2 English reference nose furuncle [Chinese medicine terminology Committee. Terminology of Traditional Chinese Medicine (2004)]
Nose Ding [Committee on Terminology of Traditional Chinese Medicine]. Terminology of traditional Chinese medicine (20 13)]
The future of the nose [2 1 century bilingual dictionary of science and technology]
3 Summary Nose furuncle (nose ding [1]) is the name of the disease [2]. See "Mystery of Surgery". Also known as nasal furuncle [1]. It refers to a furuncle born in the nose [1]. It mainly occurs at the tip of nose, alar and nasal vestibule. Its shape is small and hard, if it is covered with nails, there are pus spots such as pepper at the top [3]. Generally speaking, the disease will burst itself within a few days, pus will be discharged and it will be cured [3]. Clinical symptoms should be closely observed. If a large number of pathogens exist or are not handled properly, they can evolve into serious diseases such as furuncle and jaundice [3][2].
"The Complete Book of Surgical Diagnosis and Treatment" Volume 4: "Furuncle is said to be shaped like a nail cover."
Medical Zong Jin Jian (Volume 65): "This syndrome is caused by the swelling of nostrils and nasal orifices, swelling and pain, and even swelling of lips and cheeks, which is caused by the condensation of fire and poison in lung channels."
4 symptoms of nasal furuncle is born in the nose or alar and tip of nose [1]. The patient's nose is red, swollen and painful, small and tight in shape, as hard as nails, with small yellow and white pus spots on the top [3].
5 Nasal furuncle is caused by pathogenic mechanism Volume 65: "This syndrome is caused by nostril swelling, swelling and pain, and even swelling of lips and cheeks, which is caused by the condensation of lung meridian fire and poison."
Nose boils are mostly caused by nose plucking and hair plucking, which damages the skin. Wind-heat pathogens attack the lungs, and internal and external pathogens accumulate in the nose and fumigate the skin [3].
Or because of eating greasy and spicy things, fire and poison converge, and the nose is born along the meridian [3]. "The Yellow Emperor's Internal Classic Su Wen Angry Days" said: "The change of the paste beam will lead to a big furuncle."
The head is the head of all yang, the nose is the place where blood vessels gather, and its veins are connected with the brain. If the fire toxin is excessive, healthy qi is weak, or it is not treated or treated improperly in the early stage, or squeezed rashly, it will dissipate the evil toxin, invade the blood and sink into the pericardium, resulting in Huang Zhi syndrome [3].
6 diseases that need to be differentiated from nasal furuncle should be differentiated from nasal furuncle, which has a wide range of lesions, such as flushing, erosion, running water and scab on the nostrils, which is easy to distinguish [3].
7 treatment of nasal furuncle 7. 1 syndrome differentiation 7. 1. 1 pathogenic toxin syndrome of nasal furuncle (nasal furuncle is the type of pathological toxin attacking) refers to the external attack of pathogenic toxin. External nasal pain, local swelling like millet, or yellow and white pus on the top of the sore, accompanied by headache and fever, red tongue, white or yellow fur, and rapid pulse are common symptoms of nasal furuncle syndrome [1].
7. 1. 1. 1 nasal furuncle and symptoms of pathogenic toxin invasion syndrome The initial symptoms of nasal furuncle and pathogenic toxin invasion syndrome are local swelling, numbness or itching of the external nose, and then gradually swelling, such as millet, long as pepper eyes and slight pain in the roots.
After 3 ~ 5 days, yellow pus appeared at the top of the sore surface, with a high top and soft roots, most of which festered spontaneously and the swelling disappeared and healed [3].
General symptoms are not obvious, or accompanied by headache, aversion to cold, high fever, general malaise, red tongue, white or yellow coating, rapid pulse, etc. [3][ 1].
7. 1. 1.2 Syndrome analysis: Furuncle is caused by pathogenic heat and toxic factors, which are depressed in the nose, steaming and burning the skin and stagnation of qi and blood. So the local swelling is like millet pepper, and the heat hurts [3].
After a long period of heat poisoning, the skin burns and rots into pus. "Huangdi Neijing Lingshu Ulcer" said: "If the heat does not stop, the heat will flourish, the meat will rot, and the rotten meat will cause pus."
Suppurative collapse, swelling and self-healing, which is a common syndrome of nasal furuncle [3]
Heat-toxin is abundant in the interior, and good and evil contend, so the syndrome is characterized by strong cold and strong heat [3].
Headache is caused by the disturbance of pathogenic toxin, the obstruction of clearing the orifices and clearing the yang [3].
7. 1. 1.3 Treatment of nasal furuncle with exogenous pathogenic toxin syndrome 7.1.1.3./prescription therapy 7.1.3.
Dispelling wind and clearing heat, detoxifying and detumescence [3].
7.1.1.3.1.2 prescription.
Wuwei Disinfection Drink [Remarks] Wuwei Disinfection Drink (Medicine Zong Jinjian): Flos Lonicerae, Flos Chrysanthemi Indici, Herba Violae, and Gynostemma pentaphyllum can be treated by addition and subtraction: Flos Lonicerae, Flos Chrysanthemi Indici, and Folium Nerviliae can clear away heat and detoxify, and Herba Taraxaci and Herba Violae can relieve swelling due to bitter cold [3].
If the pain is severe, cinnamon, red peony root and peony bark are added to help promote blood circulation and relieve pain [3].
If pus does not fester, adding pangolin and spina gleditsiae will help to eliminate festering [3].
If there is aversion to cold and fever, Fructus Forsythiae, Herba Schizonepetae, Radix Saposhnikoviae and expelling wind are added to relieve exterior syndrome [3].
If the condition is serious, you can choose Huanglian Jiedu Decoction [Note] Huanglian Jiedu Decoction (a secret recipe from outside Taiwan): Huanglian, Scutellaria baicalensis, Cortex Phellodendri, Gardenia, Cortex Mori, Gypsum Fibrosum and Trichosanthes Radix [3]. Chinese patent medicine can take Niuhuang Jiedu Pill [3].
7. 1.2 fire poison invagination type nasal furuncle refers to fire poison invagination, head acne, no pus at the top, loose roots and feet, swollen nose like a bottle, closed eyes, local redness and burning pain, splitting headache, accompanied by.
7. 1.2. 1 Symptoms Patients with nasal furuncle and fire toxin invagination syndrome have acne on the head, no pus on the top, loose roots and feet, swollen nose like a bottle, eyes closed, local redness and burning pain, splitting headache, high fever, irritability, nausea, delirium, spasm and syncope.
"Experience of boils and carbuncles" Volume II: "When the boil is born, it is red and soft, slightly warm, and suddenly sinks and turns black, which means it disappears. This disease is very dangerous. "
7. 1.2.2 Syndrome analysis: If the fire poison is fierce and the yang is invincible, leading to the invagination of evil poison, the nose is swollen like a bottle and the eyes are closed [3].
Then the poison enters the blood and invades the pericardium, then you will see delirium, irritability and nausea [3].
The tongue is crimson, the coating is thick and yellow, and the pulse is heavy, which is the syndrome of excess heat [3].
Due to the lack of healthy qi, the poison can't go out, but falls into the stomach, so it can be seen that the sore head is purple and dark, and there is no pus on it, which is the inverse syndrome of nasal furuncle [3].
7. 1.2.3 Prescription treatment 7. 1.2.3. 1 Therapy for clearing away heat and toxic materials, clearing away the camp and cooling the blood [3].
7. 1.2.3.2 Prescription Kehuanglian Jiedu Decoction [Remarks] Huanghuanglian Jiedu Decoction (a secret recipe from outside Taiwan): Coptidis Rhizoma, Scutellariae Radix, Cortex Phellodendri, Gardenia Fructus, and Rhinoceros Horn Dihuang Decoction [Remarks] Rhinoceros Horn Dihuang Decoction (a recipe for preparing a thousand children): Rhinoceros horn, Radix Rehmanniae, Cortex Moutan and Radix Paeoniae [3]
If the illness gets worse and delirium appears, Angong Niuhuang Pill or Zixuedan should be taken to clear the heart, enlighten the mind, relieve convulsion and stop spasm [3].
If the course of disease is long, both qi and yin are deficient, and the pulse condition is weak, it is appropriate to generate pulse powder to replenish qi and nourish yin [3].
7.2 Herbal treatment of Chrysanthemum indicum, Leymus chinensis, Plough Grass and Mesona chinensis each 30 ~ 60 g, decocted in water [3].
30g of Potentilla discolor, 30g of Bidens bipinnata and 30g of Herba Violae are decocted in water to clear away heat and toxic materials, reduce swelling and discharge pus [3].
7.3 External treatment 1) Take Chinese medicine residues orally and then decoct them, and then apply hot compress to the affected area with liquid medicine [3].
2) Yulu Cream [Remarks] Yulu Cream (empirical formula): ground Prunus mume leaves into fine powder, 20% cream, golden cream mixed with vaseline, or amethyst [Remarks], also known as Yushu Dan, produced tablets of Yuxinshu and Sihuang Powder [Remarks] Sihuang Powder (dialectical standard): Coptidis Rhizoma, Scutellariae Radix and Huanghua Root. Water transfer coating [3].
3) Choose wild chrysanthemum, hibiscus, Sophora alopecuroides, houttuynia cordata, etc. Mash external application [3].
4) If the pus becomes soft, after local disinfection, use a sharp knife to break the pus head (limited to pus discharge), and don't cut the sore head too much to avoid pus scattering [3].
8 Daily health care for patients with nasal furuncle (1) All squeezing, touching, pricking, moxibustion and early incision and drainage are prohibited to avoid the competition between fire and poison, the spread of pus and blood invading pericardium [3].
(2) Don't eat spicy hair, eat more vegetables and drink more water [3].
(3) Get rid of the bad habit of picking nose and plucking nose hair, cure nasal diseases, keep the nose clean and improve the body's disease resistance [3].
9 Medical record "Clinical Experience of Zhao Bingnan"; Guan X, male, 34 years old. Chief complaint: pain, redness and fever in the right nostril for more than eight days. Current medical history: 8 days ago, the patient developed a sore on the right nostril, which was growing day by day, with local redness, aversion to cold, fever, nausea, constipation, thirst and upset. After taking western medicine, it was uncontrollable, and the local pus head wanted to break the stain. Examination: The vestibule of the right inverted nose is red and swollen, with a pus head in the center, the size is about 2 cm×2 cm, and the temperature is 38.7℃. The pulse is thin and scattered, the tongue coating is thin and yellow, and the tongue is slightly red. The diagnosis was nasal vestibular furuncle. The lung heat is unknown, and the fire toxin is stagnant. Treatment is to clear lung heat, detoxify and reduce swelling. Five yuan for medicinal forsythia, five yuan for Gongying, five yuan for honeysuckle, five yuan for wild chrysanthemum, one or two yuan for San Qian and San Qian of Scutellaria baicalensis Georgi, five yuan for Radix Rehmanniae and two yuan for Radix Glycyrrhizae. After six doses of decoction, the boils have basically recovered. Use Niuhuang Qingxin Pills, one in the morning and one in the evening; Plum blossoms are given with tongue pills. Take two pills at night to relieve the residual poison. Ten days later, all the diseases were cured.
Press: furuncle with white blade is mostly born in front of nostril, which belongs to toxic fire of lung meridian [3]. Therefore, in addition to the commonly used heat-clearing and antidote, Trichosanthes kirilowii was added to the recipe. Because it enters the lung, stomach and intestine meridians, Scutellaria baicalensis Georgi is added to moisten dryness, detoxify and dissipate stagnation, which is the characteristic of this case [3].
10 about scabies and scabies is the name of the disease [4]. Also known as scab, scab, furuncle, furuncle and scab [5]. It refers to sores that easily occur on the face and limbs, with small shape, deep roots, as hard as nails, swelling and pain, easy yellowing, muscle injury and bone injury as the main manifestations [1].
Sun Simiao's "Prepare a thousand gold to cure sores" says: "At first, it will itch and then hurt, and then it will be hot after cold, and the heat will be cold, with heavy limbs, headache and dizziness. If it is serious, it will vomit and it is difficult to treat; ..... After five or six days, I felt sick, but I saw the fire in my eyes and felt dizzy and thirsty. Die if you are upset. " Chen Shigong's Theory of the Authenticity of Furuncle Surgery says: "Furuncle is a disease of rapid surgery. A sudden death, will die with hair ... "
There are many names for boils, and the reasons are different.
According to the different parts of the disease, there are furuncle, snake furuncle, tiger furuncle, nasal furuncle, red furuncle and other names [4].
According to the location and nature of the disease, it can be divided into five types: facial furuncle, hand-foot furuncle, red furuncle, rotten furuncle and epidemic furuncle.
The scope of furuncle is very wide, including furuncle, carbuncle, partial gangrene, skin anthrax, acute lymphangitis and so on. Furuncle is equivalent to acute suppurative infection of face and hand and some special infections, and it is an urgent and dangerous disease. If it is not handled properly, it is easy to cause yellow line syndrome on the face, which is life-threatening, and it can damage musculoskeletal and affect function on hands and feet.
The general principle of treatment is to clear away heat and toxic materials, and commonly used Wuwei Disinfection Drink and Huanglian Jiedu Decoction.
See boils for details.
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