Article 149: Western Medical Treatment of Chancroid and Traditional Chinese Medicine Differentiation and Prescriptions

◇A Guide to Caring for Your Husband's Health as a Good Wife◇

Next chapter: CHANG JIAN BING DE ZHI LIAO YU TIAO YANG

Treatment and recuperation of common diseases

How does Western medicine treat this?

1. Treatment of the underlying cause: Sulfonamides are the first-line treatment. For patients who cannot use sulfonamides or are allergic to sulfonamides, other antibiotics should be selected. Penicillin G is ineffective for this disease.

(1) Sulfonamides:

Take 4 tablets of Compound Sulfamethoxazole orally, 4 times a day, for 1 week.

Take 1 gram of sulfathiazole or sulfamethoxazole orally, 4 times a day, for 7 to 12 days. For the former, take an equal amount of sodium bicarbonate.

(2) Tetracycline or erythromycin 0.5g, orally, 4 times a day for 10 days.

(3) Other antibiotics:

0.25g of ceftriaxone, administered intramuscularly once daily.

Amoxicillin 0.5g, orally, 3 times a day, for a total of 7 days.

Ciprofloxacin 0.5g, orally, twice daily, for a total of 3 days.

Spectinomycin 2g, intramuscular injection, once is sufficient.

If the above-mentioned drugs are ineffective for lymph node damage, add kanamycin 0.5g, intramuscular injection, twice daily for 10 days. Alternatively, administer gentamicin 80,000 units intramuscular injection, twice daily for 10 days.

2. Local treatment:

(1) Inguinal lymph node abscess: The abscess should not be cut open. Instead, a fine needle can be used to puncture and aspirate the pus, followed by the injection of sulfonamides or other antibiotics.

(2) Penile edema: If penile edema is obvious and does not subside for a long time, a longitudinal incision can be made on the dorsal side of the penis.

(3) Ulcers: For local ulcers, rinse the affected area with a 1:8000 potassium permanganate solution, sprinkle iodoform powder or sulfanilamide powder on the affected area, or apply antibiotic wet compresses or antibiotic ointment.

(4) Phimosis: If phimosis is present, circumcision should be performed, but it should be performed 2 to 3 months after the local lesion has healed.

How does Traditional Chinese Medicine differentiate syndromes and treat diseases?

1. Liver meridian damp-heat type: Symptoms include redness and swelling of the external genitalia, even local ulceration, discharge of yellow turbid fluid, dribbling and difficult urination, short, red, painful urination, red tongue with yellow and greasy coating, and slippery and rapid pulse.

Treatment principle: Clear heat and promote diuresis.

Prescription: Gentian root 10g, Angelica sinensis 10g, Bupleurum chinense 10g, Rehmannia glutinosa 10g, Alisma plantago-aquatica 10g, Plantago asiatica (wrapped) 15g, Akebia quinata 15g, Scutellaria baicalensis 15g, Gardenia jasminoides 15g, Artemisia capillaris 15g.

2. Fire-toxin stagnation type: Symptoms include localized redness and swelling of the external genitalia at the onset, followed by suppuration and ulceration with foul-smelling pus, and over time, bloody discharge, constipation, scanty dark urine, red tongue with little coating, and rapid pulse.

Treatment principle: Clear heat and detoxify.

Prescription: 15g of Phellodendron bark, 15g of red adzuki bean, 10g of Scutellaria baicalensis, 10g of Gardenia jasminoides, 10g of Lophatherum gracile, and 6g of Coptis chinensis.

3. Qi and Blood Deficiency Type: Symptoms include prolonged course of disease, dull granulation tissue at the ulceration site, and persistent ulceration. It is often accompanied by dizziness, poor appetite, sallow complexion, pale tongue, thin white coating, and weak pulse.

Treatment principle: Tonify Qi and nourish blood, promote blood circulation and unblock collaterals.

Prescription: 15g Rehmannia glutinosa, 15g Poria cocos, 10g Paeonia lactiflora, 10g Ligusticum chuanxiong, 10g Angelica sinensis, 10g Achyranthes bidentata, 10g Atractylodes macrocephala, 5g Panax ginseng, 5g Glycyrrhiza uralensis.

Traditional Chinese medicine prescriptions for treating chancroid

1. Take 30 grams of Smilax glabra (Tufuling), decoct in water, and take one dose daily, divided into two administrations. It functions to clear heat, detoxify, and promote diuresis, and can be used for chancroid in patients diagnosed with damp-heat or toxic-heat according to Traditional Chinese Medicine.

2. Angelica sinensis 30g, Coptis chinensis 30g, Ligusticum chuanxiong 30g, Ulmus pumila 30g, Paeonia lactiflora 30g, Gentiana scabra 21g, Aloe vera 15g, Aucklandia lappa 9g, Glycyrrhiza uralensis 9g. Grind the above herbs into a fine powder, mix with honey to form pills, each weighing 6g. Take one pill twice daily. This pill has the effects of clearing heat and detoxifying, resolving blood stasis and relieving pain. It is suitable for chancroid in patients diagnosed by Traditional Chinese Medicine as having toxic heat and blood stasis.

3. Prepared pangolin scales and Gleditsia sinensis thorns, 12 grams each; honeysuckle, trichosanthes root, rehmannia root, red peony root, gromwell root, and wild chrysanthemum, 15 grams each; forsythia and phellodendron bark, 10 grams each; Smilax glabra, 20 grams; and ginseng, 6 grams. One dose daily for 7 consecutive days constitutes one course of treatment.

4. 20g of Polygonum aviculare, 10g of Coptis chinensis, and 10g of Glycyrrhiza uralensis. Decocted in water, one dose per day, for internal use and external washing.

5. Take 30 grams each of honeysuckle, wild chrysanthemum, dandelion, sophora flavescens, coptis chinensis, rhubarb, and 15 grams of alum. Decocted in water to 2000 ml, the decoction is used to soak and wash the vulvar ulcers.

6. Saposhnikovia divaricata 10g, Angelica pubescens 10g, Lithospermum erythrorhizon 20g, Forsythia suspensa 15g, Schizonepeta tenuifolia 15g, Coptis chinensis 15g, Poria cocos 20g, Phellodendron chinense 15g, Anemarrhena asphodeloides 15g, Atractylodes lancea 15g, Akebia trifoliata 15g, Juncus effusus 10g, Gentiana scabra 15g, Glycyrrhiza uralensis 5g. Decoct in water and take on an empty stomach, one dose daily.

7. Smilax glabra 40g, Lonicera japonica 15g, Xanthium sibiricum 15g, Clematis chinensis 9g, Dictamnus dasycarpus 9g, Glycyrrhiza uralensis 6g. Decocted in water and taken orally, one dose per day.

8. 120g of Polygonum aviculare, 60g of Coptis chinensis, and 30g of Glycyrrhiza uralensis. Decocted in water and taken orally, one dose per day.

9. Honeysuckle 30g, Sanguisorba officinalis 30g, wild chrysanthemum 15g, Fraxinus chinensis 15g. Decocted in water for external washing, 2-3 times daily.

10. Honeysuckle 30g, wild chrysanthemum 15g, burnet root 30g, fraxinus bark 15g. Decocted in water for external washing, twice daily.

11. Grind 60g of indigo naturalis, 120g of gypsum, 120g of talc, and 60g of phellodendron bark into a fine powder, mix well, and apply dry to the wound or mix with sesame oil for external application.