疮疡
Traditional Chinese Medicine Definition
Tinea, a type of external surgery disease in traditional Chinese medicine, refers to a condition caused by external pathogenic invasion, internal heat accumulation, or blood and Qi stasis. It is characterized by symptoms such as redness, swelling, heat, pain, and ulceration on the skin or mucous membranes. According to the records in "Internal Medicine of Traditional Chinese Medicine," the formation of tinea is often related to insufficient vital energy and invasion by pathogenic factors, manifesting as local poor circulation of Qi and blood and accumulation of heat and toxicity in the skin.
In clinical practice of traditional Chinese medicine, the core pathogenesis of tinea is the invasion of pathogenic factors and the obstruction of Qi and blood circulation. Common precipitating factors include external invasion of the six evil factors, irregular diet, and emotional disturbances. During the differentiation of symptoms, attention should be paid to the following key points:
1. Heat-cold, deficiency-excess: The heat-toxicity accumulation syndrome is characterized by local redness, swelling, heat, and pain, accompanied by fever, thirst, constipation, and red urine; the fire-toxicity hyperactivity syndrome is characterized by a high and swollen ulcer with severe pain and high fever, accompanied by thirst and restlessness; the yin-deficiency and fire-activity syndrome is characterized by a flat ulcer with a scattered base, which is difficult to heal after ulceration.
2. Key points for differentiation: Observe the color, hardness, pain level, and local temperature of the tinea, and make a comprehensive judgment in combination with systemic symptoms.
Common Syndrome Types and Key Points of Differentiation
热毒蕴结证
Main Manifestations：局部红肿热痛,发热口渴,便秘尿赤
Management Approach：清热解毒,消肿散结
火毒炽盛证
Main Manifestations：疮形高肿,焮热剧痛,壮热烦渴
Management Approach：泻火解毒,透脓消肿
阴虚火旺证
Main Manifestations：疮形平塌,根盘散漫,溃后难敛
Management Approach：滋阴降火,和营托毒
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
In clinical observation, patients with tinea often exhibit signs of dampness and heat. Clearing heat and detoxifying is often effective in treating tinea.
— 范立 中医执业助理医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)