Recurrent polychondritis recurrent polychondritis (RP) is a systemic autoimmune disease characterized by intermittent inflammation of cartilage tissue throughout the body

Clear heat and damp spleen and active blood treatment of recurrent polychondritis

Recurrent polychondritis (RP) is a systemic autoimmune disease characterized by intermittent inflammation of cartilage tissue throughout the body, including the outer ear, upper nasal and lower respiratory tracts, as well as proteoglycan-rich tissues such as the eyes, inner ear, heart, and blood vessels, or may involve joints. RP is characterized by recurrent episodes of inflammation, resulting in permanent destruction of the affected tissue and joint structure, its onset time is untraceable, can be insidious onset, can also be sudden onset or sudden exacerbation of the disease, and the active period can be accompanied by fever, local pain, fatigue and weakness, weight loss and loss of appetite. Auricular chondroititis is the most common clinical manifestation of RP, and the lesion site is mostly limited to the cartilage part of the auricle, sometimes invading the external auditory canal, often symmetrically affected, and less commonly affecting the earlobe. Most of the initial manifestations are pinna redness, swelling, heat, pain, and erythema nodules, most of which resolve spontaneously within 5 to 7 days, often recurrent from time to time. Over time, the auricle collapses and deforms, and the lesion site is pigmented. Auricular chondrostitis can lead to softness, deformation, and weakening of elasticity of the skin outside the ear, which can cause atrophy of the external auditory canal, narrowing of the external auditory canal, inflammation of the middle ear, obstruction of the Eustachian tube, and later involve the inner ear, manifested as auditory or vestibular function damage, lesions involving labyrinth can lead to rotational dizziness, nystagmus, ataxia, nausea and vomiting.

The etiology and pathogenesis of this disease are not clear at present, combining traditional medicine with modern medicine, combining disease identification and dialectics, and using the treatment principle of "helping to correct and dispel evil at the same time, always taking care of the spleen and stomach" to treat 1 case of recurrent polychondritis in children, the efficacy is still good, and it is reported as follows.

Medical transcripts

The patient, male, 5 years old, was first diagnosed on 2 April 2020. The main complaint is "repeated pinnae pain for one year, and recurrence of exacerbations with fever for one week". The child was red, swollen and itchy in the left ear a year ago without obvious inducements, improved after a week of external use of fluocinolone acetate cream, and intermittent auricles were red, swollen and itchy during the period, the symptoms were mild, there was no special treatment, and the symptoms improved. A week ago, the child fell during play, abrasioned the pinna of the ear, and then had a fever to 38.5 ° C, and the left ear pinna was red, swollen and itchy, and after treatment in the local hospital (the specific dose is unknown), the fever improved; but the left ear was still red, swollen and feverish, and now it is looking for comprehensive conditioning of traditional Chinese medicine, and instead seek treatment from Liu Jian.

Symptoms at the time of consultation: redness, swelling, itching of the left auricles, purple and dark edges, pain at the edges of compression, hot hands and feet, dry stool, dry mouth and bad breath; red tongue, thin white moss, and fine pulses.

Diagnosis: (Yin deficiency fire type) paralysis (called recurrent polychondritis in Western medicine).

Treatment: nourish the yin and clear the heat.

Recipe:

Zhimu 8g, Yellow Cedar 5g, Artemisia Annua 8g, Ground Bone Skin 5g, Raw Rhubarb 5g, Chuanpu 5g, Raw Plaster 5g, Citrus Aurantium 8g, Coix Kernel 10g, Tangerine Peel 10g, Poria 10g, Huai Yam 10g, Ze Diarrhea 10g, Peach Kernel 8g, Safflower 8g, Fried Grain Sprout 10g, Fried Malt 10g, Licorice 3g. 1 dose daily, decoction, morning and evening.

Second diagnosis on April 12, 2020: The redness and swelling of the left ear has eased, the stool is still dry and knotted, the night is restless, the tongue is red, the moss is thin, and the pulse is fine. Add 6g of raw rhubarb above, 10g of plantain, and 10g of shouwu vine. 7 doses.

On April 23, 2020, the third consultation: the symptoms continued to decrease, and the second stool was adjusted. May 7, 2020 Fourth consultation: the redness and swelling of the left ear disappeared, and the second stool was adjusted. Heat and dryness, sleep and other evidence of relief. The prescription was given to the three clinicians for 14 consecutive doses.

May 21, 2020 five diagnoses: the left ear pinna has been as usual, the second stool is adjusted, and the evidence is improving. Then, with the method of correcting evil spirits and nourishing the day after tomorrow, give the four diagnostic parties plus 10g of lentils. After taking 14 doses, the patient had no obvious discomfort.

Press: The pathological factors of this disease are wind evil, heat poison, phlegm wetness, blood stasis, etc., for the patient's spleen and stomach deficiency, spleen loss of good luck, phlegm wet endogenous, or stomach through damp heat, follow the liver and gallbladder meridian upwards in the ear, coupled with wind evil, phlegm wet on the pinna, phlegm stagnant and swollen, hot poison, blood vein stasis is abnormal skin color changes. "All wet and swollen, all belong to the spleen", which is originally a spleen deficiency, the treatment is mainly to clear heat and dampness, and to treat the spleen and stomach, and to activate blood and dispel stasis. Patients have redness, swelling, heat and pain at the time of initial diagnosis, because the patient has used hormone therapy, accompanied by five upset fever and other manifestations, give Yin detoxification drugs, such as Zhimu, Yellow Cedar, Artemisia Annua, Bone Skin, etc. to nourish the yin and remove heat, the patient is manifested as an elevated white blood cell, indicating that the disease is not dispersed, adding rhubarb, ze diarrhea, plantain, peach kernel, safflower and other drugs that clear heat and dampness, and activate blood circulation. The spleen is the foundation of the day after tomorrow, the source of qi and blood biochemistry, and the clouds of the predecessors: "The spleen is healthy and wet and evil can go, and the qi is strong and stubborn." "When the spleen and stomach are always cared for, So Liu Jian, while using damp drugs to dispel evil spirits and make evil have a way to go, he gives tangerine peel, poria, yam, coix kernel, and lentils to supplement the spleen and stomach, dispel evil and help the right, and help the right to dispel evil; the patient has dry stool, does not want to eat, adds thick and simple, citrus fruit to rationalize the spleen and stomach qi, combine rhubarb to penetrate the intestines, and fry two buds to eliminate food. Parents of children are advised to eat lightly to avoid promoting phlegm wetness.

Through the combination of traditional Chinese medicine and Western medicine, the disease is not only alleviated, but also the adverse reactions caused by the simple use of Western medicine are reduced. #家庭健康守护官 #