Why does purpura appear repeatedly?

Purpura is a common skin disease. The more common one is allergic purpura, which is also known as self-limiting acute hemorrhagic disease. It is often caused by skin invasion for certain reasons, leading to bleeding symptoms in some tiny arteries and capillaries of the organs. When this happens, you must go to the hospital for examination and treatment in time, especially for patients with recurrent attacks, you must be vigilant.

TCM treatment of allergic purpura (1) Syndrome of heat damaging blood vessels: Symptoms: Short course of disease, red or reddish purple purpura, rapid onset and disappearance, itchy skin or wheals, fever, red face, fever in the five parts of the body, sore throat, thirst, dark urine and dry stool, hematuria, red or crimson tongue, thin yellow tongue coating, rapid pulse. Treatment method: Clear away heat and detoxify, cool blood and dispel wind. Prescription: Yinqiao Powder combined with Xijiao Dihuang Decoction with modifications. In the formula, honeysuckle, forsythia, plantain, and coptis chinensis clear away heat and detoxify, while rhinoceros horn, moutan bark, raw rehmannia, and red peony root cool blood and detoxify. Poria cocos can infiltrate dampness, and Prunella vulgaris can clear liver fire. For severe rash, add Lithospermum officinale and cicada shell to clear away heat and relieve rash; for skin itching, add Kochia scoparia and Dictamni peel; for sore throat, add Burdock seed; for abdominal pain, add White Peony Root and Licorice; for stomach discomfort, add Licorice and jujube; for nosebleed, add Lotus Root Nodes and Platycladus Orientalis Leaves; for hematuria, add Thistle and Imperata Root; for proteinuria, add Leonurus japonicus.

(2) Blood stasis and obstruction of collaterals: Symptoms: long course of disease, recurrent attacks, slow onset and disappearance, dark purple or purple-red purpura, joint pain and abdominal pain, dark face and lower eyelids, rough skin, purple or purple-red bloodshot eyes, dry throat, dark tongue or ecchymosis, thin white or thin yellow tongue coating, and wiry or stringy pulse. Treatment method: Promote blood circulation, remove blood stasis, detoxify and dispel wind. Prescription: Taohong Siwu Decoction with added ingredients. The peach kernel, safflower, angelica, Chuanxiong and red peony root in the prescription can promote blood circulation and remove blood stasis, while the raw rehmannia root can nourish yin and cool blood. This prescription can also be added with herbs such as lithospermum officinale, dandelion and scutellaria baicalensis to clear away remaining evil. For joint pain, add frankincense and myrrh; for abdominal pain, add Corydalis yanhusuo and Toosendan fruit; for proteinuria, add Leonurus japonicus.

(3) Qi deficiency and blood deficiency syndrome: Symptoms: recurrent purpura, prolonged illness. Purpura is vaguely scattered and lighter in color. It worsens after fatigue, and is accompanied by fatigue, palpitations, shortness of breath, proteinuria, pale red tongue, thin white or little coating, and weak pulse. Treatment method: Replenish qi and nourish blood, while cooling blood and detoxifying. Prescription: Bazhen Decoction with added ingredients. The Codonopsis pilosula, Atractylodes macrocephala, Poria cocos and licorice in the formula replenish Qi and strengthen the spleen, while Angelica sinensis, Ligusticum chuanxiong, Rehmannia glutinosa and Paeonia lactiflora replenish blood, promote blood circulation and cool blood. The whole formula has the effect of replenishing both Qi and blood. Appropriate amounts of herbs such as lithospermum, imperata root, and madder can be added to enhance the effects of cooling blood and detoxifying. For those with obvious proteinuria, add Astragalus and Leonurus japonicus; for those with severe hematuria, add Ligustrum lucidum and Eclipta prostrata.

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