What Are Leg Ulcers?

Calf ulcers, also known as chronic calf ulcers, varicose ulcers, and stasis ulcers, are a common skin disease. The disease is caused by varicose veins, increased venous pressure, capillary damage, local circulation disorders, obstruction of small arteries and lymphatics, resulting in local tissue malnutrition, reduced oxygenation, or trauma infection to promote ulcer formation. It belongs to the categories of diseases such as "scabies", "trousers", and "skirt sores" in Chinese medicine. Calf ulcers are more common in patients over 40 years of age. They are often caused by long standing or weight-bearing falls, which leads to impaired veins and local qi and blood, which affects the return of lower extremity veins; or due to lower limb skin damage and eczema scratch , Leading to hot and humid betting, qi and blood stagnation meridian. [diagnosis]

Calf ulcer

Calf ulcers, also known as chronic calf ulcers, varicose ulcers, and stasis ulcers, are a common skin disease. The disease is caused by varicose veins, increased venous pressure, capillary damage, local circulation disorders, obstruction of small arteries and lymphatics, resulting in local tissue malnutrition, reduced oxygenation, or trauma infection to promote ulcer formation. It belongs to the categories of diseases such as "scabies", "trousers", and "skirt sores" in Chinese medicine. Calf ulcers are more common in patients over 40 years of age. They are often caused by long standing or weight-bearing falls, which leads to impaired veins and local qi and blood, which affects the return of lower extremity veins; or due to lower limb skin damage and eczema scratch , Leading to hot and humid betting, qi and blood stagnation meridian. [diagnosis]

Occurs on the inner third of the ankle below the calf. At first, due to varicose veins or venous insufficiency, local stasis, followed by superficial ulcers, of variable size and shape, gradually enlarged and deepened. The surrounding skin is hyperpigmented, and scale and eczema-like changes are seen. The sore face is dark red, stinky and unhealed. Conscious pain, sometimes swelling and pus. Lower extremity soreness or fever.

[treatment]

(1) Traditional Chinese Medicine Treatment

1. Damp heat bet type: local redness, swelling, ulcers, ulcers, exudation, or rancid pus, swelling of the lower limbs, local pain. Red tongue, yellow greasy fur, slippery pulses or strings. Expelling heat, dampening stasis and detoxifying. The recipe uses additions and subtractions of Simiao Yongan Decoction and Sanmiao San: silver flower, black ginseng, purple radish, wild chrysanthemum, astragalus, stretched grass, cork, atractylodes, angelica, paeonia, achyranthes, licorice. If the pain is very red, snails, earth dragons, those with obvious blood stasis, add saponin, salvia, earthenware.

2. Qi and Yin deficiency type: local dark red, dry and stiff skin, ulcers without pus, dull and fresh, with tiredness and palpitations, shortness of breath. The tongue is reddish and the veins are weak.

Expelling Qi and nourishing yin and promoting muscle circulation. The recipe uses Shiquan Dabu Decoction to add or subtract: Codonopsis, Astragalus, Xuanshen, Wild Chrysanthemum, Heterochrys grandiflora, Poria, Atractylodes, Angelica, Shudi, Baiji, Zhigancao, Cinnamon.

3 Acupuncture treatment: use moxa, sulfur, frankincense, myrrh, musk to make moxa rolls. Ignite warm moxibustion wounds, suitable for non-infective wounds.

4 Topical topical Chinese medicine

(1) For those who have infection in the acute stage, use genus elm and catechin decoction to make a wet compress, and then apply Coptis chinensis oil, golden cream and so on.

(2) The ulcer surface is clean and free of pus. Admixed with Jiuyidan or Zhenhong l.

(3) Seven-layer ointment for external use: camphor, silver beads, patina, rosin, ground together, add peanut oil, stir into a paste, and apply to the affected area.

(B) Western medicine treatment

1. Initially available low-molecular dextran, aspirin, pansentin and so on.

2. Vitamins C, E, and P all help to heal ulcers.

3 Appropriate amount of zinc sulfate can be taken orally.

4 Topical treatment

(1) Fresh placenta seeding method: Flush the fresh placenta in vitro, rinse with physiological saline, remove the fetal membrane, fry the fetal membrane into 1-2 square centimeter squares, place it in normal saline or store in the refrigerator, and then apply it locally.

(2) Those who are infected can use antibiotic ointment topically.

(3) Dipping honey with sterilized gauze and applying it to the affected area, suitable for non-infective wounds.

(4) Wet compress with 1: 500O furacicillin solution for topical application, apply compound neomycin ointment externally when elasticity is reduced, and apply elastic bandage externally. Saphenous vein height after healing

Ligation and varicose vein dissection can prevent recurrence.

(Three) other therapies

1. Infected or purulent wounds can be exposed to ultraviolet light. Those who do not heal for a long time can be irradiated with helium-neon laser or magic lamp.

2. 10% Coptis chinensis solution was used for direct iontophoresis. 1 time daily.

[Care]

Avoid worms from biting, trauma, scratching and other external factors to stimulate ulcers.

[prevention]

1. Avoid standing for a long time, pay attention not to walk excessively, those with varicose veins or venous insufficiency, pay attention to raise the affected limb when bedridden. ^[1]

2. Due to the tortuous veins, the vein walls are very thin, and it is easy to damage and bleed. In the summer, patients should minimize outdoor activities, avoid collisions, do good wound care, and pay attention to protect the affected limbs to avoid trauma, frostbite or insect bite.

3. Avoid standing for long periods of time. It can raise the affected limb in time to promote venous blood circulation in the lower limbs. Take appropriate rest and raise the affected limb. In order to promote blood circulation in the affected limb, it can reduce swelling of the affected limb and prevent calf ulcers. The patient lifts the affected limb 3-5 times, each half an hour is appropriate.