet so that everyone can have an understanding and pay more attention if you encounter such a situation.
The following is network information:
Herpes Zoster (Herpes Zoster) is an acute inflammatory skin disease caused by the varicella-zoster virus. In traditional Chinese medicine, it is called "Corning Fire Dragon" and "Corning Fire Pill". Commonly known as "snake pill" and "spider sore".
🔹Pathogenesis
Its main features are clusters of blisters, clustered and banded distribution along one peripheral nerve, often accompanied by obvious neuralgia
Humans are the only host of the varicella-zoster virus. The virus enters the blood through the respiratory mucosa and forms viremia. Chickenpox or latent infection occurs. Later, the virus can lie latent in the dorsal root ganglia of the spinal cord or the sensory ganglia of the cranial nerves for a long time. When the body's resistance is reduced due to certain stimulation (such as trauma, fatigue, malignant tumors or post-illness weakness, etc.), the latent virus is activated and travels down the sensory nerve axon to the skin in the area controlled by the nerve to replicate and produce blisters. , At the same time, the affected nerves undergo inflammation and necrosis, resulting in neuralgia. After the disease recovers, a longer-lasting immunity can be obtained, so it generally does not recur.
🔹Symptoms
This disease is more common in adults and is more common in spring and autumn. The incidence rate increases significantly with age.
🔹Typical performance
Before the rash, there may be systemic symptoms such as mild fatigue, low-grade fever, anorexia, etc. The affected skin may feel burning or neuralgia, and there may be obvious pain sensitivity to touch, which lasts for 1 to 3 days. The rash may also occur without prodromal symptoms. The predilection sites are the intercostal nerve, cervical nerve, trigeminal nerve and lumbosacral nerve innervated areas in order. The affected area often first appears as a flushing spot, followed soon by herpes zoster papules as large as millet grains or soybeans, which are distributed in clusters without fusion, and then quickly turn into blisters. The walls of the blisters are tense and shiny, the blister fluid is clear, and the periphery is surrounded by a red halo. The skin between the blister groups is normal; the skin lesions are arranged in bands along a certain peripheral nerve, mostly on one side of the body, and generally do not exceed the midline. Neuralgia is one of the characteristics of this disease, which can appear before the onset or accompanied by skin lesions, and is often more severe in elderly patients. The course of the disease is generally 2 to 3 weeks, and it is 3 to 4 weeks for the elderly. The blisters dry up and the scabs fall off, leaving temporary erythema or pigmentation.
🔹Special performance
⑴ Herpes zoster ophthalmicus: The virus invades the ophthalmic branch of the trigeminal nerve. It is more common in the elderly. It causes severe pain and can involve the cornea to form ulcerative keratitis.
(2) Herpez zoster oticus: caused by the virus invading the facial nerve and auditory nerve, manifested as herpes in the external auditory canal or tympanic membrane. When the geniculate ganglion is involved and simultaneously invades the motor and sensory nerve fibers of the facial nerve, the triad of facial paralysis, earache, and external auditory canal herpes may occur, which is called Ramsay-Hunt syndrome.
⑶ Postherpetic neuralgia (PHN): Herpes zoster is often accompanied by neuralgia, which may occur before the rash, during the rash, and after the skin lesions have healed, but mostly after the skin lesions have completely subsided. Or disappear within 1 month, and a small number of patients have neuralgia that can last for more than 1 month, which is called postherpetic neuralgia.
⑷Other atypical herpes zoster: It is related to the difference in the resistance of the patient's body, and can be manifested as abortive type (no skin lesions, only neuralgia), incomplete type (only erythema, papules appear and subside without blisters), bullae Type, hemorrhagic, gangrenous and generalized type (simultaneously involving more than 2 ganglia and causing skin lesions in multiple areas on the contralateral or ipsilateral side); the virus can occasionally spread through the blood to produce widespread chickenpox-like rash and invade the lungs and brain. organs, called disseminated shingles.
🔹Pathological etiology
It is caused by vesicle-zoster virus (Varicella-virus, VZV). VZV has been named human herpesvirus type 3 (HHV-3), which is brick-shaped, has a three-dimensional symmetrical capsid, and contains double-stranded DNA molecules. VZV has weak resistance to the in vitro environment and quickly loses its activity in the dry scab. Chickenpox occurs when children who are immune to the virus become infected. After being infected, some patients become carriers without symptoms. Because the virus is neurotropic, it can lurk in the neurons of the dorsal root ganglia of the spinal cord for a long time after infection. When the resistance is low, fatigue, infection, cold, fever, anger, etc., the virus can grow and reproduce again and travel along the nerves. The fibers migrate to the skin, causing intense inflammation of the affected nerve and skin. The rash is generally unilateral and distributed according to nerve segments, and consists of clustered herpes, accompanied by pain; the older you are, the more severe the neuralgia. This disease is called herpes zoster in modern medicine, and it is called snake gallbladder sore, loin-clothed dragon, and flying snake among the people.
🔹Main features of shingles
1. Both young and old will have the disease, and it is more common in adults and the symptoms are severe;
2. The disease can occur in all seasons, mostly in spring and autumn and humid days;
3. Herpes may appear on any part of the human body, most commonly on the trunk and face;
4. The onset is accompanied by pain, and some patients will continue to have pain after herpes scabs;
5. Most of the blisters and skin lesions are distributed along a certain peripheral nerve, arranged in bands and occur on one side of the body, not exceeding the midline of the body.
🔹Hazard
During the onset of the disease, patients will experience a variety of uncomfortable symptoms, with nerve pain being the most obvious, making it difficult to sleep and eat. General medical institutions do not have effective treatments, and the high cost makes it even more unbearable. If it is caused by improper treatment or physical weakness and many other factors, it will turn into "postherpetic neuralgia", ranging from more than a year to several years, and the patient will endure pain for a long time. When one person gets sick, the whole family is affected, which affects the quality of life. There are also special types of herpes zoster: eye herpes, ear herpes, visceral herpes, herpetic meningitis, herpes-free herpes zoster, etc. These herpes are not only special, but also seriously harmful to the human body, and some can cause blindness, deafness, and even death. These diseases are easily misdiagnosed in the early stage, and both doctors and patients should pay attention to them.
🔹Clinical Diagnosis
Clusters of vesicles are distributed along one side of the peripheral nerve in a band shape.
In marked neuralgia, with regional lymphadenopathy.
The middle skin is normal.
In the prodromal stage of herpes zoster and herpes zoster without rash, sometimes it is easy to be misdiagnosed as intercostal neuralgia, pleurisy or acute abdomen, etc., so attention should be paid.
This disease sometimes needs to be differentiated from herpes simplex. The latter usually occurs at the junction of the skin and mucous membranes. The distribution is irregular. The blisters are small and easy to break. The pain is not obvious. It is more common in the process of fever (especially high fever) and often recurs. .
Occasionally, it is confused with contact dermatitis, but the latter has a history of contact, and the rash has nothing to do with innervation. It is consciously burning, severe itching, and has no neuralgia.
In the prodromal stage of herpes zoster and herpes-free herpes zoster, those with significant neuralgia are easily misdiagnosed as acute abdominal diseases such as intercostal neuralgia, pleurisy, and acute appendicitis, which need to be paid attention to. Herpes simplex usually has a history of multiple recurrences at the same site, which does not occur in patients with herpes zoster who have no obvious immunodeficiency.
