My friend, do you know what diseases are seen in the peripheral vascular department? Have you ever paid attention to your vascular lesions? Let’s pay attention to blood vessels and health together.
Peripheral vascular diseases mainly include arterial diseases in peripheral vessels, such as arteriosclerotic occlusive disease, thrombo-occlusive vasculitis, diabetic peripheral vasculopathy (diabetic foot), multiple aortitis, chronic calf ulcers (commonly known as old rotten legs), lymphatic vascular diseases acute lymphangitis, dermatitis, lymphedema, functional peripheral vascular diseases such as Raynaud’s disease, erythematous limb pain, reticular cyanosis, hand and foot cyanosis, and vasomotor disorders after injury, and cutaneous vascular diseases, and some vascular neoplastic diseases.
Common clinical manifestations of peripheral vascular disease
I. Limb pain
Abnormal limb sensation: including limb numbness, soreness, pain, pins and needles or anthrax sensation, heavy and weak lower limbs after walking, and easy fatigue.
Skin temperature abnormalities: including skin temperature increase and decrease. Specific manifestations are coldness, hot flashes and burning sensation in the fingers and toes.
Skin color abnormalities: including skin color changes (redness, cyanosis, pallor, black) and hyperpigmentation.
V. Edema and swelling of the limbs.
Sixth, thinning, thinning and atrophy of the limbs or fingers and toes.
VII. Ulceration and gangrene.
VIII. Masses (including pulsating masses and non-pulsating masses).
Treatment of peripheral vascular disease
Chinese medicine has a long history of treating peripheral vascular disease, with both internal and external treatment methods, rich in means and precise efficacy.
Depending on the condition, our department either uses pure Chinese medicine or a combination of Chinese and Western medicine to treat the disease. There are internal and external methods of treatment. The internal treatment method of Chinese medicine is based on the main method of activating blood circulation and removing blood stasis, combined with cold, heat, deficiency and reality, including internal Chinese medicine and intravenous drip Chinese medicine. The external treatment methods of Chinese medicine are various, including fumigation therapy, fumigation therapy, sweat therapy, hot fomentation therapy, patching therapy, drug application therapy, drenching therapy, soaking therapy, water acupuncture therapy, plantar reflex therapy, pneumatic circulation drive therapy, acupuncture and moxibustion therapy. Western medicine is administered on the principles of anticoagulation, thrombolysis, antiplatelet aggregation, viscosity reduction, lipid regulation, and anti-atherosclerosis, respectively.
Since the establishment of our department, we have been following the ancient times without adhering to them, and we have been summing up our experience in clinical practice, pushing out new ideas, and giving full play to the characteristics of traditional medicine, especially in the treatment of arteriosclerotic occlusive disease, thrombo-occlusive vasculitis, diabetic foot, thrombotic superficial phlebitis, lower limb deep vein valve insufficiency, chronic calf ulcer, lymphedema, Raynaud’s disease, and erythema limb pain.
Gospel for “old rotten leg”
It is a chronic complication of venous diseases such as varicose veins and chronic venous insufficiency of the lower extremities.
The old rotten leg is usually found on the inner or outer side of the lower 1/3 of the calf, which is the basis of some chronic venous diseases such as pigmentation in the foot and shoe area, eczema dermatitis, fibrous sclerosis and other skin dystrophies that occur on the basis of local rupture, exudative discharge, which can be accompanied by odor, sunken ulcer center, edema and pale granulation, raised edge, thin and dark red skin around the ulcer, sparse sweat hair, pigmentation The skin around the ulcer is thin and dark red, with sparse sweat hair, pigmentation, swelling, and eczema.
Treatment: Internal and external treatment with Chinese medicine
1.Discriminatory use of traditional Chinese medicine, such as drenching, peri-compounding and patching
2, the dialectical use of our research and development of the cleaning and decay solution or decay and muscle solution compress change, once a day, the curative effect is peculiar. Generally, the ulcer can be healed in 1-3 months without skin implantation.
Chronic lower extremity edema, another hidden reason
There are many reasons for lower limb edema. If you have unilateral lower limb edema, you must be suffering from peripheral vascular disease, or venous edema, or lymphoedema. If the cause of bilateral lower extremity edema is excluded, such as cardiogenic, hepatogenic, nephrogenic, dystrophic, or mucinous edema, it is recommended that you visit a peripheral vascular clinic for a clear diagnosis.
The common diseases causing lower limb edema in peripheral vascular disease include primary lower limb deep vein valve insufficiency, post-deep vein thrombosis syndrome, and lymphedema.
The characteristics of venous edema are: in mild cases, the lower leg feels sore and fatigued after prolonged viewing or heavy exertion, and the edema is slight, which is reduced after rest; in severe cases, the affected limb is swollen, which is aggravated after activity and reduced after bed rest, often accompanied by pigmentation in the foot and boot area, eczema-like dermatitis or venous ulcers.
Lymphoedema is characterized by: it often occurs after radiation and chemotherapy for dengue, acute lymphangitis, and radical pelvic tumor surgery. The onset of the disease is initially limited to the distal extremities, with bright skin, which may be sunken and puffy, aggravated by standing and activity, and alleviated by lying down at rest, eventually developing into a severe elephantiasis.
Treatment: Internal and external treatment
Internal treatment
Blood stasis blocking the ligaments. To activate blood circulation, remove blood stasis and open the ligaments.
Dampness, heat and stagnation: clearing heat, removing dampness, activating blood circulation and resolving blood stasis.
External treatment: according to the diagnosis of the disease, use Chinese herbal medicine such as sweating, fumigation, fumigation, pneumatic gradient physiotherapy, etc.
Care: ① Avoid prolonged sitting and standing
②Keep the bowels open
③ pay attention to elevate the affected limb, no less than 4 times a day, no less than half an hour each time
④Wearing the correct medical sequential decompression elastic stockings
The mystery of hand (foot) finger (toe) discoloration
When the autumn is high, the weather gradually turn cool, some hands (feet) fingers (toes) skin color pale and cyanosis, after warmth, skin color side flush, and then skin color back to normal, this phenomenon is medically known as “Raynaud’s phenomenon”.
Raynaud’s phenomenon is Raynaud’s disease? In fact, it is not. It indicates that you may be suffering from Raynaud’s disease or Raynaud’s sign. The cause of Raynaud’s disease is related to cold stimulation, nervousness, mood swings and endocrine dysfunction.
And Raynaud’s sign is the early manifestation of some diseases as Raynaud’s phenomenon. Raynaud’s sign is three times more than Raynaud’s disease. The primary diseases with Raynaud’s phenomenon as early manifestation include.
1. coarse tissue diseases Common ones such as scleroderma, systemic lupus erythematosus, other rheumatoid arthritis, dermatomyositis, leukodystrophy, etc.
2. Thrombotic vasculitis or atherosclerotic occlusive disease
3, certain neurological diseases, such as peripheral neuritis, progressive muscular atrophy
4. Vibration syndrome
5, certain chemical poisoning, such as ergot poisoning, lead, nitrite, mercury poisoning, etc.
Guidelines for medical consultation.
1, regular hospital consultation, first determine whether it is Raynaud’s disease or Raynaud’s syndrome
2, perform relevant laboratory tests and auxiliary examinations, and actively search for the original cause of Raynaud’s disease to avoid misdiagnosis and misdiagnosis.
Treatment: Raynaud’s disease Chinese medicine and internal and external treatment
Internal treatment
Blood deficiency and cold coagulation, nourishing blood, dispersing cold, warming the meridians and clearing the ligaments, with the formula of “Danggui Siwei Tang” plus flavor.
Yang deficiency and cold coagulation: warming Yang, dispersing cold, invigorating blood and promoting blood circulation.
Qi deficiency and blood stasis: Benefit Qi, invigorate Blood and promote blood circulation, select Astragalus and Gui Zhi Wu Wu Wu Wu Tang with addition.
External treatment: 1. Inducing vasodilation with herbal fumigation therapy
2.positive and negative pressure treatment
3.Acupuncture
Older people’s legs first and leg cramps
Some elderly people will walk for a period of time after the legs will appear tired, sore, pain and other discomfort, many people often think that it is the “people old legs first old” is old, can not walk. In fact, you may be suffering from lower limb atherosclerotic occlusive disease.
Some elderly people often have leg cramps at night, many people think it is a calcium deficiency, but the reality is that some elderly people are taking calcium supplements every day, but leg cramps still occur, how is calcium so difficult to make up? In fact, you may be suffering from atherosclerotic occlusive disease.
Atherosclerotic occlusive disease is a common chronic arterial occlusive disease of the limbs, is the local manifestation of systemic atherosclerosis in the limbs. It occurs mainly in the lower extremities and is less common in the upper extremities.
It is often complicated by coronary heart disease, hypertension, cerebrovascular disease and diabetes mellitus. The symptoms are coldness, coldness, numbness and intermittent claudication of the affected limbs – i.e., the patient experiences tiredness, pain, soreness and other discomfort in the lower limbs after walking for a certain distance, and the symptoms disappear after resting for a moment, and then the symptoms recur after continuing to walk the above-mentioned distance. Dry, flaky, thin and cracked skin, reduced sweating, sparse loss of sweat hairs on the back of toes and feet, slow growth of toenails, thickening and ingrown nail deformities. Severe lesions are often accompanied by resting pain, ulcers and gangrene in the distal extremities.
Treatment: Combination of internal and external Chinese medicine, Chinese and Western medicine
Western medicine: lipid regulation, anti-atherosclerosis
Active control of blood pressure and blood sugar in combination with diabetes and hypertension
Internal treatment and dialectical therapy.
External treatment: according to the condition of the herbal fumigation treatment, plantar reflexology, Chinese herbal medicine sweat, Chinese herbal medicine ion introduction, acupuncture
Conditioning and care
① Quit smoking
② Pay attention to warmth and avoid direct heat to the affected limb
③Avoid injury to the affected limb