Warming and Smoothing,Removing Blood Stasis and Knot Combined with Encircling and Fire Needle in the Treatment of 5 Cases of Perifolliculitis Capitis Absce-dens et Suffodiens
Objective To analyze the clinical features and traditional Chinese medicine(TCM)syndrome characteristics of perifolliculitis capitis for improving the diagnosis of this disease and the level of TCM syndrome differentiation.Methods The clinical manifestations,TCM syndromes,TCM treatment principles,prescriptions and prognosis of 5 patients with abscedens et suffodiens were retrospectively analyzed.Results All the 5 patients were young men,aged from 19 to 26 years,with an average age of 22.62 years.The skin lesions of 5 patients were mainly characterized by a large number of scalp nodules,cysts and fusion abscess,accompanied by obvious purulent secretion,tenderness and obvious alopecia.Two of the 5 patients were obese(BMI≥30.0 kg/m2)cases of skin rash were consistent with phlegm and blood stasis syndrome.The TCM internal treatment is warming and smoothing,removing blood stasis and removing knot method,local redness and swelling with Xianfang Huoming decoction.The external treatment was performed by encircling fire needle method.The self-made anti-inflammatory ointment combined with Chonghe powder was used for external treatment.The TCM treatment time was 90-180 days,the average time was 137.82 days.In 5 cases,3 cases of nodules and cysts completely subsided,purulent secretion disappeared,and left color spots and scars(cases 1-3);1 case had nodules disappeared,cyst flattened,sclerotic cyst shrunk(case 4);1 case(sclerotic cyst slightly reduced,case 5).After 6 months follow-up,2 cases of obesity relapsed,and the new skin lesions disappeared.Conclusion The method of warming and smoothing,removing blood stasis and removing knot combined with hoop fire needle therapy in the treatment of head abscess perforator folliculitis has a good clinical effect,which is worthy of further study.
Perfolliculitis capitis abseedens et suffodiensMethod of warming and smoothing,removing blood stasis and removing knotMethod of encircling and fire needle