Systemic lupus erythematosus, commonly known as a vasculitis that can gradually spread throughout the body, can destroy the skin, blood, kidneys, joints, brain, etc. Western medicine believes that it is an autoimmune disorder, which is related to a variety of factors, but it has not been clarified to which specific factors.
(A) Chinese medicine etiology and pathogenesis
The disease starts from congenital deficiency of endowment, combined with internal injury of emotion and will, excessive labor, blood stasis, blood vessels, skin damage, and gradually the joints, tendons and bones, organs and cost of the disease.
The first disease is in the table, the limbs and veins are paralyzed, first the table and then the inside, from the table into the inside, from light to heavy, from shallow to deep. In the table in the upper lighter and shallower, in the lower more profound.
The basic pathogenesis of this disease is the weakness of the body, lack of true yin, heat and toxicity, paralysis of the veins and channels, internal invasion of the internal organs.
The location of the disease in the meridians, blood vessels, qi disease or blood disease, or who is the main who is the second, or qi and blood with the disease will vary from person to person.
(B) the classification and treatment of evidence
1.Heat in Qi and Ying
Symptoms: high fever, no cold, red face, bright red skin, dry throat, thirst for cold drinks, urine is red and less, joint pain, red tongue with yellow coating, smooth pulse or flooding.
Treatment: Clearing heat and detoxifying the toxin, cooling the blood and resolving the spots.
Remedy: Clearing the plague and defeating the poisonous drink plus reduction.
2.Yin deficiency and internal heat
Symptoms: prolonged low fever, heat in the hands and feet, flushed face with dark purple patches, dry mouth and sore throat, thirst for cold drinks, red eyes and epistaxis, painful joints, irritability and sleeplessness, red tongue with little moss, or thin yellow moss, fine pulse.
Treatment: Nourishing Yin and clearing heat.
Remedy: Yu Nui Decoction with Zengliang Tang plus or minus.
3.Heat stagnation and stagnant drink
Symptoms: chest tightness and chest pain, palpitation and palpitation, slight heat, dry throat and thirst, irritability and restlessness, erythema rash, red tongue with thick and greasy coating, smooth and moist pulse, occasionally with knotted generation.
Treatment: Clearing heat and releasing drinks.
Herb: Scape Dajiao diarrhea of lung soup combined with diarrhea white san plus or minus.
4.Stasis-heat paralysis evidence
Symptoms: stasis in the hands and feet, dark red patches, white and purple patches on both hands, blue patches on both legs like a net, hair loss, mouth erosion, mouth sores, epistaxis, epistaxis, painful swollen joints, menstrual transgression, short red urine, protein hematuria, low fever or self-conscious heat, irritability and anger, thin coating on the tongue, red thorns on the tongue or petechiae on the side, thin string or astringent pulse.
Treatment: Clearing heat and cooling the blood, activating blood circulation and dispersing blood stasis.
Remedy: Rhizoma Dihuang Tang plus or minus.
5.Spleen and kidney deficiency
Symptoms: no flashy face, but sometimes flushed, two fingernails also no flashy color, fatigue, cold, cold limbs, sometimes afternoon baking heat, dry mouth, short urine, legs swollen like mud, and then swollen waist and femur, abdomen large as a drum, fat tongue, light red tongue, thin white or thin greasy moss, thin string or weak pulse.
Treatment: Nourish the kidney and fill the essence, strengthen the spleen and promote water retention.
Remedy: Ji Sheng Kidney Qi Pill plus or minus.
6. Evidence of deficiency of both qi and blood
Symptoms: palpitation and palpitation, forgetfulness and insomnia, dreaminess, lack of color, numbness of limbs, pale tongue, thin white fur, thin and slow pulse.
Treatment: Benefit Qi and nourish Blood.
Remedy: Add and subtract Bajhen Tang.
7.Cerebral deficiency and heat stasis
Symptoms: critical condition, burning heat, syncope of the limbs, delirium, or confusion, or phlegm congestion, coarse Qi, tongue tongue tongue, vivid vivid color, fine pulse.
Treatment: Clearing the heart and opening the orifice.
Prescription: Qing Gong Tang or nasal feeding of Angong Niuhuang Wan or Zhi Bao Dan.
8. Stasis-heat injury to liver
Symptoms: low and prolonged fever, dullness, distension and pain in both sides, early menstruation, dark purple menstrual blood with clots, irritability, jaundice, enlarged liver and spleen, erythema and petechiae on the skin, purple and dark tongue or petechiae, string pulse.
Treatment: Dredging the liver and clearing heat, cooling the spots and invigorating the blood.
Direction: Combination of Artemisia Umbelliformis Tang and Chai Hu Dredging Liver San with addition and subtraction.