Xi Shi Jia immigrants

You belong to keratotic beriberi in beriberi.

abstract

Beriberi is a very common fungal infectious skin disease. 70-80% of adults have beriberi, but the severity is different. It is often aggravated in summer and lightened in winter, and some people don't heal all the year round.

Beriberi is a common name for tinea pedis. Some people confuse beriberi with beriberi, which is wrong. Medical beriberi is a systemic disease caused by vitamin B deficiency, and beriberi is a common skin disease caused by fungal infection. The footbath and foot towel should be used separately to avoid infecting others. If athlete's foot is not treated in time, it will sometimes spread to other parts, such as tinea manus and onychomycosis, and sometimes it will be scratched because of itching, and secondary bacterial infection will cause serious complications.

Traditional Chinese medicine calls beriberi "weak foot". "Prepare a thousand gold prescriptions for emergency" Volume 22 "Wind Poisoning beriberi prescription": "However, the disease must start from the foot at the beginning, and it is called beriberi because of swelling of the tibia. Shen: Weak foot means its meaning. "

[Edit this paragraph] Description of TCM

Beriberi, disease name. That is, the elbow backup emergency, volume three. Antique slow wind, stagnation of disease, also known as foot weakness. It is caused by exogenous dampness, pathogenic wind and toxic evil, or thick diet, which accumulates dampness and generates heat and drips on legs and feet. Its symptoms include numbness, soreness, weakness, colic, swelling, withering, or fever, and then attack the abdomen, abdominal heartlessness, vomiting, palpitation, chest tightness, asthma, trance, language confusion and so on. Treatment should be based on eliminating dampness, or expelling wind and clearing heat, regulating blood and promoting qi circulation. The true story of treating beriberi: "Therefore, Atractylodes macrocephala and Atractylodes macrocephala should be used to treat its dampness, Anemarrhena rhizome, Cortex Phellodendri and Polygonum Multiflori Radix should remove its heat, Angelica sinensis, Radix Paeoniae Alba and Radix Rehmanniae should regulate its blood, papaya and areca catechu can promote qi circulation, Notopterygium root and Radix Angelicae Pubescentis can dispel wind and dampness, and Akebia stem, Radix Stephaniae Tetrandrae and Radix Cyathulae can induce it. Commonly used prescriptions such as Ji Ming Powder, Jisheng Binglang Decoction, Ji Fang Drink, etc. There are records of treating beriberi with soybeans, black beans and red beans in prescriptions such as Elbow Backup Emergency Prescription and Jiqianjin Prescription, which can be used as adjuvant therapy. Beriberi can be divided into dry beriberi and wet beriberi. Wet beriberi includes cold-wet beriberi, wet phlegm beriberi, damp-heat beriberi and wet toxic beriberi. In addition, there are many types of athlete's foot, such as wind-toxic athlete's foot, toxic athlete's foot, athlete's foot rushing to the heart, athlete's foot entering the abdomen, athlete's foot forcing the lungs and so on. Others are classified according to the Six Classics.

[Edit this paragraph] Dry beriberi

The name of the disease. A beriberi. Refers to athletes whose feet and knees are not swollen. See Taiping Sheng Huifang, Volume 45. The factors include internal heat due to body yin deficiency, pathogenic factors of damp-heat and wind-toxin changing from heat, blood injury, tendon dystrophy, weakness of feet and shin, numbness and pain, cramp, insufficient swelling, emaciation, loss of diet, red urine, red tongue and rapid pulse. Treatment should be based on dissipating stagnation and clearing heat, and Jiawei Pale Powder or Shenggan Dihuang Pill should be used.

[Edit this paragraph] Diagnosis

Medicine usually divides beriberi into three types: erosive beriberi, vesicular beriberi and keratotic beriberi.

1. erosive type: it occurs between the third and fourth toes and between the fourth and fifth toes. When the toes first get wet, white or small blisters appear. When drying and peeling, the desquamation place is wet, red and itchy, which is easy to cause secondary infection.

2. blister type: it occurs at the edge of the foot. At first, there are small blisters with full wall thickness, and some can be merged into large blisters. The blister liquid is transparent and there is no blush around it. Self-conscious itching often leads to erysipelas and lymphangitis due to secondary infection after scratching.

3. Keratinization type: occurs in the heel. The main manifestations are thick and dry skin, keratinization, desquamation, itching and easy chapping. This type has no blister and suppuration, and the course of disease is slow, and it will not heal for many years.

[Edit this paragraph] Processing method

1. Family medication

(1) erosive type: first soak in 1: 5000 potassium permanganate solution or 0. 1% Ravennur solution, then apply gentian violet or beriberi powder twice a day, air dry, and then apply beriberi ling or tinea ointment twice a day.

(2) Blister type: After soaking feet in hot water, apply clotrimazole tinea lotion or compound salicylic acid tincture once a day. After the skin is dry, apply beriberi or Xuan Di ointment.

(3) Keratinization: Compound benzoic acid ointment can be used externally or alternately with compound salicylate, once in the morning and once in the evening. It is best to wrap the medicine with plastic film after application, so that the medicine can be immersed in the thick skin, which is convenient for peeling off the thick skin.

(4) In recent years, Foot Light Powder has been used to treat all kinds of beriberi in bed, and the effect is remarkable. Soak your feet once every night, and it works three times. See the instructions for specific usage.

2. Traditional Chinese medicine and folk prescription

(1) Dry Alumen, Cortex Phellodendri, Galla Chinensis and cuttlefish bone, and grind any one of them into powder for later use. Wash your feet and sprinkle them on the affected area. Suitable for erosive type.

(2) Radix Sophorae Flavescentis, Cortex Dictamni Radicis, Herba Portulacae and Herba Plantaginis each 30g, Rhizoma Atractylodis and Cortex Phellodendri each 65438 05g, decocted and washed for 65438 0-2 times, daily 1 time. It has a good effect on blisters or infections.

(3) 30 grams of Impatiens balsamina, 30 grams of Gleditsia sinensis and 0/5 grams of Zanthoxylum bungeanum/kloc-are soaked in half a catty of vinegar for one day, and the feet are soaked for 20 minutes every night before going to bed. After 7 days of continuous treatment, the effect of diagonalization is good.

(4) 30 grams of papaya and 30 grams of licorice. Decoct that above medicines to obtain juice. Warm foot bath for 5- 10 minutes, twice a day, 1 dose per day, for 5- 10 days.

(5) Pogostemon cablin 30g, Polygonatum sibiricum12g, rhubarb 1000 ml, rice vinegar 1000 ml. Chopping the medicine, sealing, and soaking in rice vinegar for one week; Remove the residue for later use (shake it several times a day when soaking). When in use, the medicinal liquid is soaked for 2-3 times a day for 20-30 minutes each time for 5 days.

(6) Flos Caryophylli 15g, Radix Sophorae Flavescentis, Radix et Rhizoma Rhei, Alumen and Kochiae Fructus each 30g, Cortex Phellodendri and Sanguisorba officinalis each 20g. Decoct the liquid medicine to get juice, then wash the liquid medicine, each time 10- 15 minutes, 5-6 times a day, each dose can be used twice.

(7) Radix Puerariae, Alumen and Senecio scandens. Drying and grinding the medicine, sealing and packaging, each bag weighs about 40g, taking 1 bag of powder each time, pouring into a basin, adding about 1, 0,000-2,000 ml of warm water, and evenly foot-bathing, 20 minutes each time, 7 days 1 course of treatment, and continuously/kloc-0.

(8) Cortex Dictamni Radicis 40g, Radix Sophorae Flavescentis, Cortex Phellodendri and Rhizoma Atractylodis 30g each, Radix Saposhnikoviae 20g, Herba Schizonepetae and dried alum 65+/-00g each, Fructus Cnidii, Fructus Kochiae, Rhizoma Polygonati and Herba Agastaches 50g each, and 4 shallots. Add about 3000 ml of water to the medicine and boil it. In hot weather, soak your feet in warm liquid for 0/5 minutes, twice a day, usually 4-5 doses. [ 1]

3. beriberi is an infectious skin disease, and scratching should be avoided. If not treated in time, sometimes it will appear in other parts, such as tinea manus and onychomycosis, and sometimes it will be scratched because of itching, and secondary bacterial infection will cause serious complications. The footbath and foot towel should be used separately to avoid infecting others.

4. At the same time of medication, the shoes and socks worn by patients should also be disinfected. It can be exposed to the sun or boiled in water. It is best to dip a piece of cloth in shoes with 10% formalin solution and put it in a plastic bag for 48 hours to achieve the purpose of sterilization.

If it stinks or is broken, sew your toes and wipe your feet with brewed vinegar. Stick to it for a week and it will work in two days. Brew vinegar with. After soaking, it smells of vinegar and has no peculiar smell.

Especially easy and simple, a bag of vinegar is enough for half a year, and it is highly recommended to try! !

I hope it helps, and I hope that friends with beriberi will try it.

1. Soybean bran (folk)

Indications: beriberi.

Formula: soybean100g, rice skin sugar160g.

Usage: Cook soybean and rice bran with water.

2. Red dates, dried tangerine peel and red bean soup (folk side)

Indications: swelling and pain of beriberi.

Formula: 4g of dried tangerine peel, 70g of red beans, peanut kernel 120g, and red dates 10.

Usage: Pericarpium Citri Tangerinae, Semen Phaseoli, Peanut and Fructus Jujubae are boiled in water for cooked food.

Note: there is no dried tangerine peel on one side and garlic on the other side.

3. Malt frying (folk recipe)

Indications: beriberi.

Formula: Proper amount of malt.

Usage: decoct malt in water.

4. Wax gourd and red beans (folk gathering)

Indications: beriberi.

Formula: a big wax gourd,130g red bean.

Usage: Cut the wax gourd, remove the pulp, put it into Hao Xiaodou, simmer it with sugar water until it is light, or bake it into pills, or add water until it is cooked, and eat it in two or three times.

Note: One party can add honey without adding wax gourd.

5. Skin and bone soybeans (folk side)

Indications: beriberi.

Formula: soybean100g, dried tangerine peel 3g, sheep foot bone150g.

Usage: stew soybean, dried tangerine peel and sheep's hoof bone with water, and add seasoning salt to serve.

Note: There is no soybean on one side.

6. Black herring boiled leek "folk convenience test highlights"

Indications: beriberi.

Formula: 500g herring and 250g leek.

Usage: Wash herring, add leek and cook.

7. White lentil powder (folk gathering)

Indications: beriberi edema.

Formula: white lentils.

Usage: Grind into powder, each time 10g, and take it before meals, and mix it with Juncus decoction three times a day.

8. Peanut red dates Phoenix winter melon soup "dietotherapy"

Indications: beriberi.

Formula: 90g peanut, jujube 10, chicken feet 10, lean meat 120g and dried orange14.

Usage: remove the core of red dates and wash them with the remaining materials. Wash chicken feet and lean meat with clean water. First, boil the dried tangerine peel water, add all the ingredients and cook for 2 ~ 3 hours, then season. Food with meals.

Note: One side does not want chicken feet and lean meat, and Mi Dou is added.

9. Rice bran cake "diet therapy for a large number of diseases"

Indications: foot diseases.

Formula: 50 grams of rice bran, 50 grams of flour and appropriate amount of brown sugar.

Usage: Mix flour and rice bran with water, add melted brown sugar and fry into cakes according to the usual method. As a snack.

10. cereal bran porridge "dietotherapy for all diseases"

Indications: beriberi.

Formula: 50g of japonica rice and appropriate amount of fresh chaff.

Usage: Wash japonica rice and cook it into porridge. When the porridge is ready, put the bran into the porridge and cook until the porridge is thick. Make brunch.

1 1. laver and plantain soup (folk prescription)

Indications: wet beriberi. Edema.

Formula: appropriate amount of laver and plantain seed.

Usage: decoct in water.

[Edit this paragraph] Etiology

This disease is caused by dermatophytes (fungi or molds). Sweating, damp feet or airtight shoes and socks can induce this disease. Skin fungi often spread through polluted bathrooms, swimming pool floors, bath towels, public slippers and footbath.

[Edit this paragraph] Prevention

Women take off their shoes and socks when they commit beriberi 1. Keep their feet clean and dry and treat sweaty feet. Change your shoes and socks frequently. People with tight toes can put toilet paper in the middle to absorb water and breathe. Shoes should be well ventilated.

2. Don't use other people's slippers, bath towels and wet wipes. Don't walk in the sewage beside bathhouses and swimming pools.

3. Public bathhouses and swimming pools should always be treated with sewage and disinfected with bleaching powder or chloramine to form a system to prevent beriberi from infecting each other.

4. Prevent shoe cabinets from being infected with beriberi

If someone in the family suffers from beriberi, shoes contaminated by fungi are easy to breed in a dark and unventilated shoe cabinet. Moreover, the scattered dander in the shoe cabinet also carries a lot of fungi. Originally clean shoes, if placed in such a shoe cabinet, may be contaminated by bacterial dander, contaminated by adjacent "dirty shoes" and infected with fungi. If you wear such shoes, you may get beriberi or your toenails turn gray.

Therefore, experts remind that patients with beriberi should not only actively use drugs for treatment, but also pay attention to cleaning shoes and socks at ordinary times, especially paying attention to frequent ventilation and drying of shoe cabinets; If the shoe cabinet can't move, it should be scrubbed regularly with disinfectant or put in desiccant to remove moisture.

While cleaning the shoe cabinet, don't forget to wipe the shoes with a dry rag, and put some deodorizing bags made of spices, tea and bamboo charcoal in the shoes to eliminate germs and odors.

In addition, when choosing a shoe cabinet, be careful not to choose the one that inclines inward, because this design is not conducive to cleaning, while the shoe cabinet that inclines outward is convenient to take and clean.

Shoes stored in the shoe cabinet should be divided into different shoe areas according to family members, such as men's, women's and children's areas, and can also be used to distinguish common and uncommon shoes to avoid mutual infection.

[Edit this paragraph] Precautions

1. Insist on medication, tinea pedis is a chronic infection, and fungi grow and reproduce in the stratum corneum. It takes a long time to kill it.

2. Don't use drugs indiscriminately. The key of beriberi medication is to treat it according to different types. Some people use corticosteroid ointment such as Fusong to treat tinea pedis, and the results are more and more extensive. Someone crushed aspirin tablets and sprinkled them on eroded toes, resulting in a long-lasting ulcer. It is a misunderstanding that many people use dermatitis flat ointment externally when the skin becomes red and itchy. There are many hormones in dermatitis flat ointment, which are just a nutrient for fungi. So if it is definitely tinea, it will only get worse.

3. Medication should be based on the specific conditions of the lesion. You can't use tincture for the broken part, and you should use ointment if the skin becomes thick and cracked. If the rag comes out of the water, you should go to the hospital, and the doctor should handle it appropriately according to the specific situation.

4. When tinea pedis is secondary to infection, acute inflammation occurs locally. Tinea pedis can't be treated as usual, so we should deal with the secondary infection first. If there is redness and swelling, local application of boric acid water or penicillin solution can reduce inflammation and swelling. Use antibiotics all over the body when necessary, and give proper rest according to the doctor's advice.

[Edit this paragraph] Misunderstanding of treating beriberi

Myth 1: Refusing medication: The itching of the skin is aggravated after these stimuli, forming a vicious circle of scratching and scratching, and it can be stopped if it is itchy. In this way, the bacteria and dirt in the hands and nails naturally fall into the focus area, which is easy to cause secondary bacterial infection. Therefore, once beriberi is found, it is necessary to take medicine as soon as possible.

Myth 2: Use drugs at will: Many people think that just look at the advertisements and go to the pharmacy to buy some medicine. In fact, this is very likely to be misdiagnosed and delayed treatment. Patients should first go to the dermatology department of a regular hospital for diagnosis, and then carry out scientific treatment according to the treatment methods recommended by doctors.