1.Color Doppler ultrasonography and clinical characteristics of benign lymphoepithelial disease of lacrimal gland
Jing SU ; Lingyu MI ; Suzhen CAI ; Tongdi ZHANG ; Xinliang SUN ; Shan ZHANG ; Mengyi SHENG ; Shizhe HAN ; Qingli SHANG
Chinese Journal of Ultrasonography 2021;30(5):432-435
Objective:To summarize the clinical manifestations and color Doppler ultrasonography of benign lymphoepithelial disease (BLL) in lacrimal gland, so as to improve the diagnostic accuracy of lacrimal BLL.Methods:Clinical manifestations and color Doppler flow imaging (CDFI) features of lacrimal BLL in 16 patients (2 males and 14 females, with 31 lesions) who visited the Second Hospital of Hebei Medical University from November 2014 to August 2019 were retrospectively analyzed.Results:The performance for lesions in patients with duration less than 3 months was scattered in irregular low echo, lesion blood flow signals within the rich (Adler Ⅱ level), pathologic examination results showed more lymphocytes were seen in the lacrimal matrix, and the myoepithelium of the lacrimal duct grew to form the epithelium-myocutaneous island. The ultrasonic feasures in patients with course of 3-6 months were in multiple categories such as circular low echo, "honeycomb" change, CDFI showed lesions with a lot of blood flow signals (Adler Ⅲ level), the pathological examination results indicated that there were a large number of lymphocytes and epithelial-musculocutaneous islands in the lacrimal matrix, and the lymphocytes were significantly increased compared with patients with the course of disease less than 3 months. The ultrasound results in patients with a course of more than 6 months showed lesions in multiple categories such as circular low echo, and large low echo, greater than 3 mm in diameter, CDFI showed lesions within the same large amounts of blood flow signals (Adler Ⅲ level), the pathological examination results were consistent with the course of 3 to 6 months. One patient had positive tuberculin test and 11 had higher IgG4 than normal.The number of lymphocytes increased with the prolongation of disease course.Conclusions:With the expert knowledge of color Doppler ultrasonographic characteristics of lacrimal gland BLL and with the serum IgG4 level helps to improve the accuracy of ultrasonic diagnosis.
2.Insights into Treatment of Modern Epidemic Diseases from Xiangsu Powder (香苏散) inTreatment of Cold Epidemics
Shizhe SHAN ; Bo WEN ; Wenbo SHAO ; Yanxing XUE
Journal of Traditional Chinese Medicine 2024;65(9):966-969
The prescription of Xiangsu Powder (香苏散) reflects the exquisite balance in treating both the superficial and deep layers, harmonizing the body's vital energy and blood, and addressing the functions of the triple energizer simultaneously. Its application in treating cold epidemics has been a long time, yet its importance in modern disease treatment is often overlooked. Based on the treatment principles demonstrated by Xiangsu Powder in treating cold epidemics, it is proposed that in the treatment of modern epidemic diseases, the dual principles of cold and heat should not be neglected. When cold pathogens stagnate at the surface, they should be dispersed and detoxified, using methods that induce sweating to expel them from the surface. When cold and dampness coexist, efforts should be made to regulate the flow of vital energy, blood, and body fluids to restore the proper functioning of the three burners. When cold-induced pathogenic factors are severe and toxic, aromatic herbs should be utilized to dispel turbidity and avoid contamination. Throughout the entire course of treating epidemic diseases, attention should be paid to inducing sweating without damaging the body's vital energy, while also protecting the body's righteous qi, with the aim of providing refe-rence for the treatment of modern epidemic diseases.
3.Experience of XUE Boshou in Using Fangfeng (Radix Saposhnikoviae) in Clinical Practice
Shizhe SHAN ; Haiyu ZHANG ; Wenbo SHAO ; Yanxing XUE
Journal of Traditional Chinese Medicine 2024;65(16):1646-1649
This paper summarized professor XUE Boshou's clinical experience of using Fangfeng (Radix Saposhnikoviae). Firstly, Fangfeng is used to scatter wind and release the exterior, disseminate and penetrate the pathogens, and can treat the early-staged externally contracted heat diseases with exterior qi constraint and blocking, and serious internal heat through Xiaodu Xijiao Beverage (消毒犀角饮) from Beneficial Formulas from the Taiping Imperial Pharmacy (《太平惠民和剂局方》)combined with Yinqiao Powder (银翘散), Shengjiang Powder (升降散) and Zhizichi Decoction (栀子豉汤) in their modifications. Secondly, it eliminates wind and dispels dampness, relieves itching, and heals sores, with self-made Xue's Guomin Decoction (薛氏过敏煎) in modification being formulated to treat allergic skin diseases caused by pathogenic wind attacking the exterior. Thirdly, it disperses liver qi and soothes the spleen, lifts yang and stops diarrhea, and can be used in modified Tong Xie Yao Formula (痛泻要方) from Teachings of ZHU Danxi (《丹溪心法》) when treating diarrhea caused by liver constraint and spleen deficiency. Fourthly, it can disperse stagnated qi throughout the body and unblock the meridians of the five zang (脏) organs, commonly in formulation of modified Huangqi Chifeng Decoction (黄芪赤风汤) from Correction of Errors in Medical Works (《医林改错》) to treat patients with qi deficiency and blood stasis after radiotherapy and chemotherapy of tumors, as well as alopecia areata or even alopecia universalis, chronic rhinitis and others.