Treatment of lower extremity thrombophlebitis with clearing heat and dampness

Dec 27, 2019 夜网

Treatment of lower extremity thrombophlebitis with clearing heat and dampness

Treatment of lower extremity thrombophlebitis with clearing heat and dampness

Treatment Methods 53 patients with thrombophlebitis were treated with a stratified block randomization method, with 27 patients in the treatment group and 26 patients in the replacement group.

  The treatment group was treated with Yiqi and live serum heat and dampness.

Medicinal: Astragalus, Alisma orientalis, Cork, Achyranthes bidentata, Honeysuckle, Incense, Dilong.

Take one dose of decoction daily, one morning and one evening.

Wash the local area with the decoction residue once a day.

  Physiotherapy and hot compress methods of western medicine were applied initially, one morning and one evening.

Antibiotics were administered with cefacrine 3 g / day, divided into 2 intravenous drips.

15 days is a course of treatment.

  The treatment results were observed before and after the changes of swelling, pain, hyperpigmentation, induration or phlebitis, stasis dermatitis, and venous ulcer. The scoring method was used to evaluate the curative effect by the ratio of the score after treatment to that before treatment.

  Results The reduction of redness and swelling, the relief of pain, the resolution of induration and the promotion of healing of ulcers were significantly reduced and had statistical significance.

The treatment group cured 74.

1%, markedly 18.

5%, effective 7.

4%, invalid is 0.

Initial cure 19.

2%, markedly effective 23.

1%, effective 50.

0%, invalid as 7.


The total effective recovery of the treatment group was 100%, replacing the total effective recovery of 92.


  Analysis Thrombophlebitis is caused by injury, slow blood flow, and other factors. It is a type of disease with venous wall thrombosis and inflammatory reactions as the main pathological changes. It is a common disease in the vascular department, with frequent occurrence, especially in middle-aged and elderly people.
According to relevant statistics, the incidence of chronic venous disease is about 10 times higher than that of arterial disease. The incidence of venous disease in the United States is about 15 times higher than that of arterial disease. Venous bleeding occurs in the lower limbs.The more you know.

The disease is mostly secondary to varicose veins of the lower extremities, manifested as redness, swelling, pain, and skin pigmentation along the veins, followed by the development of neurotrophic disorders of the calf skin, accompanied by itching, eczema, and finally the development of leg ulcersPatients bring a huge psychological and mental burden.

With the continuous improvement of people’s living standards, people’s awareness of health care is constantly increasing.

Especially middle-aged and elderly people demand higher quality of life.

Therefore, effective venous thrombophlebitis is an important research topic at present.

  At present, the treatment of superficial thrombophlebitis cannot be satisfied, and there is no standard and effective treatment rule for such diseases.

Western medicine mainly adopts treatment methods: physical therapy, hot compress, antibiotics, surgery and other methods, the effect is not ideal and easy to repeat.

Traditional Chinese medicine treatment has seen traditional Chinese medicine treatment since the early 1970s. Due to differences in dialectical treatment and lack of objective basis for support, there has never been a formed treatment plan.

The main pathogenic characteristic of this disease is the sterilized acute response of the blood vessel wall and its surrounding tissues. Simply applying western medicine antibiotics or traditional Chinese medicine to clear heat and detoxify the problem can not solve the problem well.

  In the past five years, Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine has conducted clinical observations of different systems for the frequent and recurrent occurrence of thrombophlebitis of the lower extremities.

After a long period of clinical exploration and practice, according to the basic principles of syndrome differentiation and treatment of traditional Chinese medicine, the rules of benefiting qi and activating blood, clearing heat and dampness have been established to treat lower extremity thrombophlebitis.

Corresponding Chinese medicine preparations have been developed, and better clinical effects have been achieved.

Through clinical observation of this group of cases, through comparison with western medicine conventional therapy, we see that the reduction of redness and swelling, pain relief, induration subsidence and the promotion of healing of ulcers are significantly reduced, and pigmentation and stasis dermatitis are significantly reduced.Unless there is an improvement in the response, there is no statistical difference, which may be related to the short observation time.

In the efficacy statistics, we can see that we can only overcome the average to achieve a better efficiency, but the apparent efficiency of the treatment group is 92.

6%, and the expected apparent efficiency is only 42.

3%, the treatment group significantly exceeded expectations.Explain that the heat-clearing and dampness-reinforcing, qi-enriching and blood-blooding treatment rules we have developed based on the theory of traditional Chinese medicine play a role in this disease.

  According to the treatment principles of clearing away heat and dampness, nourishing qi and activating blood, we screened 7 kinds of traditional Chinese medicine, using astragalus to nourish qi and promoting blood circulation and promoting blood circulation, and matched with Achyranthes bidi inducing blood, and played a role in nourishing qi and promoting blood circulation.

Zexie Lee water soaks and drenches heat, Huangbai clears heat and dampness, honeysuckle clears heat and detoxifies, and the three are matched to completely dilute heat and work together with Achyranthes bidenta to remove the damp heat of the disease.

Xiangfu has qi and pain relief, Dilong Qingre Tongluo, and the two can be used to rectify qi and clear heat, Tongluo analgesic, and assist Huangqi Achyranthes Bleu to promote blood circulation and remove blood stasis.

Several medicines are combined with the hot and humid betting of the disease, the pathogenesis of Qi deficiency and blood stasis, and the effect of clearing away heat and dampness, nourishing qi and activating blood.