Is TCM effective in treating purpura?

The treatment of purpura mainly relies on drugs, while traditional Chinese medicine focuses on the pathogenesis of the disease and skin lesions when treating purpura, and conducts dialectical treatment. It can regulate the functions of internal organs, dispel wind and resist allergies, thus achieving the purpose of comprehensive treatment and achieving good results.

1 Pay attention to the pathogenesis and attach importance to the deficiency blood fire purpura type skin diseases which belong to the categories of blood disease, purpura, grape epidemic, myofasciitis, etc. in traditional Chinese medicine. The main pathogenesis is caused by heat (real heat, false heat), deficiency (Qi, spleen, kidney), and stasis (blood stasis blocking the collaterals). Real heat is caused by excessive fire in the body, which forces blood to flow abnormally and the blood flows outside the vessels. False heat is caused by internal heat due to yin deficiency, and the excessive fire burns the blood vessels. Qi deficiency causes the blood to lose its control and the blood flows outside the vessels. Spleen deficiency causes a lack of source for the production of Qi and blood, weakened spleen's function in controlling the limbs, dysfunction of the spleen's blood control function and the blood flows outside the vessels. The kidneys are responsible for bone and marrow production, and the marrow is the site where blood cells are produced, developed and matured. Tonifying the kidneys will help blood production and blood circulation. Blood that leaves the meridians is blood stasis. If the blood enters the collaterals due to long-term illness, the blood stasis will block the collaterals. If the blood stasis is not removed, new blood will not be produced. If the blood stasis blocks the vessels, the blood will not flow normally, which will aggravate the bleeding. Therefore, the first step to stop bleeding is to remove the blood stasis.

2 Pay attention to skin lesions and take into account the internal organs of the whole body. Purpura and ecchymosis are only the manifestations of the disease on the skin, and such diseases are often systemic diseases. If the treatment is delayed or improper, it will often aggravate the condition and affect other internal organs of the body. Therefore, observation should be careful and treatment should be precise. During treatment, emphasis is placed on regulating the functions of the lungs, spleen, liver and kidneys. The lungs govern the skin and fur. Skin lesions often reflect dysfunction in the lung's function of dispersing and descending. The lungs can be regulated to treat the skin. At the same time, the spleen and kidneys can be strengthened to provide the source of qi and blood production. The liver governs the regulation of qi and stores blood. Regulating liver qi can achieve the functions of promoting blood circulation, absorbing blood, and producing blood. In clinical practice, raw astragalus, yam, poria, atractylodes, etc. are often used to strengthen the spleen, Cyperus rotundus, Albizzia julibrissin, Corydalis yanhusuo, etc. are used to regulate qi, Ligustrum lucidum, Astragalus membranaceus, Eclipta prostrata, etc. are used to nourish the kidney, and Schizonepeta tenuifolia, Saposhnikovia divaricata, Duckweed, Ephedra sinica, etc. are used to clear the lungs, so as to achieve the effect of overall regulation.

3. Dispel wind and resist allergies. “Wind is the root of all diseases”. Purpura-like skin diseases, whether caused by external or internal injuries, can be caused by wind evil. It is advocated that “for external diseases, dispelling wind is the best; for internal injuries, dispelling wind is the first priority. There is no disease without wind, and strengthening the body means dispelling wind. Wind often brings with it evil, so dispelling wind can drive away all evil”. Therefore, dispelling wind drugs such as Saposhnikovia divaricata, Clematis chinensis, Schizonepeta tenuifolia, and Uncaria rhynchophylla are often used in treatment. We focus on the research of modern pharmacological efficacy of traditional Chinese medicine, and combine it with the modern pathogenesis of the disease and Chinese medicine syndrome differentiation. We often use drugs such as magnolia, Xanthium sibiricum, cicada shell, scutellaria baicalensis, and black plum. Modern pharmacological research has confirmed that these drugs have obvious anti-allergic effects, thereby improving the patient's sensitized state and alleviating the condition.