Explore the Diagnosis and Treatment of Histiocytic Necrotizing Lymphadenitis Based on Insidious Pathogen Warm Disease Theory
10.16466/j.issn1005-5509.2024.03.005
- VernacularTitle:基于伏气温病理论探讨组织细胞坏死性淋巴结炎的诊疗思路
- Author:
Zhichen HE
1
;
Haotian XU
;
Rui LI
Author Information
1. 北京中医药大学第二临床医学院 北京 100028
- Keywords:
histiocytic necrotizing lymphadenitis;
Kikuchi-Fujimoto disease;
insidious pathogen warm disease;
latent pathogen;
Shaoyang tri-Jiao;
Moyuan;
supporting healthy Qi and eliminating the evil
- From:
Journal of Zhejiang Chinese Medical University
2024;48(3):282-287
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the etiology,pathogenesis and clinical treatment of histiocytic necrotizing lymphadenitis(HNL)based on the insidious pathogen warm disease theory.[Methods]To analyze the etiology,pathogenesis,characteristics of symptoms and transmission of the disease in Chinese medicine,and summarize the treatment principles based on the descriptions about insidious pathogen warm disease in ancient literature and modern researches on HNL,and cite a clinical case for verification.[Results]The pathogenesis of the HNL is mainly characterized by deficient healthy Qi leading to latent evil.The specific manifestation is that exogenous evils are latent in the Moyuan,which causes Yang Qi to be blocked and depressed and turns into heat.Evil heat spreads from the Moyuan to the Shaoyang tri-Jiao,leading to the generation of phlegm,static blood,turbid evil and toxin in the body,which in turn leads to disease.In terms of treatment,supporting healthy Qi and eliminating the evil is regarded as the law of treatment,and the emphasis is eliminating the evil.Aiming at the three pathogenetic links of latent evil,depressed heat and internal production of pathological products,the following treatment principles are formulated:expelling evils from Moyuan,dredging tri-Jiao and promoting the flow of Qi to make the evil heat go out,clearing away endogenous pathological products,removing toxin and dispersing knots.The focus of supporting healthy Qi is the protection of Qi and Yin as well as recuperation after recovery,which prevents evil Qi from remaining and causing the disease to reoccur.The medical case cited was a patient with HNL treated by applying the theory of insidious pathogen warm disease.Damp-heat and toxin brewing,phlegm combined with static blood was the traditional Chinese medicine(TCM)pattern of this case.The the prescriptions were based on Shengjiang Powder combined with Sanren Decoction,and Ganlu Xiaodu Pill successively,added and subtracted according to the syndrome,and the case achieved a significant effect.[Conclusion]The effect of treating HNL based on the insidious pathogen warm disease theory is quite good,which can provide new ideas and methods for the diagnosis and treatment of HNL.
