论文部分内容阅读
本病为局限性阵发肢端血管扩张,伴皮肤红肿灼痛,局部遇热可加剧。本病可为原发、亦可继发。笔者用加味四妙勇安汤治疗原发性红斑性肢痛病两例,现介绍如下: 例1,女,26岁。2月前突发双上肢泛红灼痛,当晚双下肢也轻度潮红胀痛,呈持续性阵发性加剧,遇热、活动后或夜间加剧,双手放冷水中,热痛可减轻。多次检查红斑狼疮细胞(-),对症治疗效果欠佳。诊断为红斑性肢痛病。中医辩证治以四妙勇安汤加减:元参60g,全当归20g,甘草10g,生地30g,丹皮10g,银花60g,赤芍10g,川连3g。每日一剂水煎服,共16剂,疼痛泛热症状明显减轻;又服20剂;一个月后又用前方加用桂枝10g,黄芪30g,红花10g,连服10剂,症状完全消失,至今随访未见复发。
The disease is limited to the expansion of the extremities vasodilators, accompanied by irritation of the skin burning, local heat can be exacerbated. The disease can be primary or secondary. The author treated two cases of primary erythema parietalgia with Jiawei Simiao Yongan Decoction. The following are the examples: Example 1, female, 26 years old. Two months ago, there were sudden burning pains in both upper extremities. The lower extremities were also slightly flushed and painful. They showed persistent paroxysmal aggravation. After the heat, activities, or nighttime intensification, the hands were put in cold water and the heat pain was relieved. Multiple examination of lupus erythematosus cells (-), symptomatic treatment is not good. The diagnosis was erythematous limb pain. The dialectical treatment of traditional Chinese medicine is based on Si Miao Yong An Decoction: Yuan Geng 60g, All Angelica 20g, Licorice Root 10g, Rehmannia 30g, Paeony 10g, Yinhua 60g, Astragalus 10g, Chuanlian 3g. A daily dose of Shuijianbi, a total of 16 doses, significantly reduced the symptoms of pan-thermal symptoms; another 20 doses; a month later with Guizhi 10g, Astragalus 30g, safflower 10g, and even served 10 doses, the symptoms are completely Disappeared, no recurrence has been observed so far.