Dr Zhao Jianxiong's experience in treating allergic purpura

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Dr Zhao Jianxiong's experience in treating allergic purpura, by Wu Ying Dr Zhao has over 40 years of experience using his own empirical formulae in treating severe, persistent diseases such as allergic purpura. His view is that this disease is due to weak body condition combined with an external invasion of wind‑damp and toxic heat and improper diet. Wind and heat disturb the blood, causing it to overflow into the superficial layers of the skin. At the same time these pathogens, i. Invade the middle jiao causing qi stagnation with nausea, vomiting and abdominal pain, ii. obstruct the smooth flow of the blood causing swelling and pain of the joints, iii. disturb the collaterals of the Kidney causing haematuria, and iv. create qi stagnation which obstructs the Sanjiao and causes oedema. The excess syndromes tend to manifest first, while in the chronic stage there is more deficiency with blood stasis. The treatment principle for excess syndromes is to eliminate toxic heat and cool the blood to stop bleeding, and promote diuresis to remove blood stasis. For deficiency syndromes it is either to nourish the yin to remove fire or to replenish the qi to control the blood. In chronic cases with blood stasis the principle is to promote blood circulation to remove blood stasis. Dr Zhao has developed a basic prescription for allergic purpura which is modified according to the patient's condition. It contains Chan Tui (Cicadae Periostracum) 10g, Di Fu Zi (Kochiae Fructus) 15g, Zi Cao (Lithospermi Radix) 15g, Qian Cao (Rubiae Radix) 15g, Sheng Di (Rehmanniae Radix) 15g, Mu Dan Pi (Moutan Cortex) 10g, Bai Mao Gen (Imperatae Rhizoma) 15g, Xiao Ji (Cirsii Herba) 15g, Mo Han Lian (Ecliptae Herba) 15g, Ou Jie (Nelimbinis Nodus rhizomatis) 15g, Wei Ling Xian (Clematidis Radix) 15g, Qing Feng Teng (Sinomenii Caulis) 15g, Fang Ji (Stephaniae Tetrandrae Radix) 10g and Bai Shao (Paeoniae Alba Radix) 10g. Western medicine is often used together with this formula, such as vitamin C and adrenosem saliclylate to improve capillary integrity and corticosteroids for relieving swelling and joint and abdominal pain. Any allergens which may be identified are also eliminated. The article concludes with a typical case history in which a 12 year old girl with allergic purpura of four months duration became virtually symptom‑free after 12 doses of Dr Zhao's modified prescription. She was given two months of herbs for consolidation and had remained symptoms‑free on follow‑up six months later.
JTCM September 2007

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