2 English reference facial paralysis [Chinese medicine terminology examination and approval Committee. Terminology of Traditional Chinese Medicine (2004)]
Seborrheic dermatitis. Terminology of Traditional Chinese Medicine (2004)]
Facial paralysis [Chinese medicine terminology examination Committee]. Terminology of traditional Chinese medicine (20 13)]
Facial seborrheic dermatitis. Terminology of traditional Chinese medicine (20 13)]
3. Summarize the facial wandering wind; ; The name of the disease is [1]. See Selected Themes, Volume III. Also known as white dust wind and button wind. Refers to the skin diseases that mostly occur on the face, with greasy or dry skin, yellow scab or white dandruff on erythema and itching as the main manifestations [2]. It is a chronic and subacute inflammatory skin disease caused by excessive sebum secretion [3]. Because it mostly occurs on the face, it is characterized by itchy skin and desquamation, so it is called face wind. It is characterized by bright red or yellow patches on the skin, greasy scales or scabs on the surface, and itching to varying degrees. It is more common in young adults or babies, with more males than females. More common in sebaceous glands.
"Jin Jian of Medical Sect, Essentials of Surgical Psychology, Wandering on the Face": "This syndrome was born on the face, with swelling, itching and insect-like appearance at first, dry skin and sometimes white spots. After the second time, it was extremely itchy and scratched. Those covered with damp heat are miasma and yellow water, and those covered with wind dryness are miasma and blood, which is painful and embarrassing. It is due to blood dryness, spicy overeating and strong taste, which makes Yangming's stomach meridian damp and hot. If it itches, take it to dispel the wind; If the pain is serious, it is appropriate to take Huanglian Disinfection Drink and apply Mofeng Ointment to take effect slowly. "
Facial wandering is equivalent to facial seborrheic dermatitis [2] or seborrheic eczema [1] in western medicine.
Etiology and pathogenesis of wandering around the wind "Medical Zong Jin Jian Surgical Heart Tactics": "This syndrome was born in the face, and the face was swollen at first, itchy with nymphs, dry skin and sometimes white spots. The back of the neck is extremely itchy, people with damp heat are covered with yellow water, and those with wind dryness are covered with bloodshot blood, which is painful and embarrassing. It is due to the usual blood dryness, spicy overeating and strong taste, which makes Yangming's stomach meridian damp and hot and affected by the wind. "
Face wind is mostly caused by blood dryness, overeating spicy and thick taste, stomach heat and dampness, and exogenous wind evil [1].
Usually blood dryness, wind and heat return, stagnation turns to dryness, skin dystrophy; Even if wind pathogen is depressed for a long time, blood consumption will damage yin, and blood deficiency will damage yin, and the skin will be weathered and dry if it is not nourished. The two are mutually causal, so that the skin is rough and mostly dry. Or eat too much spicy, greasy, sweet wine, so that the spleen and stomach are abnormal, causing damp heat, which accumulates in the skin, mainly manifested as wet skin lesions.
The symptoms of wind on five sides are swelling or redness at first, itching like a bug [1]. When the wind is strong, the skin is dry and sometimes white spots appear; People who are very wet are cut off from the fat water, and they can't stand itching [1].
The diagnosis of six-sided wandering wind mostly occurs in scalp, face, eyebrow arch, nasolabial groove, ear front and back, armpit and other places with rich sebaceous glands. It starts from the scalp and spreads downward, and in severe cases it will spread all over the body.
Skin lesions take many forms, including dry and wet. Dry people are patches of different sizes, with reddish bases and covered with bran-like or greasy scales, which can accumulate very thick on the scalp. When combing or scratching your hair, scales are easy to fall off, white chips are flying around, and your hair is dry and accompanied by hair loss. Wet people have exuberant secretion of sebaceous glands, extremely greasy skin, mostly erythema, erosion and rash, greasy desquamation and scabbing, often smelly, chapped behind ears and nose, sparse eyebrows due to scratching, and serious skin lesions all over the body or eczema-like skin lesions.
Itching at different levels of consciousness. The course of disease is slow, and there are often acute attacks.
7 Diseases that need to be differentiated from facial wind 7. 1 Chronic wet sores Chronic wet sores have certain predilection sites, no greasy scales and scabs, thick and rough skin, mossy transformation and pigmentation.
7.2 White furuncle skin lesions are red patches, covered with layers of silvery white mica scales, which are not greasy. Scraped scales have film phenomenon and bleeding spots. The hair was stuck in a bundle and did not fall off. Most of them are heavy in winter and light in summer.
7.3 baldness sores baldness sores are more common in children, with uneven hair length and easy to break, white scabbard at the hair root and positive fungal test.
Treatment of wandering wind on all sides 8. 1 Yin injury and blood dryness should be treated according to syndrome differentiation, and Ziyin Qushi decoction should be selected;
If you don't heal for a long time, you can take Qufeng Huanji Pill.
8. 1. 1 Wind-induced blood dryness refers to wind-induced blood dryness with erythema, dryness, desquamation and itching, aggravated by wind, or scalp itching, with dandruff, dry hair, dry mouth and thirst, dry stool and red tongue.
8. 1. 1. 1 Symptoms: erythema, dryness, desquamation, itching, aggravated wind, or scalp itching, excessive dandruff, dry hair, dry stool, red tongue, thin and white tongue coating, and rapid pulse.
8. 1. 1.2 The treatment should be cold serum and hot air.
8. 1. 1.3 prescription: Xiaofeng powder or Fangfeng Tongsheng pill.
Fu Xiaofeng San (Jin Jian of Medical Sect) [1].
8. 1.2 Stomach wind with damp-heat syndrome of spleen and stomach refers to damp-heat of spleen and stomach, which accumulates on the head, and the skin lesions are erythema, greasy scab, even erosion, exudation, bitter taste, sticky mouth, abdominal distension, short and red urine and foul stool.
8. 1.2. 1 Symptoms: the skin lesions are red patches with greasy scabs and even erosion and exudation, accompanied by bitter taste, sticky mouth, abdominal distension, short and red urine, loose stool, red tongue, yellow and greasy tongue coating and slippery pulse.
8. 1.2.2 Treating dampness and clearing heat
8. 1.2.3 prescription: Longdan Xiegan decoction or Longdan Xiegan pill;
Take Longdan Xiegan Decoction [1].
8. 1.3 lung and stomach heat excess 8. 1.3. 1 symptoms acute onset, skin lesions red and swollen, exudation, erosion, scabbing and itching; Accompanied by upset, thirst, constipation; Red tongue, yellow fur and slippery pulse.
8. 1.3.2 According to the dialectical analysis, the lung and stomach are full of heat and fumigate the skin, so it is acute, and the skin lesions are red, swollen, exudative, erosive, scabbed and itchy; Heat disturbs the mind and makes it uneasy; Lung qi is not declared, constipation is intestinal obstruction; If the body fluid is not distributed, it will be thirsty; Red tongue, yellow fur and slippery pulse are signs of lung and stomach heat.
8. 1.3.3 Heat-clearing and antipruritic treatment.
8. 1.3.4 The prescription of loquat Qingfei Drink is supplemented with Anemarrhena asphodeloides, Kuwan, Xu Changqing and Trichosanthes Radix.
8. 1.4 Dampness due to spleen deficiency 8. 1.4. 1 Symptoms are slow, and the skin lesions are reddish or yellowish with grayish white scales; Accompanied by loose stool; The tongue is red, the coating is white and greasy, and the pulse is slippery.
8. 1.4.2 dialectical analysis of dereliction of duty due to spleen deficiency. Insufficient biochemical sources can lead to yin and blood deficiency and skin malnutrition, so the skin lesions are reddish or yellowish with gray scales; The water in the spleen pot is wet and not transported. If it is poured into the intestine, it will be discharged. The tongue is red, the fur is thin and white, and the pulse string is the image of spleen deficiency and dampness.
8. 1.4.3 Treating spleen and promoting diuresis.
8. 1.4.4 Prescription treatment of Shen Ling Baizhu Powder.
8. 1.5 Blood deficiency and wind dryness 8. 1.5. 1 Symptoms: dry skin, pityriasis, itching, dry and dull hair, often accompanied by alopecia; The tongue is red, the coating is thin and white, and the pulse is string.
8. 1.5.2 Dialectical analysis shows that blood deficiency leads to weathering and dryness, resulting in skin dystrophy, so dry skin has chaff scales; The wind itches; In addition to qi and blood deficiency leading to hair loss, hair is dry and dull, often accompanied by hair loss; Red tongue, thin white fur and thin pulse are signs of wind dryness.
8. 1.5.3 treatment: nourishing blood and moistening dryness.
8. 1.5.4 Danggui Yinzi Prescription Treatment.
8.2 Choice of external treatment: Cuiyunyun, Yuji Powder and Propionine Powder. Mofeng ointment for external use [1].
(1) For dry hair on the scalp, use Whitestorm tincture or Platycladus orientalis tincture three times a day.
(2) For those with dry facial hair, apply acne lotion or reverse powder lotion twice a day.
(3) Wet type: after applying indigo naturalis paste, apply stone powder; Or wash your hair with seborrheic formula (Fructus Xanthii 30g, Radix Sophorae Flavescentis 15g, Semen Vaccariae 30g, Alum 9g, decoction).
Daily health care of 9 patients with vagrant wind 1. Avoid spicy food, eat less greasy and sweet food, drink less strong tea and avoid alcohol and tobacco. Eat more fruits and vegetables to keep the stool unobstructed.
2. Don't bathe with strong soap.
3. Keep a good mood, be cheerful and avoid emotional internal injuries.
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