Behcet’s disease
[Overview]
Behcet’s disease is an inflammation of small blood vessels to the pathological basis of multi-system damage in autoimmune diseases. To repeated attacks and ease of empyema iridocyclitis, oral mucosa and genital ulcers two together outside the main clinical features of disease. Incidence of bacterial, viral infection, drug allergy, autoimmune reactions and other factors.Behcet’s disease common in women, the main age of onset in 16 to 40 years old, generally mild, the prognosis is good. Such as involving the heart and great vessels, digestive tract, nervous system, their prognosis is with the involved organs and their severity. Behcet’s disease is a traditional Chinese medicine, “Fox Puzzle disease” category.
[Etiology and pathology]
Behcet’s disease causes internal and external factors are divided, because within the ferrite deficiency heat, feel the heat outside because the poison of evil, Yun poisoning caused by rotten, filled with heat stasis and for the disease.
Pathological changes of the ferrite deficiency heat, thermal re-poison of evil, Accumulation on the inside, burn burning camp blood, rot into stasis, corrosion eye on the mouth, mouth ulcers caused by the eye;
Loss of two under overcast, shade caused by two ulcers. If it persists, liver and kidney, or spleen deficiency, is virtual evil love, loss test all blood stasis phlegm knot, refractory ulcers.
[Diagnostic points
1 recurrent oral ulcers, hypopyon iritis sex.
Genital or genital ulcers, or with joint pain, skin erythema nodosum and so on.
2 ESR, serum C-reactive protein, human leukocyte antigen HLA-B5 positive.
[Type] dialectical
1 flaming hot toxic symptoms: chills, fever, mouth, eyes, two female red rot, skin erythema or obvious acne, polydipsia hi drink, scanty dark urine, dry stool. Red tongue, thin yellow coating, slippery pulse.
Syndromes: hot poison of evil, and orthogonal fight, the chills, fever;
Broadcast burning toxic heat, blood heat of rot, corrosion eye on the mouth of the skin, loss of two negative test, see the next day, eyes, two female red rot, skin erythema or acne; hot Poison-chun, the thirst hi drink, scanty dark urine , large easy to knot; red tongue, thin, slippery pulse, are toxic heat flaming of the levy.
(2) liver and kidney symptoms: two dry Chitong, mouth sores, two negative ulcers, five upset hot, dizziness, tinnitus, forgetfulness, waist and knees, or insomnia, night sweats.Mamillata Tianjin, thin or no coating, rapid pulse.
Syndromes: liver and kidney, false fire Chi, darling Huo-yen, the two dry Chitong, mouth sores, five upset hot; Hot flooded, and two under the shade, the two negative ulcers; liver and kidney,false positive test on the disturbance tinnitus dizziness; brain lost the charge, you forgetful; kidney in the next, then the waist and knees; Hot in force, the insomnia, night sweats; red less fluid, thin or no coating, rapid pulse, both liver and kidney, Hot filled with the sign.
3 spleen deficiency symptoms: oral and genital ulcers, but no significant swelling, had less pain, or leg pain in the nodules scattered, with chills, loss of appetite, bowel lining thin, waist and knees, lower extremity edema. Pale tongue with teeth marks, greasy moss, pulse.
Syndromes: prolonged course, positive evidence was negative. Spleen deficiency, blood stasis, chemical corrosion muscle, the oral and genital ulcers, Yang and potential reduction, it is no swelling, pain and light; Yang Phlegm and blood stasis, then the leg pain nodules; Spleen weakness, health movement disorders, the loss of appetite, loose stools thin; deficiency decline, loss of the Secretary-temperature transport measurements aversion to cold, waist and knees, lower extremity edema; pale tongue with teeth marks, greasy moss, pulse, arethe spleen and kidney yang of the levy.
4 blood deficiency symptoms: mouth, eyes, two female, skin ulcers, one after another, difficult to converge, with dizziness, head flowers, pale, heart palpitations, insomnia, Shenpi fatigue, easy sweat, less gas lazy words and so on. Pale tongue, thin white veins moisten fine.
Syndromes: evil love the course of time, blood deficiency, are numerous evil, the ulcers come and go, is difficult to converge; clean air does not rise, the blood is not on the wing, is dizzy, pale; effort lost charge, loss of security of God support, the small heart palpitations and insomnia; DLS measurements Shenpi fatigue, easy to sweat, less gas lazy words; pale tongue, thin white, pulse small, are blood deficiency symptoms.
[Type] treatment
1 toxic heat flaming rule is: detoxify, purging fire protecting shade.
Recipe: Xie Xin Tang and licorice flavors disinfection decoction.
Health and licorice 9 g Scutellaria 12 g 9 g Coptis 5 grams gardenia honeysuckle forsythia 12 g 12 g 15 g dandelion violet chrysanthemum 9 grams 12 grams 15 grams Scrophulariaceae addition and subtraction with the disease: excessive heat, sweating, mouth thirsty, and plaster 30 grams (down), Anemarrhena 9 grams, to heat fluid; joint pain, skin erythema, plus 15 g habitat, paeonol 12 grams, Caulis Lonicerae 15 grams, Gentiana 12 grams, the cooling meridians; dry stools who increase the Yellow 6 grams (down) to heat Tongfu diarrhea.
(2) treatment of liver and kidney are: nourishing liver and kidney, blood detoxification.
Recipe: Qijudihuang Pill.
Wolfberry chrysanthemum 9 grams in 15 grams 12 grams of raw land Rehmannia 12 grams 12 grams yam dogwood 9 Keze diarrhea 12 Kedan Pi 12 g Scrophulariaceae 12 grams Treats 9 Kdan reference 12 grams Angelica 12 grams subtraction with the disease: very red eyes and sore , plus green suitcase 12 grams, Prunella 12 grams, 12 grams of Cassia, to clear diarrhea anger; genital ulcers swelling worse, plus gentian 9 grams, 15 grams Polygonum cuspidatum to Thanh Hoa liver heat; women with irregular menstruation, plus white peony root 12 g, Chuanxiong 9 grams, Motherwort 15 grams, with blood to regulate menstruation.
3 spleen deficiency rule is: Warming spleen, yang blood.
Recipe: Shen Qi Wan reasonable in the Pill.
Monkshood 9 grams of cinnamon powder 3 grams (versus service) Rehmannia 12 grams 15 grams of yam Cornus 9 g Poria 12 grams Codonopsis 12 grams 10 grams Atractylodes Baojiang 5 grams 5 grams of licorice Baked Fried Puhuang Angelica 9 grams 15 grams (including fried ) subtraction with the disease: ulcers were not grabbing pale, add 30 grams of astragalus, antler pieces 12 grams (fry) to Qi Yang, myogenic convergence ulcer; swelling worse, plus Polyporus 15 grams of Coix 30 grams to enhance light penetration of water; it according to the course of time, plus psoralen 12 grams, 6 grams nutmeg to Wenshen solid bowel.
4 Therapeutic blood deficiency: Qi and blood, detoxification sore.
Recipe: Modified Ba Zhen Tang.
Astragalus Codonopsis 15 grams 30 grams 12 grams Atractylodes Poria 12 grams Baked licorice 6 grams Angelica 10 grams 10 grams Chuanxiong peony Rehmannia 12 grams 12 grams 12 grams forsythia, honeysuckle, Scrophulariaceae 12 grams 15 grams plus or minus with the disease: blood deficiencyworse, can Qaa glue 9 grams (molten red), jujube 10, Millettia 15 grams, etc., to nourishing; sore throat evident, plus dandelion 15 grams, Viola 15 grams, in order to strengthen detoxification; joint pain, erythema, subcutaneous nodules, plus Gentiana 12 grams, mulberry 15 grams, Tri 12 grams, Curcuma 12 grams, to Quxie meridians, removing stasis.
[Chinese medicine]
1 piece every 1 to 2 Tripterygium tablets, 3 times a day.
2 Xileisan in a small amount of topical ulcers, several times a day.
[Simple] side
1 9 g Scutellaria, Coptis 3 grams, 30 grams of dandelion, licorice root 9 grams, Shuijianbi, day 1. For acute exacerbation of Behcet’s disease.
2 honeysuckle and wild chrysanthemum 9 grams, soaked cup of tea, brewed into tea several times a day. For oral ulcers of Behcet’s disease.
[Other therapies]
External: genital ulcers, it is desirable flavescens, Rhubarb, Coptis decoction of 30 grams Fumigation, day 1. Anal ulcers, can realgar 15 grams of powder, put the heat on the tiles smoked. Can also be used Xileisan, beads oral and genital ulcers HUANG Jing topical Office.
Injection: Xu Jin injection (including Cynanchum, genistein root of 2 g), each Zml, 2 times a day, every one, intramuscular injection, 3-week course of treatment.
Acupuncture: Point Selection gu, Feishu, the customs, less red, the wind pool, the full three years and so on. To reducing method, each time the needle for 15 minutes.
[Note]
1 Behcet’s disease is autoimmune disease, clinical manifestations, the overall emphasis on traditional Chinese medicine Treatment.
(2) when the disease to keep the ulcers clean, avoid overwork and emotional stimulation.
3 usually should pay attention to eliminate the predisposing factors, such as to prevent infection, avoid drug allergies, quit alcohol, eat fat objects and spicy stimulation products.