**Therapeutic Methods for Phlebitis: Including Internal and External Treatments**
Thrombophlebitis includes superficial thrombophlebitis and deep vein thrombosis. It often begins with the formation of a blood clot within the vein, followed by an inflammatory response of the vein to the clot. The main causes are damage to the vessel wall (caused by trauma or venous catheterization or infusion of irritant fluids) and stasis of blood in the veins due to varicose veins.
The primary clinical manifestations of thrombophlebitis include redness, swelling, pain, and significant tenderness along the course of the vein, with palpable cord-like veins; systemic reactions are rare. There is increased pressure in the veins of the lower limbs. Venography can reveal the location and degree of obstruction. The treatment principles mainly involve resting the affected limb and elevating it above heart level, wearing elastic stockings or using elastic bandages if necessary; oral aspirin can be taken, and heparin should be used early in cases of embolism. Below, we will introduce an internal and external treatment method for phlebitis. Let’s take a look.
1. **Treatment Methods for Phlebitis**
- **Internal Treatment:** Modified Fuyuan Huoxue Decoction: 30g of honeysuckle, 20g of trichosanthes root, 15g each of forsythia, green peel, angelica, pangolin scale, bupleurum, peach kernel, safflower, and 10g of licorice, 7.5g of rhubarb (added last). Boil in water, and drink with rice wine.
- **External Treatment:** Da Huang Dusheng Powder (rhubarb ground into powder), mixed with half alcohol and half water, and applied to the affected area. Change the medicine daily or every other day. A five-day application constitutes one course of treatment. For those without local irritation, two courses of treatment can be administered consecutively.
2. **Observation of Efficacy**
- **Efficacy Criteria:** Cure: disappearance of local venous cord-like swelling and pain, able to return to work, no recurrence after 2 years of follow-up. Marked Effect: basic disappearance of local venous cord, but slightly hard traces remain upon touch, able to return to work. Improvement: reduction of local venous cord-like swelling and pain, indentation upon pulling.
3. **Reflections**
The pathogenesis of thrombophlebitis involves blood stasis in the vessels, blocked meridians, and accumulation of heat-toxicity. The treatment principle is to activate blood circulation, disperse blood stasis, detoxify, and unblock the meridians. In the modified Fuyuan Huoxue Decoction, bupleurum combined with green peel promotes liver qi movement, facilitating blood flow when qi flows smoothly. Rhubarb clears the camp by removing stagnant blood, and these three herbs together primarily attack and disperse blood stasis. Angelica, peach kernel, safflower, and pangolin scale promote blood circulation and break up blood stasis to unblock the meridians. Honeysuckle, forsythia, and trichosanthes root reduce swelling and detoxify to resolve masses, while licorice alleviates pain. Together, these herbs promote qi and blood circulation, detoxify, and resolve masses. Combined with the external application of rhubarb mixed with alcohol, the medicinal effects reach the affected area directly, enhancing the effects of promoting blood circulation, resolving masses, clearing heat, and detoxifying.
The above is a detailed introduction by experts on the internal and external treatment methods for phlebitis, hoping it helps you. If you have more questions, you can consult online with the experts from Shanxi Yikang Peripheral Vascular Hospital. Finally, wishing you good health.
For more details, please visit the phlebitis section of Shanxi Yikang Peripheral Vascular Hospital: http://www.sxykmgy.com/jingmaiyan/ or consult the experts for free. The experts will provide detailed answers based on the patient's specific situation.
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