Is syphilis how did one kind of venereal diseases prevent and cure syphilis?
Is syphilis how did one kind of venereal diseases prevent and cure syphilis?
Syphilis is a kind of classical venereal disease. According to curing historian's textual criticism, syphilis originated from America, after Columbus found the New World in the 15th century, make syphilis spread in two continents of Eurasia rapidly through sailor and soldier. Before the 16th century, our country has no record of syphilis yet. Probably in 1505, syphilis was spread into the area of south of the Five Ridges of Guangdong of our country by India, called " sore of Guangdong " at that time , " sore of the red bayberry " ,Syphilis spread to the hinterland hereafter. Ancient's the Chen 's becomes " it is recorded that the mould sore is secret " is a perfect monograph of argumentation syphilis of first of our country, Li Shizhen wrote " Compendium of Materia Medica " to record the situation that syphilis prevailed in detail in the Ming Dynasty. Syphilis started in brought into our country during the 16th century by Portuguese, ancient times is called venereal disease, sore of the red bayberry, mould sore, dirty sore,etc.. After the foundation of the state, syphilis has been eliminated in our country for a time, in recent years, as what has been exchanged with foreign countries being frequent day by day, the morbidity of syphilis is on the rise too. Syphilis by syphilis spirillum( Pale spirillum) Cause, the course of disease is long after being ill, infringe genitals and skin in early days, infringe every organ of whole body in later period, and catch varied symptom and physical sign, pathological change can nearly involve all internal organs of whole body. Syphilis can spread in the crowd each other through the sexual behavior, and can be passed to the foetus by mother, jeopardize the future generation. A few patients are infected through kissing, nursing, connecting with the items in everyday use of the infective damage patient. In spreading through sex intercourse disease, ill number of people of syphilis low, long course of disease its, the harmfulness is great, should pay attention to. Syphilis of circulation way is a human infectious disease, there is no syphilis spirillum in animal's body, so the syphilis patient is the only infection source of a disease. In spread of syphilis, account for 95% through the intersection of sexual behavior and the infeted, a few patient to pass, contact secretion of patient, or such infected routes as close life is exposed to, blood transfusion, nurse. It is generally acknowledged 4 months after gestation took place, syphilis is even and can be dyed through contacting items in everyday use which patients has used. Kiss, nurse and the baby can be infected with through birth canal,etc. when born in. In addition can infect through clothes, towel, razor, tableware, cigarette holder, bed clothes, sheet, door knob, sitting stool pot and medical equipment,etc.. The early syphilis patient contains a large amount of syphilis spirillum in his focus place's secretion, it is the strongest to be infective. Through the sexual life, the pathogenic physical stamina in the secretion is passed to the other side directly. Because the human body does not have congenital immunity to syphilis, a small amount of syphilis spirillum can cause the other side to be ill very much. In addition, the syphilitic pregnant woman can pass the pathogen to the foetus through the placenta, cause the foetus' inborn syphilis. Inborn syphilis means it can cause child's syphilis through being infected with in the fetus, the foetus can be infected the week of general gestation 9. Syphilis can cause the damages of every organ of child's whole body and tissue, cause the function obstacle or death. Congenital syphilis prevent from it is mother that cure, can use sufficient penicillin gestation mainly. Syphilis generally speaking cycle, infective and relatively strong in syphilitic initial 1- 2 years, the first stage of, the second stage of syphilis patient is infective, their skin mucous membrane has a large amount of syphilis spirillum to exist to damage the place; It is infective to hide the early syphilis patient too. With the extension of the disease one, the infection of syphilis is reduced gradually too, the course of disease is at more than o'clock over 2 years, infection of syphilis can subside gradually, with undergo course of disease of treatment in 2 year sexual contact, woman of syphilis, of the above, will not be infected either generally. The course of disease is over 8 years person, it has been infective and already minimum. The human body does not have congenital immunity to syphilis, produce immunity to this disease when there is syphilis spirillum in the body to have. Once treating the syphilis spirillum disappears from the body, immunity is thereupon disappearance too, while and then meeting syphilis spirillum to infect, will still suffer from syphilis. Syphilis type It infect syphilis via syphilis (acquired character syphilis) with can divide into the day after tomorrowing With congenital syphilis (fetus spreads syphilis) . Among them syphilis of acquired character can be divided into early syphilis (including the first stage of syphilis and the second stage of syphilis) according to different stages for development of pathological change With later period syphilis (namely three issues of syphilis) . Clinical manifestation and diagnosing the main point 1. The first stage of syphilis (play infantile malnutrition firmly) 1)Clean sexual intercourse, whoring, spouse infect the history or homosexual history. 2)2- 4 weeks of incubation period. 3)Show as hard to play infantile malnutrition is singly, have itch, the intersection of realm and clear, size, a kind of hardness of the cartilage that touch, 1- 2Cm of diameter, while being painless often mainly, very rotten or light ulcer of surface, have a large amount of syphilis spirillum in things to ooze out. 4)Often happen on the external genitalia position, such as male the first ditch, glans penis, bringing and foreskin, big overcast lip of women, nymphae, the intersection of palace and the intersection of neck,etc. and position, male homosexuality person can take place in week such as anus and rectum, accidental on lip, the intersection of person who swallow and place. 5)Some enlargement of lymph nodes, single side or dual sides. 6)It is hard to be treated in 3- 8 weeks and play and can dissolve natural disappearance, does not leave the trace or only keep the withering scar slightly. 7)The secretion slide does the microscopic examination of dark visual field, the spirillum which can see most activities. The blood of syphilis is tested smartly: It is negative in early period that hard to down infantile malnutrition, most patients present the positive result 7- 8 weeks later. 2. The second stage of syphilis 1)Many to have illness coming on in 6- 8 weeks after or present hard and play infantile malnutrition in 8- 10 week after infected with for the first timing. 2)Mainly shown as the mucous membrane of skin is damaged, can present periostitis, bone joints such as arthralgia,etc. are damaged, iris inflammation, depend on eyes such as neuritis are damaged, nervous lesion such as accidental meningitis. 3)The rash shape is varied, such as decrease etc. macule, spot papule, papule, suppuration bleb, scale's bits skin, often suffused with the hair, symmetrical being distributed. Happening on the palm plantar and brown and chalceous and taking off bits spot papule has characteristic nature. 4)The mucous membrane is damaged and can be seen on oral cavity, swallowing, throat, genital mucous membrane, for red swelling and rotten, in anus week, flat wet wart can take place around the external genitalia, the mucous membrane has a large amount of syphilis spirillum while damaging. 5)The scalp can be seen the depilation of the worm-eaten form, send the temple one is common. 6)Enlargement of lymph nodes of simple table of whole body. 7)The secretion slide whose mucous membrane damages and flat the wet wart does the microscopic examination of dark visual field, the spirillum which can be seen most activities, the syphilis serum test is presented strongly and positively. Syphilis of the second stage of recurring: The second stage of syphilis is not treated the person who treats thought not thorough, when patient's resistance has dropped strength, two damage, disappear, step back, appear again, call, recur syphilis while being the second stage of, such as treat, but many times repeated, rash this, basically with the second stage of the intersection of syphilis and rash, number its reduce, distributed in the limit office. 3. Three issues of syphilis (later period syphilis) 1)Not clean life or spouse infects the history, the early syphilis history is not essential. 2)Mucomembranous syphilis of the skin Nodular syphilis rash: Often See on the forehead, places such as four limbs and shoulder blade,etc., make the brief summary to cut for most covers, arrange in the shape of ring, but the nature disappears, leave over the withering spot. The gum kind is swollen: It is the small scleroma under a cover at the beginning, increase gradually and with the skin adhesion, form the soaking spot piece, in the center breaks, forms while being routed ulcer, kind to take place in places such as women's head-ornaments and shank,etc.. Act as invading and upper palate and nasal septum mucous membrane, can cause punching and saddle nose of nasal septum. 3)Cardiovascular syphilis: Take place after infecting 10- 20 over year, can cause syphilis aortitis, aorta petal can not lock the wholly, main aneurysm,etc.. 4)Neural syphilis: Infect after the 5- 15 year taking place, can cause syphilis meningitis, spinal consumptive disease and paralysis dull-witted, etc, there can also be cerebrospinal fluid (CSF) to unusually change, but there is not nervous system symptom. 5)Other internal organs: If skeleton, eyes, breathing, digesting and urinary system can be invaded. 6)The experimental majority of serum of syphilis is positive, there are also very negative minority. Cerebrospinal fluid (CSF) leucocyte increase, it is unusual for biochemistry to check, syphilis antibody tests the masculine gender. 4. Latent syphilis infects the history, is not treated or treated insufficiently, there are no clinical symptom and physical sign, but syphilis serum response masculine gender,except other can cause by syphilis serum response the diseases of masculine gender, it is negative to check the cerebrospinal fluid (CSF), can diagnose as latent syphilis, a person who smaller thans 2 weighs early latent syphilis in disease, greater than 2 to call later period latent syphilis. 5. Early congenital syphilis 1)The breeder mother suffers from syphilis. 2)Clinical symptom appears in 3 weeks after catching more. 3)Show as rhinitis, the intersection of throat and inflammation in early days, have a stuffy nose, can cause, nurse difficult. 4)The skin behaves variously, such as spot papule scale bits damage, blister and great blister and one kind of damages of great blister damage, flat wet wart, the corner of the mouth, the linear chapping damage can take place in week in the anus, the skin is wrinkled like the old man dry, can accompany depilating, paronychia, nail matrix inflammation. There are mucomembranous spots in the oral cavity. 5)The infant is modest, the lymphocytic line of simple table is swelling, the spleen of liver is swelling too, often have osteochondritis and periostitis. 6)The secretion that the mucous membrane of skin damages, nose secretion, the funicular blood slide does the microscopic examination of dark visual field, can see spirillum, syphilis serum tests the masculine gender. 6. Congenital syphilis take place in children and adolescence more later period, the infant has syphilis teeth (semilune front tooth) , substantive keratitis and nerve deafness three are united and solicited, have characteristic nature. Skin mucous membrane damage and the day after tomorrow three similar syphilis, can present periostitis, active damages such as liver splenomegaly,etc.. 7. Congenital latent syphilis and congenital syphilis are not treated, without clinical symptom, the serum response masculine gender person of syphilis is called congenital latent syphilis. Treat the principle: Should make a definite diagnosis of early, capacity, regular administration are treated, treat, follow up a case by regular visits to regularly. There should not be a sexual life during the treatment period. The sex companion receives treatment at the same time. Treating syphilis will go on according to the principle that the treatment, capacity use medicine early. During treating, the patient takes a good rest, strengthen nutrition, avoid the sexual life. Penicillin, in order to treat first-selected medicine of syphilis. Traditional Chinese medicine treatment: 1. The liver is passed damply and hotly type: Epidemic disease is evil damp and hot for diseases caused by external factors,can't last liver by,last devices overcast, block valve, damp and hot the intersection of epidemic disease and malicious evil agglomeration, send sore (hard to down infantile malnutrition) for infantile malnutrition , horizontal Xuan. Main disease arises for rash millet of place such as external genitalia and rectum or hard one, or the inguinal enlargement of lymph nodes is hard, coerce the bloated pain of rib, receive and stay, apocleisis is greasy, the urine is short and red, it is formed that the stool is secret, the tongue fur is yellow and oily, pulse string is counted. Should be clear to manage and let out the liver to pass damply and hotly. Square to clear away the liver-fire with the rough gentian the soup is added or subtracted: The wood is open, son, place of birth, smilax every 15g, rough gentian grass, the root of large-flowered skullcap, Fructus Gardeniae, rhizoma alismatis, Chinese angelica every 10g before the car, licorice root 5g. 2. Angry strongly fragrant phlegm forming type: Obscene epidemic disease malicious to follow liver, make a bet and not agglutinate on overcast device, qi and blood stop up hinder, phlegm silt each other forms horizontal Xuan. The inguinal side or enlargement of lymph nodes of both sides that main disease is is hard do not ache, the low-grade fever is not red, uncomfortable in chest and non- easy, the mouth is bitter, the tongue is red, pulse is counted. See more the syphilis of first. Managing should clear away heat and detoxify, reduce phlegm scatteredly to form. It is added or subtracted with yellow pill of rhinoceros that square: The intersection of cow bezoar and 0.3g, the intersection of musk and 0.1g, Olibanum, have medicine all 9g. Silver flower, smilax every 10g, the saponin stings, the mountain first each 10g. 3. Empty evil falling into type: Obscene epidemic disease is poisonous to accumulates and forms, horizontal Xuan is routed and broken, qi and blood is damaged with the passing of time, straight nihility strength asks evilly to reach outside. Main disease is that the inguinal side or swelling lymph node of both sides is routed and broken, the mouth is too big to hold back with the passing of time, bad smell suppuration occasionally, the intersection of complexion and yellow little China, the intersection of spirit and tired strength, tongue quality discuss, bitter and thin and pale, pulse is timid and detailed, see and amalgamate and infect in enlargement of lymph nodes of the first stage of syphilis. Should manage angry to nourish blood benefit, support, ask evil, sterilize with Tuoli scattered to add or subtract: Prepared rhizome of rehmannia, Radix Astragali, honeysuckle, smilax every 15g, ginseng, Rhizoma Chuanxiong, Chinese angelica, root of herbaceous peony, Radix Angelicae Dahuricae, rhizome of large-headed atractylodes, Radix Platycodonis, saponin sting every 10g, licorice root 5g. 4. Heat of wind stops up the holding type; Unless there are with the passing of time on course of disease, unless to defend outside is firm to lose, unless there are evil to take advantage of a favourable situation and enter on wind, there are hot to fight on wind,so that stop up heat on on, wind hot epidemic disease malicious to take place the skin for the sore of the red bayberry while being strongly fragrant. See at the second stage of syphilis rash. Main disease crooks places such as the side, face, shank,etc. and presents scarlet rash or spot piece for the chest, waist, belly, four limbs, accompany evil to be cold and generate heat, have a headache, the mouth is bitter to swallow doing, the urine of constipation is yellow, the tongue is yellow and dry, pulse is counted, when should solve tables to manage openly, clear away heat and detoxify. Square to distribute adding or subtracting openly and holily with wind-proof: Wind-proof, Jing Qi, Chinese ephedra, rhubarb, Glauber's salt, the root of large-flowered skullcap, forsythia, mountain Zhi, Chinese angelica, Rhizoma Chuanxiong, root of herbaceous peony, rhizome of large-headed atractylodes, Radix Platycodonis every 10g, talc, gypsum every 15g, licorice root 5g. 5. Damp and hot to accumulate the forming type: And the damp and hot diseases caused by external factors that obscene epidemic disease is poisonous. It is evil and strongly fragrant on in,valve obstruct, it is skins strongly fragrant that take place as red bayberry sore. See at the second stage of syphilis rash. Main disease crook side, face, neck the intersection of place and completely white the intersection of red bayberry and rash, red bayberry and small pox or red bayberry spot appear red successively, for chest, belly, waist, four limbs, abdominal distension receives difference, half congealed, does not want to drink while being thirsty, the tongue is oily in vain, pulse Confucianism or slipping. Managing should clear away heat and detoxify and remove dampness. And then use smilax mixture: Smilax, honeysuckle every 15g, majestic fairy celestial being, root bark of shaggy-fruited dittany every 10g, Fructus Xanthii, growing licorice root every 5g. 6. The wind is poisonous to accumulate the forming type: Epidemic disease is poisonous and intrinsic with the passing of time, sink in the bone marrow, send inside and outside, and the wind is evil and strongly fragrant in the skin, become the red bayberry and form the poison everywhere. See at three issues of syphilis. Main disease pains for the muscles and bones, the sun is heavy at light night, it is swollen to form everywhere, its color is dark red before being routed, yellow water overflows but rancid after being routed, thirsty, vexed, the tongue is red, the tongue is yellow, pulse is counted, managing should expell the wind and clear away heat and detoxify. And then detoxify by searching the wind the soup is added or subtracted: Smilax, Job's tears core, wood every open 15g, silver flower, wind-proof, the papaya, root bark of shaggy-fruited dittany, saponin are stung, Chinese angelica every 10g, ginseng, licorice root every 5g.
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