Beriberi is a very common fungal infectious skin disease. 70-80% of adults have beriberi, but the severity is different. It is often aggravated in summer and lightened in winter, and some people don't heal all the year round. Beriberi is a common name for tinea pedis. Some people confuse beriberi with beriberi, which is wrong. Medical beriberi is a systemic disease caused by vitamin B deficiency, and beriberi is a common skin disease caused by fungal infection. The footbath and foot towel should be used separately to avoid infecting others. If athlete's foot is not treated in time, it will sometimes spread to other parts, such as tinea manus and onychomycosis, and sometimes it will be scratched because of itching, and secondary bacterial infection will cause serious complications. The name of beriberi. A beriberi. Refers to athletes whose feet and knees are not swollen. See Taiping Sheng Huifang, Volume 45. The factors include internal heat due to body yin deficiency, damp-heat wind toxin changing from heat to evil, blood injury, muscle and vein dystrophy, weakness of feet and shin, numbness and pain, cramp, insufficient swelling of feet, emaciation, loss of diet, red urine, red tongue and rapid pulse. Treatment should be based on dissipating stagnation and clearing heat, and Jiawei Pale Powder or Shenggan Dihuang Pill should be used. Wet beriberi Wet beriberi is one of beriberi. Refers to beriberi, edema of feet and knees. The evil feeling of water and dampness is felt in the lower body, and the meridians cannot be opened, resulting in disease. Symptoms include leg swelling, numbness and heaviness, weakness of legs and knees, unfavorable urination, slow pulse and white greasy fur; Or people with scabies in front of the tibia. It is advisable to declare stagnation and eliminate dampness as the solution, and add or subtract it with Ji Ming Powder, or with Chu Shi Decoction, Areca nut powder and Jiawei Ermiao Pill. Damp-heat is on the high side, with symptoms of thirst, rich pulse and yellow greasy fur. The treatment method is to eliminate dampness and add and subtract Ji Fang Yin. Beriberi, also known as wet beriberi and beriberi sore in traditional Chinese medicine, is commonly known as rotten feet. Wet beriberi is a common and difficult disease in clinic. Traditional Chinese medicine believes that the cause of wet beriberi is long-term living in wetlands, or wet soaking, or wet body, stagnation of heat, downward damp heat; Or overeating spicy, damp-heat, damp-heat cementation and bet; Or cold and wet immersion, or blood stasis blocking the pulse. At the turn of spring and summer in Nanjing, the climate is hot and humid, so the incidence of this disease is high. According to the theory of traditional Chinese medicine, wet beriberi is a skin disease, but it is closely related to the internal organs, meridians and organs of the human body, so the internal treatment can not be ignored. In addition to external treatment, traditional Chinese medicine decoction can be used for treatment. Damp beriberi should clear away heat and promote diuresis, warm yang and dispel cold, detoxify and kill insects, and relieve itching and pain. There are three common syndromes: damp-heat beriberi, cold-dampness beriberi and blood stasis and cold toxin. Syndrome differentiation and treatment: 1. Damp-heat beriberi syndrome: the main symptoms are wet erosion, itching, or soaking in yellow water, or swelling, ulceration, molting, and even toe swelling, red tongue, yellow fur, heavy pulse or no change. Its treatment should be clearing away heat and promoting diuresis, warming the middle warmer and relieving itching. You can choose Kushen Fan Shi Decoction, which can be taken orally or washed externally. 2. Cold-dampness beriberi syndrome: The main symptoms are wet erosion between toes or soles of feet, itching, or soaking in yellow water, or numbness and cold pain, or ulceration and molting, tepid hands and feet, and even swollen toes, pale tongue, white fur and heavy pulse. The pathological mechanism is that cold and dampness soak and ravage the skin, so that the skin is not proud of qi and blood, but also ravaged by cold and dampness, thus becoming the pathological syndrome of cold and dampness beriberi. Its treatment should be dispelling cold and removing dampness, warming and relieving itching. You can choose Ji Ming powder for both internal and external use. 3. Syndrome of blood stasis and cold toxin: The main symptoms are wet erosion between toes or soles of feet, itching and pain, or being immersed in purulent blood, the toes are purple and dark, or itching and pain, or ulceration and molting, or even swelling of toes, dark tongue, thin fur and heavy pulse. The pathological mechanism is internal resistance of blood stasis, and the combination of blood stasis and cold toxin is immersed, which is transformed into pathological syndrome of blood stasis and cold toxin. Its treatment should be based on promoting blood circulation to remove blood stasis, dispelling cold and detoxifying. Gui Ling Aconitum Soup can be used for both internal and external use. Oral prescription can also be added with Longdan Gan Decoction and Biying Shenshi Decoction, and MR3 Longdan Xiegan Pill, Shuanghuanglian Oral Liquid and other Chinese patent medicines can be selected. Topical drugs can be selected as follows: tinea pedis powder, Liuyi powder with alum powder, Fan Er soup, two external skin washing formulas or simple washing formulas, fire yellow soaking formula, Liriodendron soaking formula, bitter alum detergent, Qingshi insecticidal formula, etc. Various tinea medicines can also be used externally, such as Bao Dao Tinea Water, Compound Tincture of Tincture of Tincture of Dictyophora, and Common Tinea Water. In diagnostic medicine, beriberi is usually divided into erosive type and watery type. 1. erosive type: it occurs between the third and fourth toes and between the fourth and fifth toes. When the toes first get wet, they are soaked in white or small blisters. When drying and peeling, the desquamation place is wet, red and itchy, which is easy to cause secondary infection. 2. blister type: it occurs at the edge of the foot. At first, there are small blisters with full wall thickness, and some can be merged into large blisters. The blister liquid is transparent and there is no blush around it. Self-conscious itching often leads to erysipelas and lymphangitis due to secondary infection after scratching. 3. Keratinization type: occurs in the heel. The main manifestations are thick and dry skin, keratinization, desquamation, itching and easy chapping. This type has no blister and suppuration, and the course of disease is slow, and it will not heal for many years. [Edit this paragraph] Processing method 1. Family drug (1) erosive type: first soak in 1: 5000 potassium permanganate solution or 0. 1% Ravennur solution, and then apply gentian violet or beriberi powder twice a day, twice a day after beriberi ling or Yao Ji ointment is dried. (2) Blister type: After soaking feet in hot water, apply clotrimazole tinea lotion or compound salicylic acid tincture once a day. After the skin is dry, apply beriberi or Xuan Di ointment. (3) Keratinization: Compound benzoic acid ointment can be used externally or alternately with compound salicylate, once in the morning and once in the evening. It is best to wrap the medicine with plastic film after application, so that the medicine can be immersed in thick skin.
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