Patient's question:
The patient has been treated for some time, and has undergone surgery for intussusception. Previous treatment and outcomes for allergic purpura: Now there are 7 bleeding spots. What kind of assistance is needed: What Chinese herbal medicines can be used to cure allergic purpura?Doctor's answer:
Purpura, also known as Henoch-Sch?nlein syndrome, is a relatively common microvascular disease. The causes include allergies such as infectious diseases, food allergies, drug allergies, pollen, insect bites, etc., but the allergic cause is often difficult to determine. It is more common in children and adolescents, with a higher incidence in males than females. There is often a history of upper respiratory tract infection 1–3 weeks before onset.Treatment principles:
1. Identify and eliminate the allergenic factors.
2. For simple cases, compound rutin, calcium preparations, vitamin C, and antihistamines can be used.
3. For fever and arthritis, corticosteroids can be administered, but they cannot prevent kidney damage. For stubborn chronic nephritis, immunosuppressants may be added.
4. Traditional Chinese medicine treatment: Based on the clinical diagnostic symptoms, syndrome differentiation and treatment are applied.
Western medicine treatment commonly uses the following drugs:
1. Antiallergic drugs: Cetirizine, Chlorpheniramine, Calcium Gluconate.
2. Drugs to reduce vascular permeability: Tranexamic Acid, Rutin, Vitamin C.
3. Platelet aggregation inhibitors: Dipyridamole.
4. Adrenal cortical hormones: Hydrocortisone, Prednisone (Prednisolone), Dexamethasone.
5. For nephrotic or prednisone-resistant cases, immunosuppressants (such as cyclophosphamide, azathioprine, and other chemotherapy drugs) may be used.