? Treatment of allergic purpura in children with traditional Chinese medicine

Li, male, 6 years old, was first diagnosed on 2065438+2004129 October. Six months ago, the patient had purple spots on the buttocks and lower limbs without obvious inducement, with different sizes and shapes, which did not fade after pressing. He was diagnosed as "allergic purpura" in the local hospital and given anti-inflammatory and hemostatic drugs. His symptoms have improved, but he tends to have recurrent attacks. Incision diagnosis: there are lilac ecchymosis and ecchymosis on both lower limbs and buttocks, especially on the extended side, which are symmetrically distributed and will not fade after pressing. Accompanied by slight runny nose, swollen throat, easy sweating, loss of appetite, loose bowels, red tongue, thin yellow fur and floating pulse.

Syndrome Differentiation: Deficiency of both heart and spleen, instability of lung and Wei, wind-heat damaging collaterals, and disharmony between qi and blood.

Treatment: invigorating spleen and qi, dispersing lung and consolidating exterior, expelling wind and clearing heat, and cooling blood.

Prescription: Radix Pseudostellariae 15g, Rhizoma Dioscoreae 10g, Fructus Corni 10g, Semen Euryales 15g, Radix Astragali 15g, Radix Paeoniae Alba 20g, Folium Mori 12g and Flos Chrysanthemi/kloc. Take 6 doses of decoction, and ask patients to wash the affected area with decoction, have a light diet, give digestible and nutritious food and avoid spicy food.

Second diagnosis (20 14 1 1.5): After taking the medicine, the runny nose stopped, the sweating improved obviously, no new rash appeared, the skin around the lesion became pale, the hands and feet were feverish, the tongue was red, the fur was thin and white, and the pulse was rapid. Remove Mulberry Leaves, Chrysanthemum, Patrinia, and Radix Astragali, add 6 grams of Amomum villosum, 6 grams of Amomum villosum, 0/0g of Asparagus, 0/0g of Ophiopogon japonicus, 0/2g of Radix Adenophorae, regulate qi and stomach, nourish yin and promote fluid production. 6 doses of water decoction.

The third diagnosis (201416 5438+0016 5438+0): the purple spots on the buttocks and lower limbs gradually subsided, leaving light brown spots, and the diet improved. Stay on it and add six more doses.

The fourth diagnosis (201411017): the purple spots on the buttocks and limbs have all subsided. Hawthorn 10g, Endothelium Corneum Gigeriae Galli 10g, Lotus seed 15g and Cornus officinalis 15g are added to help digestion, eliminate accumulation and nourish spleen and kidney. 6 doses of water decoction.

Press: Henoch-Schonlein Purpura belongs to the category of "blood syndrome" in traditional Chinese medicine, and it is common in school-age children. Children's lung, spleen and kidney are often deficient and susceptible to exogenous pathogens. After feeling evil, it is easy to change from heat to heat, accumulate between fur and skin, and the blood and blood fight each other, forcing blood to rush and overflow on the muscle surface. In the treatment, we should closely follow the pathological characteristics of "deficiency in essence but excess in substance", focusing on invigorating spleen and kidney, benefiting qi and nourishing yin, and dispersing lung and eliminating evil, cooling blood and promoting blood circulation.

The prescription uses Radix Pseudostellariae, Rhizoma Dioscoreae, Semen Euryales and Corni Fructus to invigorate qi, strengthen spleen and nourish liver and kidney. Radix Astragali, Radix Paeoniae Alba, Radix Asparagi, Radix Ophiopogonis, Radix Adenophorae, etc. Supplementing qi and consolidating exterior, nourishing yin and balancing nutrition; Then use mulberry leaves and chrysanthemum to spread lung, dispel wind and clear heat; Adding Herba Patriniae, Herba et Gemma Agrimoniae, Herba Cirsii Cirsii, Herba Cirsii Cirsii, and Rhizoma Imperatae to clear away heat, cool blood, stop bleeding and eliminate spots; And cooperate with Ganoderma lucidum and Dendrobium to strengthen the body. The compatibility of all kinds of drugs can make lung qi clear, stomach qi smooth, spleen qi rise, kidney qi suck, healthy qi help, evil qi drive, blood heat clear, blood stasis disappear, qi and blood reconcile, and all diseases heal themselves.