Treatment of ecthyma

Ecthyma, commonly known as "old leg ulcers," are chronic ulcers that develop on the lower leg and are common in patients with conditions such as venous insufficiency and diabetes. These wounds often persist, causing significant pain for patients. Below, I will combine Traditional Chinese Medicine (TCM) with modern moist healing dressings to offer new insights into the treatment of ecthyma.

ecthyma form ?

Traditional Chinese Medicine (TCM) believes that ecthyma is often caused by prolonged standing and excessive fatigue, leading to Qi deficiency and blood stasis, resulting in poor local Qi and blood circulation and a lack of nourishment for the skin. Damp-heat is also a common pathological factor, manifesting as increased wound exudate and redness and swelling of the surrounding skin. Qi and blood deficiency is common in the elderly and frail, resulting in pale wounds and slow healing. TCM emphasizes syndrome differentiation and treatment, classifying patients according to their overall condition and local manifestations, and adopting corresponding treatment methods.

How does Traditional Chinese Medicine treat ecthyma externally ?

Traditional Chinese medicine fumigation is a common treatment, with different prescriptions selected based on the syndrome type. For damp-heat syndromes, herbs such as Phellodendron amurense, Sophora flavescens, and Kochia scoparia can be used to clear heat and dampness; for qi and blood stasis syndromes, herbs such as Carthamus tinctorius, Peach Kernel, and Angelica sinensis can be used to promote blood circulation and dissipate stasis; for qi and blood deficiency syndromes, herbs such as Astragalus membranaceus and Codonopsis pilosula can be used to invigorate qi and promote tissue regeneration. After fumigation, allow the wound to dry naturally before proceeding with further treatment. Traditional Chinese medicine ointments are applied externally directly to the wound surface. Shengji Yuhong ointment promotes granulation tissue growth, Huanglian ointment clears heat and dampness, and Xiangpi Shengji ointment promotes epithelial creeping. These ointments have multiple effects, including antibacterial, anti-inflammatory, and tissue regeneration .

What are the functions of functional wound dressings ?

Maintaining moderate wound moisture promotes cell migration and proliferation, accelerating the healing process. Alginate dressings are suitable for wounds with high exudate, forming a gel to protect the wound surface. Foam dressings offer a balance of moisture retention and absorption, making them suitable for moderately exuding wounds. Hydrocolloid dressings create a closed environment, promoting autolytic debridement. Silver-containing dressings provide antimicrobial properties, limiting the risk of infection.

Directions:

1. First clean the wound, rinse or wet compress with 35-38 degree Celsius Chinese medicine solution for 15-20 minutes, and gently dry the surrounding skin.
2. Next, select a dressing. For high exudate, use an alginate dressing; for moderate exudate, use a foam dressing; for low exudate, use a hydrocolloid dressing; and for high infection risk, use a silver dressing. The dressing should extend 1-2 cm beyond the wound edge. Finally, secure the dressing with paper tape or a bandage, applying moderate pressure to avoid restricting blood flow. Typically, change the dressing every 1-2 days. For infected wounds, change it daily . Repeat the above steps .

What should I pay attention to during the treatment?

Keep the affected limb elevated to promote venous return and reduce edema. Use compression therapy to improve venous function and prevent recurrence. Manage underlying medical conditions, such as controlling blood sugar and improving nutritional status. Regularly assess the wound and adjust the treatment plan. Observe the surrounding skin carefully to prevent maceration and allergic reactions.

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Editor: kiki Jia