Discussion on Treatment of Recurrent Genital Herpes with Zhulingtang: Based on Thought of "Lower Energizer Resembling Drainage"
10.13422/j.cnki.syfjx.20220436
- VernacularTitle:基于“下焦如渎”探讨猪苓汤治疗复发性生殖器疱疹
- Author:
Ya-qin LI
1
;
Qing-ying WANG
1
;
Tao-tao SHEN
2
;
Meng-xi MA
1
;
Si-qi WU
1
;
Na LANG
1
Author Information
1. Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091,China
2. Bayingol Mongol Autonomous Prefecture People's Hospital, Bayingol Mongolian Autonomous Prefecture 841000,China
- Publication Type:Journal Article
- Keywords:
recurrent genital herpes;
lower-jiao resembling drainage;
prevailing circumstances;
induce drainage of the evil from lower-jiao;
Zhulingtang
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2022;28(4):240-245
- CountryChina
- Language:Chinese
-
Abstract:
Recurrent genital herpes is a sexually transmitted disease induced by herpes simplex virus(HSV), mainly manifested as erythema, papules, vesicles, erosion, and exudation on the skin and mucosal membranes of the genital and anal area, accompanied by burning pain, or tingling. Factors leading to its recurrence are overworking, fever, alcohol consumption, infection, sexual activity, etc. At least 1 in 10 of the 15-49-year-old population are infected with herpes simplex virus-2. There is currently no available method to completely remove the herpes simplex virus and prevent its recurrence, and recurrence seriously affects the quality of life and psychological health of patients. According to the theory of traditional Chinese medicine (TCM), the recurrence of genital herpes is mostly related to wind, dampness, heat, yin deficiency of liver and kidney, internal injuries due to emotional disorder, and dietary preference. TCM has advantages in reducing its recurrence rate. The lower energizer is closely related to skin diseases, and "lower energizer resembles drainage". Thus, the lower energizer is closely related to water and damp metabolism. Recurrent genital herpes occurs in the lower energizer and belongs to lower energizer diseases, and the fluid metabolism and qi movement in lower energizer are closely related to the occurrence of the disease. Based on thought of "lower energizer resembling drainage" and the clinical characteristics of recurrent genital herpes, this paper considered malfunction of lower energizer as its pathogenesis. Thus, smoothing the lower energizer according to the prevailing circumstances is particularly important and the treatment principle should be dispersing the pathogen from lower energizer without damaging yin. Zhulingtang (Treatise on Cold Damage and Miscellaneous Diseases) cures the difficulty in urination and thirst with desire to drink by smoothing the lower energizer. Thus, Zhulingtang was selected to treat recurrent genital herpes. This study is expected to provide a new idea for its clinical diagnosis and treatment.