Systemic lupus erythematosus is an autoimmune inflammatory connective tissue disease that affects multiple organs in young women, with an increasing number of early, mild, and atypical cases.

Some patients with severe disease (except those with diffuse proliferative glomerulonephritis) sometimes resolve spontaneously. Some patients have a 'transient' episode and the disease disappears completely after a brief course of several months.

In Western medicine, the cause of the disease has not yet been determined, and a large number of studies have shown that genetic, endocrine, infection, immune abnormalities and some environmental factors are related to the onset of the disease.

In terms of Western medicine treatment, there is a general treatment, which is suitable for all patients with lupus erythematosus. This includes psychological and spiritual support, avoidance of sun or ultraviolet rays, prevention and treatment of infections or other comorbidities, and appropriate exercise according to the condition.

In addition, there are medications, including non-sterol anti-inflammatory, antimalarial, glucocorticoids, immunosuppressants, and other treatments.

Now Ye Chen can see from the young man's medical record that the other party has been receiving hormone therapy for more than a year.

However, the effect was not obvious, so he was transferred to Yan Chai Hospital to prepare for TCM treatment.

Many of those medical records were terms of Western medicine, Ye Chen couldn't understand them, Yu Shaohua explained to him next to him, and Ye Chen understood.

The research directions of Chinese and Western medicine are different, so if Ye Chen has not studied Western medicine, he doesn't understand that.

Ye Chen saw that this young man's treatment with Western medicine this year was all hormone therapy, as well as the changes in his condition.

After he finished reading it, Yu Shaohua asked, "Ye Chen, what do you think?"

"I don't know how Western medicine works, because I studied Chinese medicine. However, from the perspective of Chinese medicine, I know how to treat. ”

In traditional Chinese medicine, when this symptom is classified as purpura, Ye Chen is like classifying the patient's leukemia as a deficiency of labor, and carries out dialectical treatment in traditional Chinese medicine.

First of all, from the explanation of purpura in traditional Chinese medicine, purpura is a bleeding disease with purple and dark patches on the skin and mucous membranes, and bleeding from other parts as the main symptoms.

The etiology is divided into two categories: external sensation and internal injury, often due to dampness, heat, evil poison suppressing the veins, or due to congenital endowment factors, or long-term illness and spleen deficiency, etc., so that the blood overflows the veins.

Clinically, three types are the most common: heat to force blood, yin deficiency and fire, and qi not to take blood. Purpura caused by external damp fever and evil heat entering the camp blood can be diagnosed and treated with reference to the relevant content of TCM thermopathology.

Purpura caused by internal injuries and miscellaneous diseases is mainly seen in primary thrombocytopenic purpura, Henoch-Schonlein purpura and secondary thrombocytopenic purpura caused by drugs, chemicals, and physical factors.

Ye Chen observed the situation of this young patient, Li Xiang, and learned that he had this situation suddenly a year ago, and he also didn't know what caused it?

From Li Xiang's words, Ye Chen asked about these news, as well as the medical records he had just seen, and he probably knew what his situation was?

After reading those and asking some more questions, Ye Chen looked at his pulse and tongue again, and soon learned the main reason for his symptoms.

"Professor Yu, have you already prescribed him medicine before?" Ye Chen asked.

"Not yet. "This Li Xiang himself has just been transferred here not long ago, and at most he is just accepting some hanging bottles. Yu Shaohua didn't rush to treat it, it was the reason why he learned that Ye Chen would come, so he came with him to have a look.

Looking at Ye Chen's expression now, he could see that maybe Ye Chen could really treat this patient's situation.

"The condition has been around for some time, and it is difficult to treat it with Western medicine. However, in traditional Chinese medicine, if the right medicine is prescribed, it should not be treated. Ye Chen said.

"Doctor Ye, can you really cure my son?" Li Xiang's father hurriedly asked.

"Mr. Li, I never tell lies to patients. Ye Chen said.

Of course, Yu Shaohua knew Ye Chen's situation and medical skills better, since he was able to say it like that, it meant that Ye Chen was not talking big.

"Ye Chen, then you can help treat it. Yu Shaohua said with a smile.

In this case, Ye Chen will naturally make a move, not to mention, this Li Xiang has been tormented by this illness for more than a year, and if he continues like this, he may not be killed for the time being, but it is also very uncomfortable.

Ye Chen asked the female nurse to bring the new medical record of Renji Hospital, and Ye Chen wrote directly on the new medical record: "Li, male, 27 years old. Large butterfly-shaped erythema on both cheeks of the face at the end of 1 year. ”

"Initial diagnosis: the patient had large butterfly-shaped erythema on both cheeks on the face, brown spots on the bridge of the nose, and had tooth bleeding at the beginning of the disease, which lasted for 48 days, and dry mouth in the morning. After a year of hormone therapy at a dermatology hospital, the effect was not significant. ”

"Examination: Tongue image: dark red tongue moss yellow. Pulse: Smooth pulse. Traditional Chinese medicine dialectic: the diagnosis is heat poison blood stasis butterfly spots. This is the acquired life loss of recuperation, liver and kidney depletion, yin deficiency and internal heat, forced blood vain, left for stasis, stasis for a long time and heat accumulation into poison, so the face and cheeks have a large butterfly-shaped erythema for more than a year, teeth bleeding for more than a month, dry mouth and other symptoms in the morning. It is a hot poison and blood stasis, liver and kidney yin injury syndrome. Treatment: Clear away heat and detoxify, cool blood and dispel blood stasis, nourish the liver and kidneys. ”

"Prescription: 20 grams of buffalo horn slices (first decoction), 10 grams of red peony, 10 grams of danpi, 20 grams of raw land, 10 grams of comfrey, 15 grams of drained reed, 20 grams of dog's tongue grass, 10 grams of scutellaria, 10 grams of ligustrum, 12 grams of lotus grass, 25 grams of Poria cocos, 15 grams of Dihuzi, 10 grams of Sophora radix, 5 grams of Tripterygium wilfordii. 7 doses, decoction with water, 1 dose per day. ”

After Ye Chen finished writing, he carefully checked it to confirm that there were no other problems, and when he handed it to Yu Shaohua on the side, Yu Shaohua looked over, as long as he saw the Chinese medicine dialectic and treatment method above, he knew that there was no mistake in the prescription prescribed by Ye Chen.

Therefore, in many cases, TCM dialectics is the basis for judging a doctor's prescription. If the dialectic is not correct, the prescription will definitely be problematic, and the patient will definitely not be able to cure the disease if he drinks the medicine.

Ye Chen dialectically based on Li Xiang's pulse, tongue, and the onset of the disease, and learned that the other party belonged to heat poison and blood stasis, liver and kidney yin injury.

It can be said that Li Xiang's situation is that there is heat in the blood, the heat poison forces the blood, the teeth bleed for a long time, the heat poisons the yin, the director has a dry mouth, the blood is hot, the blood burns the blood, and it becomes stasis for a long time, the tongue is dark, and the moss is thin and yellow, which is a symptom of congestion.

According to these symptoms, Ye Chen is developing this prescription.

Li Xiang and his father didn't understand, but after Ye Chen wrote it, Professor Yu was an expert in TCM internal medicine, and he naturally knew what the situation was when he saw it.

Therefore, Yu Shaohua looked at the female nurse and said, "Follow this prescription to get Li Xiang a decoction." ”