Yang, male, age: 48
Five years before, the patient had suffered from paroxysmal tachycardia triggered by overwork, and had been cured by herbal therapy. In October 1982, a painless purple spot was found in the medial side of the left elbow and it got bigger and bigger. It was decided to remove it by surgery. But when the local anesthesia was given, massive hemorrhage occurred and the surgery was given up. An examination at the Guanxian County Hospital on January 15, 1983 found a 3cm x 4cm purple grapelike lump in the medial side of the left elbow, which was hard and unmovable and connected with the median vein. when it blocked venous return, local hemorrhage occurred.
The patient consulted Dr. Song Daoru at the Guanxian County Health School, Sichuan Province on January 15, 1983. Besides the tumor, the patient's symptoms were found to include red tongue with yellow, slightly slimy coating and slippery and rapid pulse. These symptoms were caused by retention of phlegm and heat and blood stasis which led to the formation of angioma. Appropriate treatment involved focusing on promoting
qi flow, removing blood stasis and dispelling tumor, associated by clearing away heat, subsiding swelling, and reinforcing body resistance to eliminate pathogenic factors.
Ingredients of the administered medicine were as follows:
immature bitter orange 15g
snakegroud fruit 15g
pinellia tuber 12g
tangerine peel 12g
bamboo shavings 12g
burreed tuber 12g
prepared arisaema tuber 6g
bletilla tuber 15g
The above ingredients were made into a herbal decoction to be taken orally, one dose per day.
Qiu Rou Tang (Ball Cactus and Pork Soup) composed of stewed pork or pig's trotters (250g) and ball cactus (60g) was taken.
The patient took the herbal decoction and
Qiu Rou Tang alternately. Two months later, the angioma disappeared completely, giving place to a purple scar. Another formula was prescribed to nourish blood and activate blood circulation. The ingredients were as follows:
Chinese angelica root 12g
chuanxiong root 12g
red peony root 12g
red sage root 12g
rose wood 12g
white peony root 12g
licorice root 3g
After the herbal decoction was taken for days, the purple scar disappeared too. The patient was cured.
Angioma, a kind of benign tumor, develops from skin capillary hyperplasia and enlargement. It is a congenital disease, mostly seen in babies when they are born or not long after birth. A few cases occur in adults. The incidence is higher in females than in males. Clinically, there are four forms of angioma, namely, nevus flammeus, capillary angioma, cavernous hemangioma and mixed type hemangioma.
According to theory of traditional Chinese medicine, angioma is caused by stagnation of liver-qi, abundance of heart-fire and liver-fire, yin deficiency, heat in the blood, kidney and uterus and blood stasis.
The patient was found to have such symptoms as reddened tongue, thin and slimy coating, and slippery and rapid pulse, which indicated that his disease was caused by accumulation of phlegm-heat. In the formula, Wen Dan Tang (Decoction for Clearing Away Heat in Gall bladder) and snakegourd fruit were administered to remove heat and resolve phlegm; bletilla tuber subsided swelling, promoted regeneration of tissues and checked bleeding; burreed tuber and zedoary activated
qi and blood flow; ball cactus acted to subside swelling and stop pain, promote
qi and blood flow, and remove damp-heat and regenerate tissues; while pork acted to benefit
qi and replenish yin. Finally, Si Wu Tang (Decoction of Four Ingredients) was prescribed to nourish blood and invigorate blood circulation. In addition, burreed tuber, zedoary and red sage root were administered to activate blood circulation and remove blood stasis. Since the medicine was suitable for the syndrome, the patient was cured after months' treatment.