This is an excerpt from the “Qing Palace Medical Case” in which Li Dequan treats a case of red bumps on the face of the Grand Princess for the reader’s pleasure. The following is a selection of the case of Li Dequan’s treatment of the Grand Princess’s facial red bumps from the Qing Palace Medical Cases.
The Qing Palace medical case study” Tongzhi eight years on February 23 before the moment, Li Dequan please get the big princess pulse floating slippery. It is the lung and stomach damp heat, blood heat and wind. The face and cheek bumps, itchy, fearing that it will spread into ringworm. We are using E Wind and Dampness Removal Drink and taking one patch at night to regulate. Gong Zhenjia, Department of Dermatology, Jinzhou District Traditional Chinese Medicine Hospital, Dalian, China
Dizi Zi 1.5 yuan, Dahurica dahurica 1 yuan, Fructus Sclerotiorum 1 yuan (fried), Forsythia sinensis 1.5 yuan
Dangpi 1.5 yuan, Dangpi 1.5 yuan, Di Ding 1 yuan, Yinhua 1 yuan
Cite bamboo leaves one money, three words of lamp heart.
This day, the great princess: three pills of clearing the plague and detoxifying pills, Chengxin five money, bamboo leaves five money, maitake five money, mint five money, three immortal drink two points.
February 24, Li Dequan please get the Grand Princess pulse floating and slippery. It is a symptom of damp heat in the lung and stomach, and of wind evil visiting Yangming. This is due to bumps on the face, which are finely fragmented and itchy all the time, with a slight pain in the throat. This is caused by wind-heat external depression and heat steam from the lung and stomach. The first one is to use the drink to eliminate wind and dampness, and take it evenly in the afternoon and evening to regulate.
The first is to use a patch to eliminate wind and dampness.
Cited Dongcha one money five cents, black Na frame
On the 25th, Li Dequan asked for the Grand Princess to have a slippery pulse. It is a symptom of damp heat in the liver and stomach, and the wind evil guest in Yangming. Yesterday, she took a drink to eliminate wind and dampness, and the facial bumps gradually disappeared. However, damp-heat in the lung and stomach has caused swelling and pain in the throat. Now, I am taking a patch of Wind and Heat Dissipating Drink and a remedy for the sore throat.
The first is to use a medicine that will help to reduce the pain.
The root of the beanstalk is one penny, forsythia is one penny, scutellaria is one penny, the wine army is one penny.
Citing Yuanming powder one money.
On this day, the great princess: five money of the heart of the lamp, five money of bamboo leaves, five money of maitake, five money of chrysanthemum, five money of peppermint, three immortal drink two points.
On the twenty-sixth day, according to the original prescription minus Yuanming powder, add Guahuo three money, a paste evenly to regulate.
On the twenty-seventh day, one patch according to the original prescription. This day, the big princess: Huang Lian Shangqing Pill three money two service, black Nai long Chu Duan long Ge Ge long ‘Zu Long Long Zhihuan frame 1 save blinking Wan Wan chlorine what cockroach Miao Yao Yao Yao Yao Qian Qian Qian Qian Qian Qian Qian Bao (14) laxity
Calcined gypsum one money Qing Dai three money Yuan Ming powder five money Ren Zhong Bai five cents Child Tuan three cents
Ice flakes three points of the total research fine before blowing the throat.
On February 28, Li Dequan asked the Grand Princess to obtain a slippery pulse. The facial pimples gradually subsided. However, the phlegm-heat in the lungs and stomach is too strong, resulting in sore throat and red eyes. We are now using Heat Clearing and Phlegm Removal Soup, one patch to regulate.
Chuan Lian eight points (research), Scutellaria baicalensis one penny, Bile grass one penny, Gypsum three pennies, Wine Jun one penny.
The gradual shellfish two money Gua Pou three money Mandarin two money quoted mint eight points.
On the 29th, Li Dequan asked the Grand Princess to get a slippery pulse. Yesterday, she took a clear heat and phlegm soup, the phlegm and heat went down and the symptoms were alleviated. However, the residual heat has not yet been cleared and the roots of the teeth are still swollen and painful. I am taking one patch at noon to regulate this.
Chuan Lian eight cents, Scutellaria baicalensis one penny, Radix et Rhizoma gastrodiae two pennies, Psidium guajava two pennies, Jun Jun five cents, Radix Platycodon grandis one penny.
Citing bamboo leaves one money, black mu seal
On February 30, Li Dequan asked the Grand Princess to have a smooth and slow pulse. Facial pimples are all well. But the residual heat in the gastrointestinal tract has not been cleared, resulting in dry mouth and dry throat, the root of the tooth is slightly swollen and painful. Now use the heat clearing tea drink today and tomorrow two paste regulation.
Bamboo leaves 1.5 cent Decoction of water as a substitute for tea.
Comment: Red bumps on the face may be facial diseases such as facial dermatitis and acne. Both of these diseases can be treated with reference to this case.
At the initial diagnosis, the etiology of the disease mechanism of damp heat in the lung and stomach and blood heat exposed to wind was captured. Facial disorders are taken from Yang Ming. Most diseases of the face are related to the spleen and stomach. The right cheek belongs to the lung and the pulse is floating and slippery, indicating that the onset is also related to lung heat. Dampness and heat from the lung and stomach, which steam up the face, lead to bumps on the cheek, causing itching in patches. The medication is used to dissipate wind-heat and resolve dampness, and to clear heat and detoxify blood. The power of clearing heat and detoxifying the toxin was not enough, so we added Clear Distemper and Detoxification Pill to complement it.
The second diagnosis was that the facial bumps were finely fragmented and itchy at all times, accompanied by a slight sore throat. The diagnosis was due to wind-heat and heat steam in the lung and stomach. We treated with Yin Qiao San plus and minus.
Although the facial bumps gradually disappeared during the third examination. However, the damp heat in the lung and stomach was upwardly diffused, resulting in swelling and pain in the throat. The tendency of slippery pulse is not decreasing. Therefore, we added Radix Scutellariae and Scutellariae to clear heat and detoxify the pharynx, and used Nitroprusside to open the large intestine in order to remove the pain from the bottom.
In the fourth and fifth consultation, the formula for three rashes was added and reduced.
On the sixth consultation, although the facial bumps gradually disappeared. However, the sore throat and redness of the eyes worsened. The pulse is slippery and counted, which is caused by the excess of phlegm-heat in the lung and stomach after the surface evil has been relieved. Therefore, we subtracted the medicine for clearing wind and heat to relieve the surface, and concentrated on clearing heat and phlegm, and clearing heat and detoxification.
The seventh diagnosis: the phlegm-heat has gone down and all the symptoms have been alleviated. However, the residual heat has not yet been cleared and the roots of the teeth are still swollen and painful. I used heat-clearing drink and took one patch at lunchtime to regulate. The dosage and frequency of medication were reduced. The dosage of these two herbs was more than half of the whole formula.
The eighth diagnosis: the facial bumps were all healed. However, the residual heat in the stomach and intestines has not been cleared, resulting in dry mouth and dry throat, and the roots of the teeth are slightly swollen and painful. At this point, the disease has entered a straight path and the facial dermatitis has been cured. It is only necessary to nourish Yin and clear heat to prevent a resurgence. Just take some tea substitute.
The fact that the royal doctor was able to cure the facial dermatitis in about a week shows that the identification of evidence is precise, the use of the right medicine, with the evidence to adapt, the silk into the kow, change the herbal medicine into a magical, magical. It is worthwhile for medical practitioners to think deeply.