What does the treatment method that infects wart have?

Wart (wart) is a kind of skin surface vegetation caused by virus, and its disease is first seen in Neijing. It is common in children and young people, with an incubation period of 1 to 3 months and can spread by itself. The virus exists in the spinous layer cells, which can promote cell proliferation and form verrucous damage. Common are verruca vulgaris, verruca plana, molluscum contagiosum, condyloma acuminatum and so on. Traditional Chinese medicine calls it verrucous eyes, rat milk, withered tendons and arrows, thousand-day sores, scab, repentant gas sores, commonly known as "scab" or "firm head meat". So, what are the treatments for verruca infection?

Treatment measures

Internal treatment of ㈠:

one. Oral administration of traditional Chinese medicine: it is appropriate to clear heat and detoxification, nourish blood and activate blood, soften and disperse knots, and treat warts with decoction. If the wind-heat-dampness poison is serious, you can add Poria cocos, Coix seed, Poria oleracea, Hedyotis diffusa; if the liver is deficiency and blood dryness, muscle qi is not proud, you can add mother-of-pearl, mother-of-pearl, white peony, raw oysters, adzuki bean; if kidney yin deficiency, liver blood deficiency, use Guishao Dihuang decoction plus Chuanxiong, Achyranthes bidentata.

two. Western medicine internal treatment: one of the following methods: ① virus recording 0.1g, oral three times a day; ② urotropine 0.3g~0.6g, three times a day; ③ 10% bismuth salicylate oil 2ml intramuscular injection; ④ 1% antimony potassium tartrate 3~5ml, intravenous injection, twice a week; ⑤ interferon 2~5ml, intramuscular injection, once a week.

External treatment of ㈡: you can choose the following methods as appropriate, but you should pay attention to maintaining healthy skin.

one. Panacea corrosive agent: Zhangdan 1.5g, salicylic acid 25g, procaine 1g, sugar 1.5g, 95% alcohol paste, apply warts.

two. Ravel seed smash the affected area, change dressing once a day, generally 2 or 3 times can be cured. Or smear the affected area with crow egg oil (1 part of crow egg, soak peanuts for half a month).

three. Soda ash and quicklime equal amount, 2% procaine solution into paste, external application of verruca body. Stop applying medicine when there is a burning sensation in the local area.

four. Compound salicylic acid collodion (30g of salicylic acid, 30g of lactic acid, 100g of elastic cotton), soak the affected area in warm water for 5 minutes, to be dried, directly apply this product to the wart body, once a day, this product is a good horny dissolving agent, flammable, pay attention to protection.

five. "Surgical Qi Xuan" records: "with chicken shank skin to wipe the self-healing, a way to burn the moxa in the first birth, the rest are self-falling and dying."

㈢ injection therapy:

one. You can use 2.5% iodine tincture 0.1~0.2ml, or use 18% salt water plus 2% procaine solution, each time 0.5~1ml, injected into the base of the wart body, the wart body will dry and fall off in about a week.

two. Interferon 0.5~1ml, wart injection, once a week, can also be locally sprayed with interferon solution.

㈣ surgery:

Freezing, electrocautery, laser, surgical resection and other methods can be selected as appropriate, but attention should be paid to preserving healthy skin or skin island to prevent scar contracture and avoid anal stricture.

Curative effect standard

Recovery: verruca and conscious symptoms all disappeared, skin color was normal, no new warts appeared.

Significant effect: most verruca (more than 50%) disappeared, no new warts appeared.

Improvement: warts and verrucous parts fall off, no new warts appear.

Ineffective: there is no change or little change in verruca, and new warts appear within 3 months.

Classification and treatment

(1) Wind-heat type

Treatment: clearing heat and detoxification, dispelling wind and dehumidification.

Prescription: 20 grams of Radix Isatidis, 15 grams of Poria cocos, 15 grams of raw Coix seed, 15 grams of raw land, 10 grams of Equisetum equisetum, 15 grams of soya bean root.

Add and subtract: those with stagnant heat in the lungs add loquat leaves, Sophora flavescens, and red peony; those with stagnation of liver qi go to the bean root, add Angelica sinensis, Ligusticum chuanxiong, peach kernel, and safflower; those with deficiency of spleen and stomach go to the place of birth, add Codonopsis pilosula, astragalus, and white thirty; those with damp-heat of liver and gallbladder add gentian, gardenia, and Bupleurum; those with liver-qi stagnation add oyster powder, Prunella vulgaris, and red peony.

Usage: one dose a day, fried in water, taken orally twice in the morning and evening. Add water and fry the residue to 500 milliliters, wash the affected part for 15 minutes, 7 days as a course of treatment.

Curative effect: 114 cases were treated above, 87 cases were cured, 20 cases were improved, 7 cases were ineffective, and the total effective rate was 93.9%.

Commonly used prescription: optional Puji disinfection drink to add or subtract.

(2) Blood stasis type

Treatment: soothing the liver and dispersing knots, removing blood stasis and detoxification.

Prescription: peach kernel 12 grams, safflower 9 grams, angelica 12 grams, red peony 12 grams, raw place 15 grams, Chuanxiong 9 grams, Prunella vulgaris 20 grams, Radix Isatidis 20 grams, Coix seed 20 grams, Equisetum 15 grams.

Addition and subtraction: accompanied by itching plus cicada slough; deficiency of liver and kidney plus Polygonum multiflorum; liver depression and qi stagnation plus Xiangfu and Bupleurum.

Usage: same as before.

Curative effect: 188 cases were treated above, 129 cases were cured, 38 cases were markedly effective, 11 cases were improved, 10 cases were ineffective, and the total effective rate was 94.68%.

Commonly used prescription: you can choose Taohong Siwu decoction, rhubarb pill to add or subtract.

(3) liver exuberance type

Treatment: clearing heat and cooling blood, calming the liver and dispersing knots.

Prescription: 30 grams of magnets, 30 grams of ochre, 30 grams of mother-of-pearl, 15 grams of raw soil, 10 grams of red peony, 25 grams of purple grass, 15 grams of Radix Isatidis, 20 grams of raw Coix seed, 20 grams of Equisetum.

Add and subtract: rash hard, brown plus safflower; verrucous light brown plus Angelica sinensis, Radix Paeoniae Alba; bitter moss Huang plus Scutellaria baicalensis, Prunella vulgaris, Rhizoma Cyperi; constipation plus Shengchuanjun (back down).

Usage: one dose a day, fried in water. The first three flavors are fried for half an hour, then take all the medicines and fry into 600 milliliters. Among them, 400 ml is taken orally twice in the morning and evening, and the remaining 200 ml liquid is washed outside the affected area; or smeared with equisetum stalk dipped in the liquid, until slightly red, or itchy. Each time 15 minutes, 20 days as a course of treatment.

Curative effect: 55 cases were treated with upper treatment, 36 cases were cured, 10 cases were markedly effective, 2 cases were improved and 7 cases were ineffective. the total effective rate was 87.27%.

Commonly used prescription: can choose Pinggan Huoxue recipe, Zhangan Xifeng decoction and other chemical cutting.

Special prescription treatment

(1) Xiaoyuyin

Composition: 30 grams of raw seed, 12 grams of Atractylodes, 30 grams of lentils, 30 grams of Radix Isatidis, 9 grams of purple grass, 9 grams of dew beehive, 9 grams of flea rest, 9 grams of white fresh skin, 9 grams of Tribulus terrestris.

Add and subtract: stagnant heat of the liver meridian sexshop , remove white moss skin, add Shanzhi, Bupleurum, Equisetum; damp evil repress Zhongjiao, remove purple grass, add Sichuan Magnolia, Xiangfu, stiff silkworm, malt; Qi deficiency and sweat plus jade screen powder; insomnia plus Ling magnet, stone cassia, dragon tooth.

Usage: one dose a day, fried in water.

Efficacy: a total of 135 cases of verruca plana were treated, 107 cases were cured, 19 cases were markedly effective, 6 cases were improved, 3 cases were ineffective, and the total effective rate was 97.8%.

(2) modified prescription of Puji disinfectant drink

Composition: 60 grams of Radix Isatidis, 60 grams of raw seed, 10 grams of Bupleurum, Scutellaria baicalensis, Forsythia suspensa, 10 grams of peach kernel, 8 grams of Fangfeng, 6 grams of tangerine peel, 6 grams of raw Sichuan army, 5 grams of ephedra, 9 grams of licorice.

Add and subtract: verruca in the face plus mulberry leaves, Platycodon grandiflorum, Achyranthes bidentata in the lower limbs; itching plus cicada slough, Schizonepeta tenuifolia; rash dark color, rapid development, tongue red pulse number, plus Qingdai, Prunella vulgaris, soap horn thorns; if women in menstruation, peach kernel.

Usage: one dose a day, fried in water. The dregs are then fried and washed outside the affected part.

Curative effect: a total of 185 cases of verruca plana were treated, 181 cases were cured and 4 cases were improved.

(3) Ma Xing Yi Gan Tang

Composition: ephedra 10 grams, almonds 15 grams, Coix kernels 6 grams, licorice 6 grams, Radix Isatidis 30 grams, heavy floor 15 grams.

Add and subtract: those with normal skin color add Prunella vulgaris, Gleditsia sinensis, Tribulus terrestris; those with light brown or pigmented skin add peach kernel, safflower, angelica, Chuanxiong, red peony; those with damp-heat add plantain seed, Mutong, Scutellaria baicalensis, gentian grass; those with qi deficiency add astragalus, angelica and atractylodes macrocephala, and those with wart surface hardening add stiff silkworm.

Usage: one dose a day, fried in water.

Efficacy: a total of 80 cases of verruca plana were treated with addition and subtraction above, and some of the patients were also washed with decoction of drugs (patchouli, Yinchen, Tougucao, etc.). It was cured in 62 cases, markedly effective in 13 cases, improved in 4 cases and ineffective in 1 case. the total effective rate was 98.75%.

(4) Quyu decoction

Composition: 3 grams of cassia twig, 3 grams of Schizonepeta tenuifolia, 8 grams of red peony and 8 grams of white peony, 6 grams of moutan, 15 grams of pollen, 10 grams of Prunella vulgaris, Radix scrophulariae, soya bean coat and Buguyue respectively.

Usage: one dose a day, fried in water, taken twice. Rub the residue with water and juice, once a night for 10-15 minutes each time.

Curative effect: a total of 29 cases were treated, all of which were effective, including 25 cases cured, 2 cases markedly effective and 2 cases improved.

(5) Zhiyaoling lotion

Composition: 500 grams of raw incense, 250 grams of Huangyaozi, 250 grams of Solanum nigrum, 500 grams of Equisetum, 100 grams of safflower.

Usage: after crushing the first two flavors into coarse particles, soak together with the latter three flavors in 4000 milliliters of alcohol for 1 week, filter the supernatant. Add 30 milliliters of dimethyl sulfoxide to every 100 ml filtrate. When treating verruca plana, apply Zhiyuling directly to the verruca body with cotton swabs; when treating verruca vulgaris and metatarsal warts, soak the affected part with warm water, wait for wart tissue to soften, cut off part of the proliferation with a knife, and then apply medicine twice a day, 2 weeks as a course of treatment, a total of 4 courses of treatment.

Curative effect: 188 cases of verruca vulgaris, verruca plana and verruca plantaris were treated with this prescription, 116 cases were cured, 37 cases were markedly effective bluetooth vibrator , 21 cases were improved and 14 cases were ineffective. The total effective rate was between 86.7% and 93.7%. Among them, verruca vulgaris has the best curative effect, followed by verruca plana.

Other therapies

(1) Acupuncture

① body needle

Choose acupoint: Ashi acupoint.

Ashi acupoint location: affected area. The earth is the mother's wart, that is adult toys for men , the first or the largest of the multiple warts.

Operation: Ashi acupoint routine disinfection, take 28 0.5 inch 1 inch stainless steel filiform needle, in the mother wart top midpoint vertical needle. In order to reduce the pain during acupuncture, you can first pinch the base of the wart, make it pale and then stab the person. Acupuncture quickly into the needle to the base, then gravity fast twirling 30 times, and tight lifting slow insertion method, so that the patient has a sense of acid, and then lift the needle around the wart for 1 week, expand the pinhole, quickly out of the needle, for the oval or irregular shape of the wart, can be along the longest diameter of the plane, plus a needle at the junction of the wart body and the skin, penetrate the opposite side, slightly twist, retain the needle for 10 minutes, and take out a small amount of blood. If there is no bleeding, you can use your thumb to squeeze its base to make it bleed and paste it externally. First treated once every 4 days, then once every 15 days, 4 times as a course of treatment.

Curative effect: this method is mainly used for verruca vulgaris. A total of 153 cases were treated, 146 cases were cured and 7 cases were ineffective (including 4 cases of interrupted treatment). The cure rate was 95.4%.

② acupoint sobbing shot

Acupoint selection: main acupoint: Quchi. Matching acupoints: Zusanli, sea of blood.

Operation: the main acupoint must be selected, and one of the matching acupoints must be selected. Radix Isatidis injection or water for injection, optional, suction 4 ml. With the No. 5 dental needle into the acupoint, after getting qi, slowly inject human medicine solution, each acupoint 2 ml, each time only one side of the needle realistic dildo , left and right alternately. Once a day or every other day, 7-10 days as a course of treatment, 10 days off between the course of treatment.

Curative effect: a total of 40 cases were treated, of which 34 cases were cured, 3 cases improved and 3 cases ineffective, with a total effective rate of 92.5%.

③ moxibustion

Choose acupoint: Ashi acupoint.

Operation: select the mother wart, disinfect it routinely, and inject 1% procaine under the wart body for local anesthesia. After 2 minutes and 3 minutes, moxibustion with wheat grain size or the same size as the wart body was placed on the top of the wart. Only one wart is selected at a time. After 1 or 2 moxibustion, the top is scorched black, the wart is slightly swollen, and the root skin is burning red. After 3 or 5 times of treatment, the wart root can be loosened, clamp the wart body with tweezers, remove it, gently scrape the base with a sterilized surgical blade, and apply 2% gentian purple or 5% mercury-lowering ointment to the concave wound, bandaging it with gauze until healed. The wound can be healed in 3 days.

Curative effect: after clinical observation of more than 100 cases, all of them were cured, and most of the wounds healed without scar. The recurrence rate is about 10%, and those with larger warts or deeper roots should be moxibustion several times or use other methods.

④ ear acupuncture

Selection of acupoints: main acupoints: lung, subcortex, Shenmen, endocrine. Matching acupoints: cheek, margin, Ashi acupoint.

The location of Ashi acupoint is the corresponding place on the auricle and the lesion.

Operation: take 2-3 main points and 1-2 acupoints each time. The stimulation methods can be blanket acupuncture, laser irradiation, needle burying, magnetic bead pressing pill and so on. Filiform acupuncture: after searching for sensitive points on the selected acupoints, puncturing quickly and having pain and other needles, the needle was retained for 30 minutes, and the laser was irradiated directly on the auricular points with an optical fiber catheter of he-ne laser instrument, with an output power of 6 milliwatts, a distance of 5o~10O cm, and 5 minutes for each acupoint. Filiform acupuncture and light acupuncture are used at both auricular points on both sides, once a day or every other day, 10-15 times as a course of treatment. The needle embedding method was fixed with ruthenium intradermal needle, clamped with edentulous forceps, inserted vertically and fixed with small square adhesive tape without penetrating cartilage, and the patients were pressed twice a day. In the pill pressing method, magnetic beads (380 gauss) or Wang Buliuzi were placed on 0.7 × 0.7 cm square tape and affixed to the selected auricular points and pressed 3 times a day for 4 times a day. Needle embedding and pill pressing, twice a week, on one side, alternating between two ears. You can choose one of the above treatments, or you can switch to another when the curative effect is not obvious.

Curative effect: 173 patients with verruca plana were treated with the above method, 99 cases were cured, 8 cases were markedly effective, 44 cases were improved and 22 cases were ineffective, with a total effective rate of 87.3%.

(2) unilateral prescription

① Crystal Cream (for external use)

Composition: 9 parts of glutinous rice and 10 parts of potassium hydroxide (or hydrated lime).

Usage: soak glutinous rice in warm water until saturated, then mix with potassium hydroxide powder, mash paste and set aside. When using a toothpick dipped in crystal paste evenly apply to the surface of the wart body, do not touch the normal skin, do not scrub within 24 hours. Local reactive hyperemia and edema appeared after medication, disappeared in 1 hour and 2 hours, papule collapsed within 24 hours, scab formed in 3 days, scab fell off in 7 days and 10 days, and the wound healed. During the second treatment, begin to apply some erythromycin ointment or green ointment to prevent wound infection.

Curative effect: a total of 800 cases of verruca plana were treated and all of them were cured.

② vinegar Muxiang liquid (for external use)

Composition: 50 grams of Equisetum, 50 grams of Cyperus officinalis, 200 ml of vinegar.

Usage: add 250ml water to the first two flavors, soak for 30 minutes, then heat and boil for 1 hour, pour out the filtrate. In the same way, once again, the medicine solution is merged twice, and then heated and concentrated to 100 ml, which is wood incense liquid. Vinegar is heated and concentrated into 100 milliliters, which is concentrated vinegar. Wood incense liquid and concentrated vinegar mixed heating and then concentrated to 100 ml, that is, vinegar wood incense liquid. Dip the liquid into the affected area twice a day.

Curative effect: a total of 32 cases of verruca plana were treated, of which 21 cases were cured, 6 cases improved and 5 cases ineffective. The total effective rate was 84.4%.

③ Brucea javanica seed (for external use)

Composition: 3 pieces of Brucea javanica seed.

Usage: remove the shell of Brucea javanica, mash it, and take the oil extravasation as the degree. First pick the wart skin with a needle, then apply Brucea javanica seed, then wrap it with sterilized gauze, and change the dressing once every 5 to 7 days.

Curative effect: a total of 110 cases of verruca vulgaris were treated, of which 92 cases were cured and 18 cases improved.

④ Bowl (for external use)

Composition: fresh bowl, flower, leaf, stem, right amount.

Usage: wash and mash the medicine, or take the white juice from the stem, soak through 3-5 layers of gauze, apply it to the surface of the wart body under pressure, and change it once a day or every other day.

Efficacy: a total of 40 cases of plantar warts and verruca vulgaris were treated with this method, 33 cases were cured, 4 cases were improved and 3 cases were ineffective. The total effective rate was 92.5%.

Other measures

Cryotherapy, electrocautery and laser therapy are suitable for verruca vulgaris and plantar warts.

Surgical resection can be used for verruca vulgaris and condyloma acuminatum II, but it is often easy to recur after operation.
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