Experience with Allergic Purpura 2000.6.10

Experience with Allergic Purpura 2000.6.10

This is a capillary toxicosis. In addition to purpura, abdominal pain may also occur, which is mesenteric purpura or subserosal purpura of the abdominal organs; joint pain is due to synovial purpura, causing joint pain. Therefore, anyone experiencing abdominal pain or joint pain is considered to have Schonlein-Henoch syndrome. Western medicine typically treats this condition primarily with adrenal corticosteroids, which provide immediate relief but have an almost 100% recurrence rate, rendering them ineffective in the long run. Traditional Chinese medicine offers a wide variety of formulas and approaches for treating purpura, with proven efficacy. In my own practice, I have consistently achieved remarkable results, recognizing that this condition is a wind-heat dampness syndrome that, if prolonged, invades the blood level. The treatment involves dispersing wind-heat, clearing heat and detoxifying, and promoting blood circulation to remove stasis.

① Three-ingredient formula: honeysuckle, forsythia, dandelion, houttuynia, tufuling, white bark, rehmannia, kochia, ledebouriella, bai xie, red peony, moutan cortex, licorice, cicada slough.

② Platycladus formula: platycladus leaves, wild chrysanthemum, rehmannia, kochia, agrimonia, lithospermum, plantain, black nightshade.

③ Su stem combination: su stem, cicada slough, motherwort.

④ Modified Four Substances Decoction: four substances decoction with peach kernel, safflower, chicken blood vine, salvia, costus root.

⑤ Longdan Xiegan Decoction: gentian, gardenia, bupleurum, scutellaria, rehmannia, angelica, arisaema, licorice, poria, alisma, plantago, donkey-hide gelatin, blood residue charcoal, ophiopogon, salvia, moutan cortex. (For patients with glomerulonephritis and hematuria)

⑥ Six Ingredients Rehmannia Decoction with cinnamon twig, white peony, peach kernel, safflower, angelica, motherwort, salvia, honeysuckle, forsythia, indigo root. (For patients with glomerulonephritis, hematuria, and proteinuria)

⑦ Roasted loquat leaf, yam, polygonatum, dodder seed, water chestnut, golden cherry, lily, codonopsis, atractylodes, poria, licorice. (For the recovery phase of purpura nephritis) This formula can be taken long-term and helps prevent recurrence.