Professor YAN Huimin′s Experience in Treating Abdominal-type Henoch-Schonlein Purpura from the Perspective of Abscesses[J]. Journal of Traditional Chinese Medicine2021, 62(17): 1488-1491.
Professor YAN Huimin′s Experience in Treating Abdominal-type Henoch-Schonlein Purpura from the Perspective of Abscesses[J]. Journal of Traditional Chinese Medicine2021, 62(17): 1488-1491.DOI: 10.13288/j.11-2166/r.2021.17.004.
Considering the clinical symptoms and the endoscopic manifestations of the abdominal-type Henoch-Schonlein purpura(HSP)
professor YAN Huimin believes that this disease can be classified into "internal abscesses" as it is highly similar to the "redness
swelling
heat and pain" characteristics of internal abscesses in traditional Chinese medicine
and has similar disease mechanism which were qi and blood congestion and constraint
and blood vanquished and flesh putridity. During acute stage
clearing heat
dispelling damp and regulating qi method is recommended
as well as cooling blood
dispelling stasis and unblocking collaterals; in the convalescence period
nourishing blood
quickening the collaterals
fortifying spleen and dispelling dampness should be performed. The gastroscopy results could be combined for local microscopic syndrome differentiation; if there were obvious gastrointestinal mucosal congestion and swelling
heat-clearing and abscess-resolving method should be applied; for patients with multiple erosions and ulcers in the mucous membrane
it is advised to dispel stasis and unblock collaterals
close sore and engender flesh; regarding bile reflux or turbid mucus pool seen under the microscope
the function to clear damp-heat should be strengthened.