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Bedsore

蓐疮 〔蓐瘡〕rù chuāng

Also yīn sores. A sore on the back, sacrum, heels etc., that develops in comatose, paralyzed, or weak patients confined to bed. Bedsores start as red patches which gradually develop into ulcerations that are difficult to heal. They are attributable to major depletion of qì and blood in enduring illness with confinement to bed that causes friction and prevents the normal movement of qì and blood, thus depriving the skin of nourishment.

Medicinal therapy: Oral: Commonly used medicinals include astragalus (Astragali Radix, 黄芪 huáng qí), white atractylodes (Atractylodis Macrocephalae Rhizoma, 白朮 bái zhú), codonopsis (Codonopsis Radix, 党参 dǎng shēn), poria (Poria, 茯苓 fú líng), Chinese angelica (Angelicae Sinensis Radix, 当归 dāng guī), red peony (Paeoniae Radix Rubra, 赤芍药 chì sháo yào), white peony (Paeoniae Radix Alba, 白芍药 bái sháo yào), salvia (Salviae Miltiorrhizae Radix, 丹参 dān shēn), lonicera (Lonicerae Flos, 金银花 jīn yín huā), dandelion (Taraxaci Herba, 蒲公英 pú gōng yīng), and raw licorice (Glycyrrhizae Radix Cruda, 生甘草 shēng gān cǎo). Topical: Prior to ulceration, apply an alcohol compress, and then sprinkle with talcum (Talcum, 滑石 huá shí). After ulceration has started, apply Red Oil Paste (红油膏 hóng yóu gāo) sprinkled with Nine-to-One Elixir (九一丹 jiǔ yī dān). In the healing stage, use Flesh-Engendering Jade and Red Paste (生肌玉红膏 shēng jī yù hóng gāo).

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