Lichen planus can be treated by oral administration of traditional Chinese medicine, external treatment, acupuncture and moxibustion therapy, diet regulation and emotional regulation. Lichen planus is a chronic inflammatory skin and mucosal disease, which is believed to be related to factors such as damp heat accumulation, blood deficiency and wind dryness, liver depression and qi stagnation in traditional Chinese medicine.
1. Oral administration of traditional Chinese medicine
Different formulas can be selected according to the syndrome type. For damp heat type, Longdan Xiegan Tang can be modified, containing ingredients such as Gentiana scabra and Scutellaria baicalensis to clear heat and remove dampness; The blood deficiency and wind dryness type can be treated with modified Danggui Yinzi, which contains Danggui, Chuanxiong, and other nourishing and moisturizing ingredients; The liver depression type can be treated with modified Xiaoyao San, which contains ingredients such as Chaihu and Baishao to soothe the liver and relieve depression. Traditional Chinese medicine practitioners should prescribe prescriptions based on syndrome differentiation and avoid self medication.
2. External treatment
Local decoction such as Huangbai and Kushen can be used for wet compress or external washing, which has the effect of clearing heat and drying dampness; The eroded area can be treated with Qingdai powder or Bingbo powder externally; Hyperkeratotic skin lesions can be treated with purple grass oil ointment. External medication should avoid mucosal damage and should be stopped immediately if allergic reactions occur.
3. acupuncture and moxibustion therapy
Select Quchi, Xuehai, Sanyinjiao and other acupoints to dredge the meridians, and cooperate with local peripheral acupuncture to improve microcirculation. For empirical cases, use the laxative method, for deficiency cases, use the tonic method, and treat several times a week. Acupuncture and moxibustion should be operated by professional doctors, and should not be used during the period of skin infection.
4. Dietary adjustment
It is recommended to eat yin nourishing products such as lilies and Tremella fuciformis, and avoid spicy and stimulating foods as well as seafood. For damp heat syndrome, you can drink mung bean barley soup, and for blood deficiency syndrome, you can take red jujube and medlar Congee. Diet should be maintained for a long time, and smoking and alcohol should be avoided during treatment.
5. Emotional regulation
Patients with liver depression need to maintain a comfortable mood and can relieve stress through methods such as Ba Duan Jin and meditation. Emotional disorders may worsen the condition. It is recommended to establish a regular schedule and seek psychological counseling if necessary. During treatment, the affected area should be kept clean and dry to avoid scratching; Wear loose cotton clothing to reduce friction; Regular follow-up to adjust the plan. Traditional Chinese medicine treatment focuses on overall regulation and usually takes several months to take effect. Stubborn cases can be treated with Western medicine. Daily massage of acupoints such as Taichong and Hegu can assist in relieving symptoms, but timely medical attention should be sought in case of mucosal erosion or secondary infection.
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