Professor Feng Xinghua's Experience In Dialectical Treatment Of Dermatomyositis

ObjectiveTo inherit the experience in clinical diagnosis and treatment of traditional Chinese medicine for the fellow reference.MethodsThe paper through the clinical follow-up study,record notes,collect cases,summary,writing experience and so on,initially completed the analysis of clinical experience in Professor Xinghua Feng's clinical treatment of dermatomyositis.At the same time,through literature search,review,excerpts at all times and in all countries,the paper also summarized the etiology and pathogenesis,clinical diagnosis,classification treatment and characteristic therapy of dermatomyositis.Incidentally,the clinical status of dermatomyositis is summarized.Results1.Dermatomyositis is an inflammatory disorder characterized by muscle and skin lesions,and often involves multiple organs,tissues and systems.The susceptible population of dermatomyositis involves all groups of men,women and children.The exact etiology is unknown for a long time,and it is known that a series of abnormal immune responses are caused by environmental factors that affect the receptor with genetic factors.Modern medicine is mainly treated with glucocorticoid and immunosuppressive agents,but the prognosis is poor.2.Dermatomyositis is not a separate category in the field of traditional Chinese medicine.It is found in muscle paralysis and flaccidity syndrome,yin and Yang toxin records.Since the"Nei Jing" period so far,all dynasties,famous doctors have discussed it all.Dermatomyositis patients showed muscle pain,limb flaccidity,adverse events,with skin rash.The main cause of dermatomyositis is the loss of health,but also feel the external evil,resulting in Yin and Yang,yin and Yang,Ying Wei lost division,flesh,meridians,organs have been damaged.For treatment of dermatomyositis,the main idea is from heat,with clearing heat-toxin,promoting blood circulation and removing blood stasis,taking into account the training of the solid element,nourishing liver and kidney.Traditional medicine is often treated with satisfactory results.3.The instructor believes that the cause of dermatomyositis is also Deficiency of vital Qi and damp heat syndrome.In the beginning,the lung and spleen are injured.After a period of time,the disease affects liver and kidney.First,damp-heat accumulates.Next,Qi stagnation and blood stasis are occurred.Afterwards,lung Qi and spleen Qi will be short,and then it is the deficiency of liver and kidney.After that,it is a very long period of illness.For the treatment of dermatomyositis should always pay attention to treating both manifestation and root cause of disease,take account of strengthening vital qi and eliminating pathogenic factor.Usually,symptoms due to heat-toxin or damp-heat should be treated by clearing heat-toxin,clearing heat and cooling blood,clearing heat and promoting diuresis,invigorating spleen for eliminating dampness,and so on.Symptoms due to deficiency of liver,spleen and kidney should be treated by benefiting liver and kidney,invigorating spleen and regulating stomach,replenishing spleen and kidney,supplementing Qi and blood,and so on.Symptoms due to intermingling deficiency and excess are always caused by fire excessing from yin deficiency,that should be treated by nourishing yin to clear heat,nourishing liver and kidney,and so on.Meanwhile,pay attention to harmonizing Qi and blood,protecting stomach Qi.For dermatomyositis,the instructor often chooses Simiaoyong 'antang,Wuweixiaoduyin,Huanglianjiedutang,Ganluxiaodudan,Buzhongyiqitang,Sijunzitang,Sanbitang,Duhuojishengtang,Erzhiwan,Qing'ewan,etc.and crude drugs like Qinghao,Huangqin,Qinjiao,Qianghuo,Duzhong,Niuxi,Jinyinhua,Lianqiao,Gouqizi,Mohanlian,etc.with appropriate combination of glucocorticoids and immunosuppressive agents.This combination of traditional Chinese and Western medicine treatment is often achieved very significant results.Conclusion1.Dermatomyositis is a disease since ancient times,both traditional Chinese medicine and Western medicine have its research and analysis,symptomatic treatment.2.Traditional medicine for the treatment of many diseases involved in this disease is quite effective,unique.3.The instructor has a unique understanding of the etiology,pathogenesis,syndrome differentiation and prescription of dermatomyositis,usually gets significant effect.