2. To sum up, horse scabies is a disease name [1]. The theory of pathogenic factors and stages, volume 35 (there are five kinds of scabies in this book, such as scabies and horse scabies). "Horse scabies, the skin is like a root, and it doesn't hurt to scratch it." A kind of scabies. Namely stubborn wet coalescence [2].
The name of this disease is the accumulation of nodules [3]. Also known as horse scab (volume 35 of the Theory of Various Pathogens) [2]. It refers to a skin disease characterized by large taupe solid nodules on limbs and scabbing after itching [2][3][4]. This is a kind of scabies. This is a serious scab.
It is recorded in the Theory of Pathogens and Pathogens of Diseases: "If a horse has a scar, its skin and flesh are hidden as roots, and it will not hurt if it is scratched."
The old doctor in Zhao Bingnan called this disease "stubborn dampness and stagnation".
Horse scab is equivalent to prurigo nodosa in western medicine [2]. See prurigo nodosa strip for details.
3 Symptoms of horse scabies: the scab is hidden in the skin, and it is itchy and painful to scratch [1].
There are large taupe solid nodules on the limbs, and there is blood scab after itching [2].
4 Treatment of horse scabies The treatment of horse scabies should be oral administration of Xiaofeng Powder and external application of Xiuqiu Pill [1].
4. 1 Syndrome Differentiation and Treatment 4. 1. 1 Phlegm-dampness accumulation of damp-heat wind toxin type refers to accumulation of damp-heat wind toxin in skin. The common symptoms of persistent dampness are that the rash is hemispherical, red or taupe in color, isolated and scattered, firm to the touch, severe itching, red tongue, white tongue coating and slippery pulse [2].
4. 1. 1. 1 Therapeutic methods for removing dampness and toxic materials, expelling wind and relieving itching.
4. 1. 1.2 prescription for treating the whole insect. For intractable skin lesions, it is advisable to promote blood circulation and remove blood stasis, add safflower and salvia miltiorrhiza, and add astragalus for qi deficiency. You can also choose Siwuxiaofeng Powder and Chu Shi Ling Wei Soup.
The single drug can be Gentiana macrophylla pill and Chu Shi pill.
4. 1.2 The syndrome of stagnation of dampness due to blood stasis and wind dryness refers to the syndrome of blood stasis and wind dryness, which is characterized by hard nodules, rough surface, purple-red or purple-brown skin, thick and dry skin, paroxysmal itching, dark purple tongue, thin fur and unsmooth pulse [2].
4. 1.2.65438+
4. 1.2.2 The prescription can be pangolin 9g, Gleditsia sinensis 9g, Rhizoma Sparganii 6g, Rhizoma Curcumae 6g, Semen Persicae 9g, Flos Carthami 9g, Rhizoma Chuanxiong 9g and Radix Angelicae Sinensis 9g. For patients with severe itching, 3g of Scorpio and 9g of Zaocys can also be added. Decoct in water, daily 1 post.
4.2 Local treatment ① Application of Polygonum multiflorum Thunb.
② 30g of Realgar Jiedu Powder and Stemona root wine 100ml were applied externally.
(3) Black plaster is pulled and heated, and attached to the nodule.
④ External use of crystal paste for corrosion.
⑤ Acupuncture therapy: refer to skin itching when selecting points, or directly acupuncture the center of nodular itching nodules.
five