13. Peripheral vascular diseases (Lecture-2hrs, SDL-4hrs)
Deep Vein Thrombosis
[Teaching Aim]
- Familiar with the diagnosis of deep thrombophlebitis
- Understand the treatment method of deep thrombophlebitis
[Teaching Content]
1. Concept: Definition and characteristics
2. Etiology and pathogenesis: Prolonged lying down, prolonged sitting, Qi injury after labored, pelvic surgery, traumatic injury and etc, causing Qi stagnation and blood stasis, blockage and obstruction of vessels and collaterals
3. Syndrome differentiation: Signs and symptoms are pain on the affected limbs, aggravated upon walking, swelling and pain upon pressure on the affected limb
4. Treatment: Orally taking medicine to treat Qi stagnation and blood stasis syndrome, Qi deficiency and blood stasis syndrome. External therapy include fumigation and injection therapy on acupuncture points
[Teaching Method]
Self-study.
Superficial thrombophlebitis
[Teaching Aim]
- Familiar with diagnosis of superficial thrombophlebitis
- Master the internal therapy of superficial thrombophlebitis
[Teaching Content]
1. Concept: Definition and characteristics
2. Etiology and pathogenesis: External invasion of pathogenic damp-heat and vein injection
3. Syndrome differentiation: Signs and symptoms of streaky lump, or symptoms of redness, swelling and pain upon pressure
4. Treatment: Internal treatment is done according to syndrome differentiation – blood heat and phlegm congealing or stasis obstructing vessels and collaterals. Topical application uses JinHuangSan and YuLuSan.
[Teaching Method]
Self-study.
Superficial phlebangioma
[Teaching Aim]
- Understand the characteristics and prevention of superficial phlebangioma
[Teaching Content]
1. Concept: Definition and characteristics
2. Etiology and pathogenesis: Spasm and tortuous of vein due to prolonged standing, blood obstructing at lower part of body
3. Syndrome differentiation: Soft with bluish colour, numbers of blue veins, tortuous like earthworm
4. Treatment: Clear Liver and relieve depression, nourish blood and soothe tendon
[Teaching Method]
Self-study.
Shank ulcer
[Teaching Aim]
- Master the localized treatment of different condition of disease to enhance the treatment efficacy
[Teaching Content]
1. Concept: Definition and characteristics
2. Etiology and pathogenesis: Varicose veins of lower limbs, Qi, blood and phlegm stagnation, downward flowing of damp-heat
3. Syndrome differentiation: Sinking of ulcers with high edge, look like opening of cistern, grayish white flesh, discharging foul odour, grayish black or greenish purulent fluid, surrounding skin colour is dull
4. Treatment:
4.1 Internal treatment: Treat according to syndromes – downward flowing of damp-heat, Spleen deficiency with exuberance of dampness, Qi deficiency and blood stasis
4.2 External treatment: Ulceration with rotten like flesh, using draw out pus and eliminate putridity method. Red, swelling and rotten flesh, cold-wet compression can be applied. If surface of ulcer is clean, use medicine to promote generation and close wound. Other therapy include binding therapy and plaster bandaging therapy.
[Teaching Method]
Multimedia lecture.
Gangrene (CBL-1hr)
[Teaching Aim]
- Familiar with early symptoms and examinations of gangrene
- Master different treatment method of different syndrome differentiation
[Teaching Content]
1. Concept: Definition and characteristics
2. Etiology and pathogenesis: Weakness of Spleen Qi, Kidney Yang insufficiency, external contraction of cold and dampness, obstructing vessels lead to blockage of vessels
3. Syndrome differentiation: Stage 1 (Ischaemia), Stage 2 (Malnourished), Stage 3 (Necrosis)
4.Treatment:
4.1Internal treatment: Treat according to syndrome – cold-dampness obstructing meridians, stasis blockage in blood vessel, exuberance of damp-heat toxin, heat-toxin injuring Yin, dual deficiency of Qi and blood
4.2External treatment: Before pus formation, topical application ChongHeGao and HongLingDan. After pus formation, if the area is small, apply ShengJiYuHongGao. If the area is big, apply encroachment to clear away necrotic tissue. If there is no improvement after treatment, amputation of foot or limbs can be done based on condition
5.Prevention and nursing care:
5.1 Disease progress is long, suffering, in severe case end of limbs are disable, therefore have to be mentally prepared
5.2 Careful in keep warm of limbs, prevent recurrence, improve physicial training of limbs and strictly prohibit smoking
[Teaching Method]
Multimedia lecture.
