Rosacea is a chronic skin inflammation that occurs in the center of the face, commonly known as the "red nose". It is more common in middle-aged people, and women are more common than men, but men are generally more sick. Traditional Chinese medicine believes that this disease is mostly caused by the accumulation of heat in the lungs and stomach, fumigation of the nasal veins, and the evil of relapsing wind and cold, which makes the blood stasis coagulate, and the heat does not disperse.
The patient is a 59-year-old male from Zhengzhou. He has a history of rosacea for more than 10 years, and recently came to the hospital for diagnosis and treatment due to the aggravation of his condition. Immediate: small red papules, papules, bright red nasal color, proliferative bumpiness of the nasal area, thirst, red tongue, thin yellow lichen, no change in pulse.
It is identified as a blood fever syndrome of camp guards
Treat the camp to cool the blood and dissipate the heat
Give Qingying soup and Ma Xing Shi Gantang in combination
Buffalo horn, Rehmannia radix, Radix radix, Bamboo leaf, Coptis chinensis, Ophiopogon vulgaris, Salvia, Forsythia, Ephedra, Almond, Gypsum, Glycyrrhiza root
External upside down powder: sulfur, rhubarb powder. The two are finely ground into ointment, and the affected area is rubbed with a cotton swab dipped in the liquid every day. Clear away heat and detoxify, detoxify and kill insects, reduce swelling and relieve pain.
The follow-up patients reported that the bright red nasal color was slightly reduced, and the papules and vesicles subsided slightly, and the first 6 doses were continued.
In the third diagnosis, the small red papules became lighter, and the symptoms were reduced compared with before, and the papules basically subsided.
A total of more than 40 doses before and after treatment, nasal hyperplastic unevenness is better than before, in order to consolidate the curative effect, the former decoction is a powder, 6g each time, 4 months of treatment, rosacea basically returned to normal. After 1 year of follow-up, everything was fine.
Tips: According to the bright red nose, red tongue, and thin yellow moss, it is identified as Yingwei fever, and then according to the small red papules as blood fever, and because of papules, it is identified as blood heat burning, which is used to identify Yingwei blood fever syndrome. Fang uses Qingying soup to cool the blood and dissipate blood heat; With hemp apricot stone sweet soup to disperse the camp and guard, clear the heat. Prescriptions are used in conjunction with each other to be effective.
Rhubarb + sulfur
Rhubarb: bitter and cold in the blood. It has the effect of clearing heat and expelling fire, detoxifying, invigorating blood and removing stasis. Modern studies have shown that the free anthraquinone in rhubarb has a strong inhibitory effect on Propionibacterium acnes and Staphylococcus aureus.
Sulfur: acidic and warm in taste, enters the kidney and large intestine, and is the refining and processing product of natural sulfur ore. It has the effect of external insecticidal and itching. The external use of sulfur to kill insects and relieve itching has good effects, and the "Behind the Elbow" and "General Record of Shengji" record the use of sulfur to treat scabies, dry and wet ringworm, etc. Modern pharmacological studies have shown that the sulfur in sulfur is easy to interact with skin secretions to form sulfide, which can soften the epidermis and have the effects of degreasing, sterilization, itching and keratinization.