The weather is getting colder, and some people find that their fingers are turning white, red, purple, and in excruciating pain. Attention!It may not be "frozen hands" or "frostbite", but Raynaud's phenomenon!
How much do you know about the Raynaud phenomenon.
Raynaud's phenomenon refers to the spasm of the acral arteries after being stimulated by cold or tension, so that the fingers (toes) ** suddenly appear pale, and successively appear **purple and red, mostly bilateral symmetrical manifestations, accompanied by transient clinical phenomena such as local chills, paresthesias and pain. In the later stages of the disease, hair on the back of the fingers disappears, nails grow slowly, roughly, and deformed, atrophied, thinned, and tightened (scleroderma fingers), sores form around the fingertips or nail beds, and infections can occur.
Clinically, it is divided into primary and secondary, with the latter being more common. Primary Raynaud's phenomenon, also known as Raynaud's disease, mostly occurs in women aged 20 to 40, more often than in cold areas, onset in winter, rare in summer, insidious onset, can also be sudden. Secondary Raynaud's phenomenon is one of the clinical symptoms of certain diseases, especially rheumatological diseases, such as systemic sclerosis, systemic lupus erythematosus, dermatomyositis, antisynthetase syndrome, connective tissue disease, etc.
Syndrome differentiation and treatment in traditional Chinese medicine.
Raynaud's phenomenon belongs to the categories of "pulse paralysis", "blood paralysis" and "cold extremities" in traditional Chinese medicine. "Yizong Jinjian" recorded: "If the pulse is paralyzed, the blood in the pulse is not popular and the color changes." "Suwen Wuzang Generation" has a record of "lying out and the wind blows, and the blood coagulates the skin", and believes that feeling the external wind and blood stasis on the skin is the pathogenesis of this disease.
Raynaud's disease often has a long course of disease and is difficult to heal, and repeated feelings of evil will produce two pathological products: phlegm, dampness and blood stasis. Therefore, dampness and stasis are not only pathological products, but also will further damage yang qi and stasis blood veins, making the condition aggravated. In addition, emotional factors are also associated with the occurrence and development of the disease. The five ambitions are excessive, the qi is disordered, the yin and yang of the human body are out of harmony, and the yang qi is depressed in the body but does not reach the end of the limbs, which in turn causes the ** or aggravation of the disease.
1. Qi and blood deficiency type.
Astragalus is the best at lifting yang energy, supplemented by cinnamon branches to benefit temperature and yang, and blood meridians, and peony, ginger, and jujube to reconcile the qi of the body, so as to alleviate the paralysis of the limbs and limbs.
2. Blood deficiency and cold convulsion type.
* With Angelica sinensis soup as the main recipe, Angelica sinensis nourishes blood and blood to replenish deficiency, Guizhi Wen meridian disperses cold to pass the pulse, white peony nourishes blood and cooperates, and Tongcao Tongli meridian to smooth the blood, and the whole party plays the function of warming the meridian and dissipating the cold, nourishing the blood and passing the pulse.
3. Qi stagnation and blood stasis type.
If the patient is depressed and spleen is deficient, and the cold and evil internal invasion causes numbness and pain in the extremities, the party chooses Xiaoyaosan plus or minus, Angelica sinensis is a blood qi medicine, white peony softens the liver and relieves urgency, nourishes blood and collects yin, angelica, white peony, and Chai Hutong are used to nourish the liver body and help the liver, so that the blood is harmonious, and the blood is congested, and the liver is soft. This recipe takes into account both qi and blood, and the liver and spleen are in harmony.
4. Blood stasis type.
Evil into the blood, resulting in poor blood flow, slow blood flow, and make the veins blocked, for this type of syndrome is mainly to promote blood stasis and eliminate blood stasis, qi to relieve pain, choose Xuefu Zhuyu soup or peach red Siwu soup with flavor. Angelica sinensis in the recipe can not only replenish blood and invigorate blood, but also introduce all kinds of medicine into the blood, peach kernel, safflower, Chuanxiong invigorate blood stasis, and Angelica sinensis can remove old blood and give birth to new blood, and live blood without hurting blood. Red peony sour cold breaks the blood, raw rehmannia cool blood to stop bleeding, anti-Zuowen medicine, to prevent dryness and injury to the blood, citrus aurantium, Bupleurum under the qi to soothe the liver, bellflower upward to regulate qi, oxknee to lead blood downward, the four medicines have risen and fallen, up and down, so that the blood is active and stasis.
5. Spleen and kidney yang deficiency type.
Fang Xuan Yang and Tang plus minus. Yanghe decoction is mainly used for patients with Raynaud's syndrome caused by yin gangrene, factor body yang deficiency, blood deficiency, and cold and dampness resistance. Fang Zhong is familiar with the yin blood, and the cinnamon and ginger solve the cold condensation of the disease.
6. Heat and poison accumulation type.
Si Miao Yong'an Tang is the famous prescription of **hot poison type of detoxification,** because of the feeling of heat poison, causing redness, swelling and pain at the end of the limbs, and even the appearance of ulcers, suppuration and other symptoms of Raynaud's syndrome, the application of this can play the effect of clearing heat and detoxifying, invigorating blood circulation. Fangzhong honeysuckle is good at clearing heat and detoxifying, angelica invigorates blood and dissipates stasis, and nourishes the four ends;Xuanshen pours fire and detoxifies, nourishes yin and disperses knots;Licorice cleanses and detoxifies all kinds of poisons, with honeysuckle to strengthen the power of clearing heat and detoxifying, and it is suitable for angelica and ginseng to nourish yin and shengjin, and reconcile all medicines. The combination of four medicines, clearing heat and detoxifying, invigorating blood stasis, is a good prescription for getting rid of gangrene.
It is different from ordinary cold hands and feet.
Raynaud's disease is a peripheral vascular disease caused by spasm of the acral arterioles of the limbs, and its occurrence is related to cold stimulation and mood swings.
You can do a small experiment by yourself, put your hand in 4 cold water for 1 minute, or continue to make a fist for 1 minute and then let go, if there is a color change of fingertips** from pale to bruised to flushed, you can consider Raynaud's disease.
Daily care. 1. To strengthen warmth, clothes, shoes and socks should be warm, appropriate size, and kept dry, avoid moisture and too tight. When you go out, you should wear a cold hat, scarf, and gloves for protection. Exposed areas of the face should be protected with skin creams frequently.
2. Maintain a good attitude, traditional Chinese medicine believes that the liver is the main tendon, and its splendor is in the claw. Emotional stimulation can cause liver stagnation and qi stagnation, muscle and vein dystrophy, and liver qi failure, resulting in limb warmth.
3. Soaking hands and feet in warm water every day can promote blood circulation and prevent Raynaud's phenomenon.
4. Some foods that can be added to the winter diet to keep warm and improve blood circulation, such as dog meat, mutton, beef, rooster, chili, Sichuan pepper, ginger, garlic, angelica ginger mutton soup, dog soup with slices, ginger beef soup, etc., can be eaten regularly.
5. Actively quit smoking. Tobacco contains more than 200 harmful substances, which can cause vasospasm, cause acral arteriosclerosis, insufficient blood supply, and aggravate symptoms.
6. Actively exercise and increase physical fitness, which can promote blood circulation and improve cold tolerance. In a cold environment, you should be more active, prevent too long of immobility, and strengthen cold-resistant training, such as insisting on morning exercises, skiing, etc.
7. Frequent hand rubbing, walnut and other fine finger movements can also improve the activity of peripheral nerves, move hands and feet, and massage limbs to promote blood circulation.
8. Be cautious with some drugs, such as ergot, dimethylergometrine, bleomycin, amphetamine, imipramine, bromocotin, clonidine, cyclosporine A, etc., which can cause Raynaud's phenomenon, and nitroglycerin withdrawal and heavy metal poisoning can also cause Raynaud's phenomenon. Therefore, the use of these drugs, or the withdrawal of drugs, should be done under the guidance of a doctor. (The author works in the Department of Rheumatology, Henan Provincial Hospital of Traditional Chinese Medicine).