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TitleFlaws - A Handbook of Traditional Chinese Dermatology
File Size9.5 MB
Total Pages201
Document Text Contents
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Bob Flaws

Page 100

A Handbook off Traditional Chinese Dermatology

condition only involves the nerves and not the skin, it is considered
a purely neurological disorder (not a dermatological one). The lesions
may not involve the mucosa, lymph nodes, eyeballs, and other
internal organs after the seactional stage. Bacterial examination may
be negative (except in the reactional stage), but the lepromin test is
typically positive. Pathologically, typical tubercular granuloma is
found on further testing.

2) Lepromataue type: (As above,) patients have a history of exposure
to leprosy or have lived in a leprotic epidemic area. The skin lesions
focus on the face, chest, back, and four extremities symmetrically and
systemically. Macules, plaque, nodulation, and diffuse infiltration are
common. Diffuse infiltration (here) refers to (a condition) with a
shiny surface without distinct border, which turns into leontiasis
easily during the last stage. Impairment of the nerves does not
develop as early as in the tuberculoid type. Therefore, numbness and
the enlargement of the nerves may be absent in the early stage of this
type. (The affected area) will not feeel as hard initially as in the
tuberculoid type. (However,) it likewise will become hardened during
the late stage and gives rise to the same lesions to the nerves
described above. Accompanying symptoms often include falling of the
eyebrows and hair. Likewise, the mucosae and lynnph nodes are often
involved. In the late stage, the eyes, testes, ovaries, and internal
organs, such as the liver and spleen, are also affected. Skin tests (for
Mycobacterium leprae) are positive even in the early stage even
though lepromin tests may be negative. Pathological findings reveal
pathogenic bacteria and gramloma derived from Mycobacterium
lepme.

3) Indetsrmioate type: (Again, the patient) has either had contact with
someone with leprosy or has lived in an epidemic area. (In this case,)
the only skin lesions are light colored macules, the borders of which
may be either distinct or obscure. There is partial or complete loss of
sensitivity in the affected area. (Pathological) changes of the nervous
(systeran) are mild. Skin tests are often negative or show only a weak
positive. (However,) the majority of lepromin tests are positive and

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only a small number (of patients) are (lepromin) negative. Pathologi-
cal findings are simple, chronic inflammation which may last for
years, with most cases (eventually) becoming tuberculoid. The
number of cases (which transform into) the lepromatous type are a
minority.

4) Dimorphous type: The patient shares similarities with both the
lepromatous and tuberculoid types. The skin test is positive and the
nasal mucssa test (for Mycobacterium lepme) is negative in most
cases. Pathological examination often reveals (the existence of)
Mycobacten'um lepme and tubercular granuloma at the same time. If
it is not promptly treated, it will often become lepromatous.

Treatment

internal Medication:

In order to activate the blood and dispel wind, administer $ha0 Feng
Wan which are composed of Semen Hydnocarpi (Da Feng Zi), fried
to remove the oil, 19258, Rhizoma Atractylodis (Cang Zhu), Radix
Praeparatus Aconiti Carmichaeli (Fu Zi), Ramulus Cimlamomi (Gui

' B i ) , Radix Angelicae Sinensis (Dang Gui), Radix Gentianae
Macrocephalae (&in Jiao), Radix Angelicae qBai B i ) , Radix Aconiti
(Cao Wu), Radix Clematidis (Wei Ling Xian), Rhizoma Ligustici
Wallichii (Chuan Xiong) , Rmulus Uncariae Gum Uncis (Gou Teng) ,
Fructus Chaeanomelis Lagenariae (Mu Gua), Semen Cuscutae (7% Si
Zi), Cortex Cinnamomi (R0u Gui), Radix Achyranthis Bidentatae (Niu
Xi), Radix Polygoni Multiflori (He Shou Wu), Rhizorna Homalmenae
(Qian Nian Jian), mica schist (ZZU Shi), Radix Aconiti (Chuan Wu),
immerse in water to peel the skin, and Radix Ledebouriellae Sesloidis
(Fang Feng), 120g @, Herba Seu Flos Schizonepetae Tenuifsliae
(Jing Jie Sui) and raw Semen Coicis Lachryma-jobi (Sheng W Ren),
soaked in water, 240g @, and Agkistroden Seu Bungarus (Bai Hua
She), 30g. Powder, then pill. Adults should take 6g the first time and
increase the dosage 2g each time, 2 times per day (for eight days).

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Chinese Medicine
ISBN 0-936 185-46-5

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