Comprehensive understanding of external treatment methods for ecthyma

I believe that everyone would like to know more detailed information about ecthyma. You will often find this disease in our daily life. So we will introduce it in detail today. We hope it will be helpful to you to solve the troubles caused by the disease as soon as possible, stay away from the disease and stay healthy forever.

1. Disease Introduction

Ecthyma refers to a chronic ulcer that usually occurs between the skin on both sides of the tibial spine (enthusias) in the lower 1/3 of the calf. The Ming Dynasty's "Surgery Qixuan" called it trouser leg poison, skirt hem sore, etc. Because the disease does not heal for many years and is prone to relapse after recovery, it is called old foot rot, which is chronic calf ulcer in modern medicine. It is mostly caused by damp heat flowing down and blood stasis in the meridians. There is often a history of local damage or eczema. Symptoms include local itching, pain, redness, swelling, pus discharge, and even rot, with gray skin and flesh that does not heal for a long time.

2. Causes

What causes ecthyma?

The pathogenic bacteria are B-hemolytic streptococci. In addition, coagulase-positive staphylococci can often be cultured from the skin lesions. This disease is often caused by secondary infection, such as insect bite dermatitis, scabies, minor trauma, itchy skin diseases, and occasionally secondary to viral infections such as chickenpox, herpes zoster and cowpox. Poor sanitation, malnutrition and chronic wasting diseases are the contributing factors.

symptom

3. What are the symptoms of ecthyma and how to diagnose it?

It often occurs in workers who stand for long periods of time, as well as patients with varicose veins and thrombophlebitis in the lower limbs. It often occurs in the lower 1/3 of the calf, 9 cm above the medial and lateral ankle areas. At the beginning, the inner or outer calf is itchy, followed by redness and swelling, and later ulceration, oozing fluid, and not healing for a long time. The edges of the sore are thickened and shaped like the mouth of a jar. The sore surface is grayish white or dark in color, and dirty, smelly pus flows out. The skin around the sore is dark red or shiny purple-black. It is often complicated by eczema and rarely leads to cancer.

4. What diseases can easily be confused with ecthyma?

This disease is mostly caused by standing for a long time or carrying heavy objects, which leads to the blockage of the lower limb collaterals and local stagnation of qi and blood. It is also caused by the invasion of damp heat, stagnation of qi and blood, and rotting of the skin and flesh. Lower limb skin injuries, insect bites, and eczema are often triggering factors. Its characteristic is that the ulcer is difficult to heal for a long time, or even if it heals, it is easy to recur due to injury.

The initial symptoms of this disease are mainly damp-heat in the spleen and stomach. The spleen governs the limbs and muscles. When damp-heat from the spleen and stomach descends, the meridians are blocked, and qi and blood are stagnant, there will be local redness and swelling. If the heat is mild, there will be itching; if the heat is severe, there will be pain; if the dampness is excessive, the flesh will rot; if the dampness and heat accumulate, there will be itching, pain and rot. Dampness is a Yin evil, lingering and sticky, so it causes watery dripping, and sores and ulcers are rotten and not fresh. The course of this disease is long and difficult to cure. Over time, Qi and blood are depleted, and the spleen and stomach are weak, and the main symptoms are deficiency of both Qi and blood. When Qi and blood are depleted, vital energy is insufficient, and nourishment is lacking, the sores will sink. When Qi and blood are weak and toxins are difficult to transform, the skin around the sore will be dark purple, the flesh on the sore will be dirty and dark, the pus will be fishy and smelly, and there will be symptoms of spleen deficiency and Qi and blood deficiency, such as fatigue, tiredness, and dull complexion. The basic treatment principle of this disease is to clear away heat and dampness, and regulate qi and blood.

5. Complications

1. Traumatic ulcers. Traumatic ulcers refer to chronic ulcers of the lower limbs caused by mechanical, physical, chemical and other factors, or chronic ulcers that reappear on the basis of traumatic scars. The diagnosis of this type of ulcer is usually not difficult, but radiation ulcer is a special type of traumatic ulcer, which is sometimes misdiagnosed due to the lack of obvious history of radiation injury. The clinical manifestations are poor healing ability, irregular ulcer edges, hard surrounding tissues, pigmentation, mixed pigmentation spots, uneven base, yellow-brown color, variable depth, and often involving deep nerve trunks accompanied by unbearable pain.

2. Venous congestion ulcer. Due to local malnutrition caused by venous congestion and circulatory disorders in the lower limbs, and skin and soft tissue damage on this basis, the ulcer formed is called venous congestion ulcer. It accounts for the majority of chronic ulcers of the lower limbs, about 55%. The ulcer is accompanied by obvious varicose veins of the lower limbs. The ulcer is shallow, with a flat base and irregular edges. The surrounding skin is atrophic, hardened, and rough, with papillary hyperplasia and pigmentation. The ulcer is prone to occur in the lower 1/3 of the calf, and there is obvious edema at the ankle. The treatment must first understand the venous function of the lower limbs. The Brodie-Trendelenburg test, Perthes test and venography can be used to fully understand the venous function of the lower limbs and the specific causes of lower limb venous congestion. Treatment is mainly aimed at resolving the cause of venous congestion. For example, simple saphenous vein dysfunction can be treated with saphenous vein stripping, and deep vein thrombosis can be treated with corresponding recanalization treatment. As long as the venous congestion in the lower limbs is improved, most venous congestion can heal itself. Local ulcers can be repaired by skin grafting or skin flap transplantation after ulcer excision. For patients who are not suitable for surgery, conservative treatment measures can be adopted. Using "LW Babu" to treat ulcer wounds is an accurate treatment method.

6. Prevention

How to prevent ecthyma?

In terms of nursing, the affected foot should be elevated, walking should be reduced, and nutrition should be strengthened to promote wound healing.

7. If you want to know the treatment methods for ecthyma, you need to understand the causes of ecthyma. Ecthyma itself is a relatively serious disease, which is caused by untimely treatment of various diseases, so early treatment of ecthyma is the key. Here we ask a doctor to introduce it.

When ecthyma first appears, the area will be itchy, painful, red and swollen, and then it will break, ooze water, and form an ulcer. Later, the ulcer did not heal for a long time, the sore hole sunk, and the edge formed a rim. The flesh on the sore surface was grayish white or dark red, and grayish black or greenish sewage flowed out, which was extremely smelly. The skin around the sore hole was dark red or purple-black, and eczema occurred due to immersion in the poisonous water. The wound becomes more and more rotten and deeper, and even the outer flesh may fall off, revealing the tibia. If the affected limb is accompanied by exposed blue veins, and the symptoms are mild in the morning and severe in the evening, it may last for years, be difficult to heal, or may heal and ulcerate again, and spread rapidly, becoming cauliflower-shaped. Occasionally, it may become cancerous, making it even more difficult to treat.

With the continuous advancement of medical technology, there are many treatments for ecthyma, but you are reminded not to choose blindly. Not all treatments are suitable for all patients. If improperly treated, it will not only not help the condition but will aggravate the condition and bring greater pain to yourself. Here, the doctor recommends traditional Chinese medicine treatment, which is suitable for most patients and is a method of treating ecthyma.

Traditional Chinese medicine is the method of treating ecthyma. It is a natural treatment method that cures the disease fundamentally. In the short term, it can reduce the pressure of varicose blood vessels and soften the nodules that have formed. It has obvious therapeutic effects on edema, itching, numbness, pain, fatigue, heaviness, skin pigmentation, congestion dermatitis, etc. The total effective rate can reach 100. After treatment, varicose veins can be improved and no longer develop, avoiding the formation of phlebitis and chronic leg ulcers.

Through the above introduction to the methods of treating ecthyma, everyone knows that traditional Chinese medicine is the method of treating ecthyma. However, in order to better treat ecthyma, we must have a comprehensive understanding of the symptoms of ecthyma to facilitate early detection and early treatment. I think your colleagues and friends may also be suffering from diseases other than ecthyma. You can introduce the knowledge you know to them and help them stay away from the harm caused by the disease.