Dry syndrome is a chronic autoimmune disease that affects exocrine glands, especially salivary glands and lacrimal glands. If only the exocrine glands are involved, it is called primary dry syndrome; if it is accompanied by other connective tissue damage or secondary autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis, it is called secondary dry syndrome. Clinically, dry mouth and dry eyes with joint pain are the main clinical manifestations.
The disease is usually found in women, more than 90% of them are in the age of 30~40, the youngest is 9 years old, and the ratio of men to women is 1:9~17. Foreign data reported that the prevalence rate of the elderly is 3~4%, second only to rheumatoid arthritis. Early dry mouth and eyes are not easy to be taken seriously and easily misdiagnosed, and its course is long, and the prognosis is generally good. Most of those with visceral damage can be relieved by proper treatment. Those with serious organ lesions, malignant lymphoma and secondary dryness syndrome with serious connective tissue diseases have poor prognosis.
The understanding of this disease in Chinese medicine started from “Nei Jing”, and there is the discussion of “if dryness wins, it will be dry” and “if it is dry, it will be moistened”, and Liu Wansu in “Su Wen Xuan Ji Original Disease Style” in the Jin Yuan period added: “all astringent dryness and dryness, dryness and chappedness belong to Dryness” of the disease mechanism. From the analysis of its pathogenesis and clinical characteristics, it can be classified as the category of “dryness paralysis” in Chinese medicine. The cause of the disease is congenital deficiency of endowment and deficiency of yin and fluid; acquired due to overwork, or long term illness without nourishment; external exposure to wind, heat, dryness, fire four evil or internal heat into dryness, Yang heat, resulting in fluid depletion, deficiency of yin and blood, loss of moistening of the clear orifices, blood stasis paralysis over time, the veins are blocked, involving the skin, tendons and bones, deep into the internal organs and the disease. The basic pathogenesis is deficiency of yin and fluid, stasis of blood blocking the ligaments; the nature of the pathology is deficiency of the root and the symptoms are real.
Chinese medicine diagnosis and treatment
1. Yin deficiency and internal heat symptoms: dry mouth and throat, especially at night, dry lips, dry mouth and cracks, dry mouth and desire to drink or drink does not quench thirst, dry eyes, few tears or no tears, blurred vision, accompanied by dizziness and tinnitus, hoarseness, five heartburn, constipation, red tongue with little or no moss, fine pulse.
Treatment: Nourishing yin and generating body fluid, clearing heat and removing annoyance.
Recipe: Sha Shen Mai Dong Tang and Bai He Gu Jin Tang with addition and subtraction.
2, qi and yin deficiency, blood stasis obstruction type symptoms: dry mouth and throat, dry eyes, tiredness, shortness of breath, lazy speech, rough skin, dark spots, scorched hair, pain in the joints of the limbs, unfavorable flexion and extension, deformity, purple and dark finger ends, low menstrual flow, lack of appetite, insubstantial stool, dark tongue with little fluid, petechiae and stasis, thin and astringent pulse.
Treatment: Benefit Qi and nourish Yin, invigorate blood and promote circulation.
Formula: Si Jun Zi Tang combined with Tao Hong Si Wu Tang plus or minus.
For dryness of both eyes, add Fructus Lycii and Dendrobium Chuan; for insubstantial stools, add Radix et Rhizoma Huaiyang and Radix et Rhizoma Puerariae; for loss of appetite and gastric discomfort, add Fried Grain Malt, Raw Hawthorn and Green Plumeria.
3, blood deficiency dry heat type symptoms: dry mouth and throat, dry nose and eyes, less color, dizziness and weakness, menstrual blood thinning, every easy anxiety and irritability, insomnia and dreaminess, dry skin and hair, tender red tongue and less fluid, little moss, thin pulse.
Treatment: Nourishing Blood, softening the Liver, generating fluid and moistening dryness.
Formula: Sifu Tang with Consistent Decoction plus reduction.
For dizziness and headache, add Tian Ma and Huai Niu Kne; for anxiety and restlessness, sleep at night, add Huang Lian, Nux Vomica and Fried Jujube Seed; for dry skin and hair, add Huang Jing and Zhen Zhen Zi; for red face and rising fire, add Bai Wei and Gong Lao Ye; for blurred vision, add Zhen Zhen Zi and Cuscuta.
4, heat and toxicity, dryness and upward aggression type features: dry eyes and tears, dry mouth and lips, little saliva, drinking water does not relieve, dry nose and throat, dry cough without sputum or sputum less sticky, difficult to cough out, often accompanied by fever, red eyes and mucous, red face and baking heat, parotid and submandibular gland enlargement, head and body pain, joint pain, red urine and stool, etc., red tongue with thin yellow coating and dry or cracked, or red tongue with little coating and thin pulse.
Treatment: Nourishing Yin, moistening dryness, clearing heat, detoxifying and dispersing knots.
Remedy: Qing Ying Tang combined with Qing Dryness and Save Lung Tang plus reduction.
Mulberry leaf 12g, gypsum 30g, licorice 6g, prunus ginseng 15g, xuan shen 15g, aconite 12g, maidenhair 12g, almond 12g, water hyacinth 20g, raw earth 20g, salvia 20g, tannin 12g, honeysuckle 20g, forsythia 15g, bamboo leaf 12g, stiff silkworm 12g, zhebei mother 10g .
Addition and subtraction: For hemoptysis and epistaxis, add Phellodendron leaf and Cyperus rotundus. For cough and sputum, add Radix Platycodon grandiflorus and Psidium guajava. For constipation, add Psidium Guajava and Hemp Seed. In case of joint pain, add Lonicera japonica, Loxodendron, etc.
Prepared Chinese medicines
1.Baishonin capsule: 0.6g each time, 3 times a day, 1 month as a course of treatment. It has the function of nourishing Yin, clearing heat and regulating immunity, and is used for all types of dry syndrome.
2.Legendan polysaccharide tablets: 10 mg each time, 3 times a day, 1 month as a course of treatment. It has the function of clearing heat and detoxification, dispelling wind and dampness, relieving swelling and pain, activating blood circulation and resolving blood stasis.
3.Lily Solid Gold Oral Liquid: 20ml each time, 2~3 times a day, taken on an empty stomach. It has the function of nourishing the lung and clearing heat, benefiting the kidney and generating fluid, and is used for dry syndrome with lung and kidney yin deficiency.
Diet therapy
1.Mulberry cream with Chinese wolfberry: 60g fresh mulberry, 60g Chinese wolfberry, 30g honey. Mulberry wolfberry with cold boiling water wash clean, press the juice, into the pot slowly simmered to gradually thick, while adding honey while stirring Yang, to become a paste that is, into the bottle, daily morning and evening each take 1 spoon, boiled water down. It has the effect of nourishing kidney and liver, and is used for those who have liver and kidney yin deficiency in dry syndrome.
2. Lily and lotus dates drink: 30 grams of lily, 10 of Zhi Mu, 30 grams of fried jujube seeds, 12 of cypress seeds and 6 grams of lotus seeds. Wash with water, put into a casserole, add 300ml of water, decoct on low heat for 30 minutes, remove the residue, add water and decoct again, strain the juice, combine the 2 times obtained juice, add a little sugar, take in 3 times, 1 dose daily. It has the effect of nourishing Yin and lowering fire, and is used for dry syndrome with Yin deficiency and fire and mouth ulcer.
3.Women’s chaste dry lotus cream: 300g of women’s chasteberry, 300g of dry lotus grass, 60g of honey. Boil the above medicine with water for 3 times, add the 3 decoctions together with honey, and boil the paste with a gentle fire. Take 1 spoonful per serving and mix down with plain water in the morning and evening. It has the effect of benefiting kidney and nourishing yin, and is used for dry syndrome with kidney and yin deficiency and soreness of waist and knee.
4, Chinese wolfberry and codonopsis porridge: 30g of Chinese wolfberry, 30g of codonopsis (gauze package) 100g of round-grained rice. The cuscuta seeds washed and wrapped in gauze, Chinese wolfberry washed, rice clean, into the same pot, add the right amount of water, cooked into porridge, eat immediately. It has the effect of benefiting kidney and nourishing liver, nourishing blood and brightening eyes.
Exercise therapy
1.Practice the function of regulating the breath and pharyngeal fluid: those with obvious dry mouth should practice the function of regulating the breath and pharyngeal fluid, that is, sitting in the morning every day, closing the eyes and concentrating the mind, putting the tongue against the palate, closing the mouth and regulating the breath, the fluid will be produced by itself and gradually become full of the mouth, swallowing it in 3 times, and benefiting from it for a long time.
2, rubbing the eyes: eye dry obvious people can practice rubbing the eyes, lightly close both eyes, two thumbs finger back rub heat with each other, lightly rub lightly two eyelids each 18 times, lightly rub lightly both eyebrows each 18 times, and then make the eyes around each 18 times.
In addition, according to the specific situation to choose a feasible fitness program, such as taijiquan, taiji arrow, jogging, etc..