Purpura

Introduction Western medicine blood disease, vitamin deficiency, etc. caused by subcutaneous purpura, can refer to this syndrome differentiation and treatment. A bloody condition in which the skin spills between the skin and the skin exhibits bluish spots or plaques. Also known as tendon, grape disease. Both external and internal injuries can cause the occurrence of purple spots. Children and adults can suffer from this disease, and there are more female patients. The treatment of purple spot, heat Sheng should clear heat and detoxification, cooling blood and phlegm; Yin deficiency should be nourishing Yin and reducing fire, Ningluo to stop bleeding; Qi deficiency and Qi to blood, spleen and nourishing. The prognosis is generally good, and there are a few recurrent episodes, and the course of the disease is lingering.

Cause

1. Thrombocytopenic purpura.

2. Capillary lesions.

3. Coagulopathy.

The pathogenesis of purple spot is mainly caused by heat and blood, yin deficiency and qi deficiency, and the purple spot caused by heat and blood is more common. When the evil spirits invade, resulting in heat poisoning, or internal organs caused by diet, emotional, fatigue, etc., the internal heat that is contained in the yang is so hot that the blood is heated and burned, causing blood and blood to flow. Skin irritability spills out of the veins, and sometimes becomes a point, and more into a piece, hoarding between the tendons, so that the skin presents spots or plaques of cyan color to form purple spots. The stomach and spleen belong to the middle soil, the muscle is the main spleen and stomach, the hot air enters the stomach, the stomach heat is flaming, the smoke is emitted in the muscle, and the blood overflows to form the purple spot. Therefore, the occurrence of purple spot is closely related to blood and spleen and stomach.

an examination

Related inspection

Antithrombin III activity and antithrombin III antigen antithrombin-III

Purple spots usually occur in the limbs, especially in the lower extremities. The skin is bluish spots or plaques, and the size and shape are different. When the purple spots are pressed, the color does not fade. The area of purple spot is small, the number is small, the bleeding is less, the spot color is red and red, and the condition is lighter; the area is large, the number is large, the bleeding is more, the spot color is purple and black, and the condition is heavier. Therefore, when the card is issued, the number and color of the purple spot should be analyzed first. Secondly, it is necessary to consider whether there is bleeding in other parts. If accompanied by gums, nasal discharge, or hematuria or blood in the stool, it is a serious condition. In addition, it is necessary to distinguish between fire and fire, and to be true and false, so as to correctly legislate, elect, and use drugs.

Common clinical syndromes are:

1 blood heat. The skin appears purplish red spots, freckles, and lower extremities are more common. The purple spots are different in shape, ranging in size, and some even merge into each other. Heat thirst, yellow urine constipation, or accompanied by nasal discharge, gums, blood in the stool, blood in the urine, yellow moss, pulse string number. Expelling heat and detoxification, cooling blood to stop bleeding, the use of rhino horn and yellow soup combined with ten ash.

2 Yin Huowang. The skin is smeared, the ecchymosis is red or purple, and it is light and heavy, or has a snot and gums. Often accompanied by dizziness, fatigue, skin heat, blushing upset, or hand and foot heart heat or hot flashes, night thirst, red tongue, less moss, pulse breakdown. Expelling nourishing yin and reducing fire, Ningluo to stop bleeding, and use the roots to increase and decrease.

3 gas does not take blood. Purple spotted purple is dim, mostly appearing scattered, when it starts to disappear, repeated attacks, overwork is aggravated, dizziness, pale or sallow, pale food, weak fatigue, pale tongue, weak pulse. Expelling Qi and blood, spleen and nourishing blood, the use of Guipi Decoction, can be added to add cranes, mantle, Puhuang and other enhanced hemostasis and phlegm and eliminate spots.

Differential diagnosis

The disease should be differentiated from rubella , measles , erysipelas , pruritus, etc.

rubella:

1. Suspected cases of fever, red spotted rash after 1 to 2 days, swollen lymph nodes in the back of the ear, submandibular, neck, or associated with joint pain.

2. Confirmed cases.

1 There is a clear history of contact with rubella patients within 2 to 3 weeks.

2 Has received live measles vaccination within 8 years.

3 The blood counts the total number of white blood cells decreased, and lymphocytes increased.

4 Positive results were obtained by pathogen or serological tests.

Clinical diagnosis: 1 or 1 and 2 or 3 of the suspected cases plus confirmed cases.

Erysipelas: First, the cause: A group of -type hemolytic streptococcus caused.

Second, the pioneer symptoms: chills, general malaise, high fever, 39 ~ 40 ° C.

Third, the good hair parts: calves, face.

Fourth, the characteristics of skin lesions: bright red edema, the surface is shiny, the boundary is clearer, and blistering can occur in severe cases.

Fifth, systemic symptoms: local lymphadenopathy, fever and so on.

Sixth, self-conscious symptoms: tenderness is obvious, local skin temperature is high.

Seven, prognosis: recurrent erysipelas caused by chronic lymphedema, repeated attacks of the lower extremities can lead to elephantiasis.

Eight, experimental examination: the total number of white blood cells, neutrophils increased.

Diagnostic points for the treatment of purple spot:

1. The skin and mucous membranes have spots of different sizes, the color is red or purple or blue, and the pressure does not fade. Occurs in the limbs, especially the lower limbs are more common.

2. May be accompanied by nasal discharge, gums, bleeding from the bowel movements, and even intracranial. If there is a long history of bleeding, there may be signs of anemia.

3. Some blood tests showed thrombocytopenia, capillary fragility test was positive, and bone marrow examination showed abnormalities.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.