How does Bajuang Hefei treat Leukodystrophy syndrome?

  Bechcets Syndrome B.S. is a disease of unknown etiology, based on inflammatory changes in small blood vessels, and characterized by chronic progressive and recurrent multi-systemic inflammatory changes in the mouth, eyes, genitals and skin ulcers. It is one of the most difficult diseases at home and abroad, and belongs to the category of “fox disease” in Chinese medicine.  In recent years, the Department of Rheumatology of our hospital has developed its own “Eight Yellow Compound” to treat 36 cases of Leukoarai Syndrome with certain effect. The efficacy of “Eight Yellow Combination” in treating 36 cases of Behçet’s syndrome, the principle of cubic medicine and the pathological basis of Behçet’s syndrome are reported as follows, in order to find the drug formulations and new treatment methods for Behçet’s syndrome, summarize its efficacy and deepen the understanding of Behçet’s syndrome.  A data and methods Case selection A total of 36 cases of outpatients and inpatients were collected from 1995 to 2001 in our hospital. The age distribution was 21-30 years old in 12 cases, 31-40 years old in 10 cases, 41-50 years old in 6 cases, 51-60 years old in 4 cases, and 61-70 years old in 2 cases, with an average age of 37 years. Among them, 21 cases were male and 15 cases were female.  Diagnostic criteria The American College of Rheumatology diagnostic criteria for Leukocerebrosides syndrome were selected.  Chinese medicine identification and typing criteria The diagnostic basis and evidence classification criteria of fox disease in the Chinese medicine industry standard of the People’s Republic of China, “Diagnostic and efficacy criteria for Chinese medicine diseases” were used.  ”The symptoms include high fever, sweating, sores on the mouth and tongue, burning pain, aching joints, erythema nodosum on the lower extremities, stuffiness and distension in the chest, bitterness in the mouth and dryness in the throat, ulceration or sores on the vulva of the scrotum in men, yellow and thick banding in women, red tongue, yellow fur, and slippery pulse.  2. Damp-heat type of liver and spleen: symptoms include redness and swelling of oral mucosa, burning and stinging pain, dry mouth with little fluid, followed by white spotted film or ulcers and sores on the pubic area, yellow water dripping, burning and itching, bitter and sticky mouth, abdominal fullness and distension, red eyes and faintness, yellow urine and loose stools, red tongue, greasy moss, and smooth pulse.  The name of this formula is “Eight Huangs”, but it is actually composed of 30g of Astragalus, 10g of Huanglian, 10g of Scutellaria, 10g of Phellodendron, 10g of Roasted Rhubarb, 10g of Shengdihuang, 10g of Shudihuang, and 10g of Puhuang, with the addition and subtraction of other medicines.  The efficacy assessment criteria were adopted from the Chinese medicine industry standard of the People’s Republic of China, “Diagnostic and efficacy criteria for Chinese medicine diseases”. Effective: most of the main symptoms such as mouth, eye, external genital ulcers and skin nodules disappeared, negative acupuncture reaction, and the condition is stable; improved: the main symptoms are obviously reduced, and the condition can be kept stable with continuous medication; not cured: the condition does not improve, or is aggravated. The effective rate = (the number of effective cases + the number of improved cases)/total cases×100%.  After treatment, among the 36 patients, 17 cases of damp-heat and toxic knot type, 12 cases were effective, 2 cases improved and 3 cases were not cured, with an effective rate of 82.4%; 19 cases of liver and spleen damp-heat type, 15 cases were effective, 3 cases improved and 1 case was not cured, with an effective rate of 73.7%. The total effective rate of the two types of patients was 77.8%, and the difference was not significant by statistical treatment.  The basis of the formula of “Eight Yellow Compound” was derived from the pathogenesis of Leukocerciasis syndrome and the etiology and pathogenesis of “Fox Confusion Disease” in Chinese medicine.  The pathogenesis of leukoarai syndrome is unknown, but it was once recognized to be related to viral infection and hypo- or hyper-immune function, but modern medicine believes that it is due to the autoimmune theory of abnormal immune function, viral theory, bacterial infection theory and genetic theory. Antibodies, anti-neutrophil antibodies, anti-lecithin antibodies, abnormal complement system, elevated C3, CH50, abnormal T-lymphocyte function, cellular immune dysfunction, neutrophil hyperfunction, secondary vascular endothelial cell damage and dysfunction, all of which are caused by autoimmune dysfunction and autoantibodies due to viral and bacterial attack on the basis of genetic factors. The pathological basis of autoimmune diseases is vasculitis, in which the blood vessels of the whole body can be involved, with congestion, increased permeability, fibrin and lymphocyte exudation, thrombus formation in the lumen, thickening and narrowing of the walls and eventual rupture, bleeding and necrosis, with clinical manifestations such as extensive ulceration of the oral cavity, tongue and gingival mucosa, conjunctivitis, ocular pain, congestion, shyness, loss of vision, genital ulcers, rashes The symptoms include arthritis, cardiovascular disease, gastrointestinal bleeding, etc.  The cause of “fox confusion disease” in Chinese medicine is internal and external causes. In the beginning, damp-heat is mainly embedded in the disease, it is easy to repeatedly feel external evil, ulceration into poison, and even hyperthermia, damp-heat is difficult to go, lingering for a long time, depletion of fluids, Qi and blood intertwined, blocking the veins, Qi and blood stagnation, after a long period of time, the damp-heat real fire consumes Qi and blood, damage to the internal organs, the formation of the deficiency of evil, the clinical deficiency of the heart and spleen, Qi and Yin deficiency, liver and kidney Yin deficiency, Yin and Yang deficiency of the deficiency evidence and damp-heat and blood stasis of the deficiency of both evidence, which This indicates that damp-heat and toxicity and deficiency evidence are the root cause and pathogenesis of “fox confusion disease”. This is the same as the “theory of note” “fox confusion insects also, insects are not fox confusion, but because of the disease to name it, want people because of the name of thinking also, generally are damp-heat toxins for the disease, …… toxin Sheng supreme, erosion in the throat for confusion, said hot lust such as confusion of the gas, confusion and the birth of the domain also, the poison is partial in the lower, erosion in the yin for fox ……” In short, although the medical doctors have discussed this disease, the basic recognition of treatment to clear heat and detoxify, strengthen the spleen and dampness for the majority of medical doctors affirmed. In view of this, although the descriptions of Leuko syndrome and “fox confusion disease” are different but the clinical manifestations are similar, their treatment methods are anti-inflammatory, anti-allergic, immunomodulatory symptomatic treatment and Chinese medicine method to clear heat and detoxify have the same way to use.  ”The formula “Eight Yellow Combination” is composed of several herbs such as Astragalus, Huanglian, Scutellaria, Phellodendron, Rhubarb, Radix et Rhizoma, Radix Rehmanniae, Pusillaris, etc. It is aimed at the cause of Leukocerciasis syndrome which is immune dysfunction and various viral and bacterial infections, and its human body The clinical appearance of vasculitis, mucosal rupture, pathogenesis of damp-heat internalization, ulceration into toxicity, damp-heat entanglement difficult to go. The formula uses Astragalus, sweet and slightly warm, belongs to the spleen and lung meridian, has the ability to replenish Qi, promote Yang, promote water, reduce swelling, support the toxicity of the muscle, regulate immunity, enhance immune function, Astragalus benefits the Qi and fixes the surface to support the toxicity of the muscle, the intention is to move the Qi and blood, invigorate the blood to resolve blood stasis, new blood will be born, blood stasis has been removed, so that the mucosal surface of the damp-heat toxic stagnation eliminated, modern medicine believes that Astragalus has the ability to enhance the body’s immunity, increase the phagocytic function of reticuloendothelial cells, eliminate the local ulcer Modern medicine believes that Astragalus has the ability to enhance the immunity of the body, increase the phagocytosis of reticuloendothelial cells, eliminate the local inflammatory changes of ulcers, play a role in clearing damp heat and detoxification. Huang Lian, Huang Bai and Da Huang are all used to clear heat and fire and detoxify the body. It is mainly used for eczema, heat sores, dampness ulcers, mouth sores, burns, etc. The composition of Phellodendron is mainly containing berberine, cypress alkaloids, palmatine and other alkaloids, pharmacological research has the function of platelet protection, promote the absorption of subcutaneous blood ulcers, as well as diuretic, diuretic and detoxification effect, on staphylococcus, bacillus pneumoniae, bacillus subtilis, bacillus subtilis, bacillus subtilis, bacillus subtilis, bacillus subtilis, bacillus subtilis, bacillus subtilis, bacillus subtilis and bacillus subtilis. It has antibacterial effect on Staphylococcus, Bacillus pneumoniae, Bacillus subtilis, Escherichia coli and Bacillus dysenteriae, and also has the effect of killing Leptospira and Trichomonas vaginalis, and inhibiting the growth of fungi. It is used for clearing heat and drying dampness, clearing the heart and removing irritation, removing fire and detoxifying the toxin, for damp heat in the stomach and intestines, acute fever, febrile sores, carbuncles and furuncles, damp sores on the skin, etc. It contains berberine, yellow alkaloids, antibiotics, etc. Its pharmacological effects are broad-spectrum antibacterial, and can inhibit a variety of pathogenic microorganisms such as Leptospira, Amoeba, and influenza virus. Berberine can enhance the phagocytosis of leukocytes, dilate capillaries, lower blood pressure, clear heat and bile, have local anesthetic and sedative effects, and have anti-tumor effects. Rhubarb, bitter cold, belongs to the spleen, stomach, large intestine, liver and heart meridians, with effects of diarrhea and attacking stagnation, clearing heat and fire, detoxifying, activating blood circulation and resolving blood stasis, used for stagnation in the intestinal tract, pain in the eyes, sore throat and swollen gums caused by fire and inflammation, most suitable for heat poisoning sores and burns, modern medicine believes that rhubarb can anti-inflammatory, dilation; the efficacy of activating blood circulation and resolving blood stasis is obvious, but also has the function of eliminating decay and creating new. Scutellaria baicalensis, bitter cold, belongs to the lung, stomach, gall bladder, large and small intestine meridian, efficacy of clearing heat and drying dampness, diarrhea and detoxification, used for heat diseases caused by dampness and heat, especially adapted to heat sores and ulcers, the drug components are baicalin, baicalin, baicalin, with broad-spectrum antibacterial effect, can reduce vascular permeability, hypotension, diuretic, antispasmodic, anti-allergic effect is obvious, modern research found that this drug has a significant anti-bacterial effect. Pu Huang, sweet and flat, belongs to the liver and pericardium meridian, used to remove blood stasis and stop bleeding, used to dispel blood stasis and relieve pain, diuretic and laxative, the drug components are glycine, volatile oil, fatty oil, sterols this product modern research on egg white arthritis has anti-inflammatory effects, can increase coronary blood flow and lower blood pressure, lower cholesterol, slow down the heart rate, improve the role of microcirculation, Sheng Di Huang, sweet and bitter cold, belongs to the heart, liver and kidney meridian, efficacy has clear heat and cool the blood. It is used for warm-heat disease, heat into the blood and chronic disease, yin deficiency fever, dry mouth and thirst. The drug contains Dihuangxin, mannitol, iron, etc., which has the effect of strengthening the heart, raising blood pressure, lowering blood sugar and inhibiting skin fungus. Radix Rehmanniae Praeparata, sweet, slightly warm, belongs to liver and kidney meridian, has the effect of nourishing blood and nourishing yin, tonifying marrow, mainly used for blood deficiency and atrophy, kidney yin deficiency, waist and knee weakness, etc.  ”The above formula of “Eight Yellow Combination” is based on Huanglian, Scutellaria and Phellodendron, which are bitter, cold, dampness-drying and diaphoretic to clear heat and toxicity in the three jiao areas, with rhubarb, which is a descending diaphoretic in clearing and directing heat downward, so that the fire of inflammation can be lowered. Astragalus and Rhizoma Polygonati are sweet and warm to nourish the deficiency, Pu Huang moves Qi to stop bleeding and disperse blood stasis as the subject herb, and Di Huang can also be used as an ambassador herb to nourish the deficiency and prevent the bitter cold and dry dampness from consuming Yin. The whole formula is reasonable, in line with the pathogenesis of Leukocyte’s syndrome, clinical application of the treatment of Leukocyte’s syndrome has received good results, is worthy of further in-depth study of the formula, its composition of the drugs with anti-inflammatory, anti-allergic, regulatory immune function, has been the consensus of medical doctors. Clinical observation shows that the total effective rate of “Eight Yellow Combination” in treating 36 cases of Leukoarai’s syndrome reached 77.8%, and it has good efficacy for both types of damp-heat poisonous knot and damp-heat of liver and spleen, which indicates that “Eight Yellow Combination” is a formula worthy of wide clinical application.