How does traditional Chinese medicine treat groin granuloma

Inguinal granuloma is a chronic, mild infection of sexual infection, because of granulomatous capsular bacilli, the bacteria in the monocytes of infected tissue as oval bodies, known as Donoyanbody, so this disease is also known as Donovan's disease (Donovanosis). This is a chronic infectious disease, granulation tissue proliferative plaques as the main sign, anus, vulva prone to the formation of painless ulcers, can be inoculated by themselves.
The incubation period of the disease was 10-40 days, with an average of 17 days. The most common sites were genitals, groin and perianal, prepuce, coronal sulcus, penile body, glans and frenulum in males, and labia minor and labia majoris in females. Generally speaking, there are more men than women. At the beginning of the disease is one or more subcutaneous nodules, ulceration erosion forms a well-defined ulcer, gradually increases to form beef red granulation tissue, the edge is rolling uplift, tissue is fragile, contact is easy to bleed, but painless. There are many dirty and smelly secretions on the surface of the ulcer, and self-inoculation can spread satellite-like damage at the edge. A few can spread to other parts of the body through hematopoiesis or lymphatic pathway. The injury can spread subcutaneously to the groin and is easily mistaken for lymph node damage, so there is a false cross section. Part of genital and groin ulcers become enlarged and deepened, long-term does not heal, genitals, urethra, anus damage, damage, the formation of fistula, hypertrophic scar, pigment shedding.
TCM treatment of inguinal granuloma
Traditional Chinese medicine distinguishes according to the location of the first sore, the redness and swelling of skin injury, the severity of pain, the size of granuloma and the depth of ulcer, combined with whether there is purulent blood and systemic condition on the surface of ulcer. Generally speaking, the first sore is mostly damp-heat, the groin is false horizontal accumulation of phlegm and heat, granuloma is mostly internal obstruction of blood stasis, and later stage is accompanied by yin deficiency of liver and kidney.
Groin granuloma with damp-heat entrapment syndrome, genital papules and subcutaneous nodules, pain, soon erosion on the surface to form ulcers, exudate accompanied by fever, anorexia, red tongue, yellow tongue coating, pulse slip number. This is because the damp-heat poison invades the liver. Treatment should clear away heat, remove dampness and detoxify.
The commonly used prescriptions are as follows: Cortex Phellodendri 10g, Atractylodes lanceolata 10g, Coix seed 30g, plantain seed 10g, Tuckahoe 30g, dandelion 30g, wild chrysanthemum 10g, sunflower 10g, clover 10g. In the prescription, Phellodendron Phellodendri and Atractylodes macrocephala are the main medicine to clear away heat and dampness, while Coix seed and plantain seed are used to clear away heat and dampness, Poria cocos, dandelion, wild chrysanthemum, sunflower and Dingcao. For those with heavy dampness and heat, 10g can be added to gentian, 30g to Hedyotis diffusa and 10g to Fritillaria thunbergii.
Phlegm accumulation syndrome inguinal granuloma, you can see the formation of false inguinal beam, skin nucleus connection, some tuberculosis fused into blocks, promote motionless, feel pain, tongue coating yellow, pulse slippery. This is due to accumulation of phlegm and toxin and stagnation of qi and blood. Treatment should be heat-clearing and detoxification, softening and dispersing knots.
The commonly used prescriptions are Wushen decoction and message pills: honeysuckle 10g, warping 10g, Cortex Phellodendri 10g, alisma 10g, Poria cocos 20g, Xuanshen 20g, oyster 30g (fried first) Zhejiang Fritillaria 10g, Xiangfu 10g, tangerine peel 10g, Beauveria bassiana 10g, green peel 10g, French Pinellia ternata 10g, licorice 6g. In the prescription, honeysuckle, forsythia and Cortex Phellodendri are the main drugs, clearing away heat and detoxification; alisma, Poria, invigorating the spleen and promoting dampness; Radix scrophulariae, calcined oyster, Zhejiang Fritillaria powder; Rhizoma Rhizoma, tangerine peel, Bombyx mori bdsm chastity , green peel, Pinellia ternata and licorice all cooperate with the main medicine to regulate qi and resolve phlegm. The whole side plays the effect of clearing away heat and detoxification, softening and dispersing knots. For those with severe poison and heat remote controlled vibrator , add 30g Hedyotis diffusa with yin deficiency, add 10g of raw place and 10g of sand ginseng with exuberant liver fire, and add 10g of Scutellaria baicalensis and 10g of indigo.
In the syndrome of qi and blood stasis, inguinal granuloma is formed by vulva and inguinal granuloma, local pain, high granuloma, edge rolled up, hard texture, weight loss rose vibrator , poor diet, dark tongue and thin pulse. This is due to qi and blood stasis, fighting with toxic heat and phlegm, forming pubic and inguinal granuloma. Qi and blood stasis hinders local pain. Granuloma is high, the edge is rolled up, the texture is hard, and the qi and blood stasis is blocked. Due to qi and blood stasis, blood stasis will not produce qi and blood, the whole body is thin, the diet is not delicious. When the tongue is dark and the pulse is thin, it is also time for qi and blood stasis. The treatment should be promoting blood circulation and removing blood stasis, clearing heat and detoxification.
The commonly used drugs are Xuefuzhuyu decoction and Wuwei disinfection beverage: Sichuan celery 10g, peach kernel 10g, safflower 10g, Platycodon grandiflorum 10g, Achyranthes bidentata 10g, wild chrysanthemum 20g, sunflower 30g, Xuanshen 20g, dandelion 30g, red peony 10g, licorice 10g. In the prescription, Ligusticum chuanxiong, peach kernel, safflower, red peony, promoting blood circulation and removing blood stasis; Platycodon grandiflorum, Achyranthes bidentata, regulating qi and blood, regulating qi; wild chrysanthemum, sunflower seed, dandelion heat-clearing and detoxification; Radix scrophulariae soft and firm powder; licorice. For those with granulomatous mass and hard ground, 10g pangolin and 10g earthworm can be added; if the pain is obvious, appropriate amount of Panax notoginseng powder and zedoary turmeric can be added.
The inguinal granuloma of liver and kidney deficiency syndrome can be seen in granuloma and ulceration, not cured for a long time, there may be hot flashes and bone steaming, complexion Shaohua, mental tiredness, dizziness, hot hands and feet, red tongue, less fur, pulse count. This is due to the deficiency of liver and kidney and the blazing of deficiency fire, so the skin core is broken. Do not heal for a long time, deficiency of liver and kidney can have hot flashes, facial expression Shaohua, mental tiredness, dizziness and shortness of breath, hand and foot heart heat. The tongue is red, the coating is little, and the pulse count is when the liver and kidney are deficient. Treatment should nourish the liver and kidney.
The commonly used drugs are Liuwei Dihuang pills: cooked Rehmannia 10g, goat 10g, yam 10g, alisma alisma 10g, Poria cocos 10g, moutan 10g, Ophiopogon 10g, Radix Ginseng 10g dildo vibrator , Radix Rehmanniae 10g, tangerine peel 10g, licorice 10g. Radix Rehmanniae, Yam as the main medicine, nourishing liver and kidney Yin alisma, Poria, Cortex moutan with the main medicine, diarrhea the rest of Ophiopogon japonicus, Radix Ginseng, Radix Rehmanniae, licorice to reconcile the spleen and stomach. Granulomatous hard people, pangolin 10g, eel 20g; poisonous hot people, dandelion, Hedyotis diffusa each add 30g.