Management of Recurrent Nasal Vestibular Furunculosis by Jalaukāvacaraṇa and Palliative Treatment.

Amol Sudhakar Kadu, Dhirajsingh Sumersingh Rajput, Sourabh G Deshmukh
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引用次数: 6

Abstract

Nasal vestibular furunculosis is a common bacterial skin infection among the general population mostly affecting adults and children. It is characterized by acute localized infection of hair follicle in the skin lining of the nasal vestibule caused by Staphylococcus aureus. Immunodeficiency also plays an important role in recurrent skin and soft tissue infections (SSTI) including Nasal furunculosis. Though, the lesion is small, it is extremely painful and tender. Treatment is mostly conservative which consists of warm compresses, analgesics to relieve pain, topical and systemic antibiotics directed against staphylococcus. With rapidly increasing resistance to antibacterial agents, management of these bacterial infections is becoming increasingly difficult. In Ayurveda, it can be correlated with Nāsāruṇaśikhā (Nasal furunculosis). Morphologically, it appears like pīḍikā (Furuncle) which is characterized by Rāgayuktaśotha (inflammation with reddening. Jalaukāvacaraṇa (Leech therapy) is one of the ancient and important parasurgical procedures described in Ayurveda for treatment of various diseases. In this case, a leech has been applied at the affected area. After leech treatment, throbbing pain was reduced in its intensity followed by gradual reduction in swelling and reddening in two days. This case suggests the utility of leech application in Nasal vestibular furunculosis.

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Jalaukāvacaraṇa治疗复发性鼻前庭疖病及姑息治疗。
鼻前庭疖病是一种在普通人群中常见的细菌性皮肤感染,主要影响成人和儿童。它的特征是由金黄色葡萄球菌引起的鼻前庭皮肤内膜毛囊急性局部感染。免疫缺陷也在复发性皮肤和软组织感染(SSTI)中起重要作用,包括鼻疖病。虽然病灶很小,但非常疼痛和柔软。治疗大多是保守的,包括热敷,止痛剂,局部和全身抗生素直接针对葡萄球菌。随着对抗菌剂的耐药性迅速增加,这些细菌感染的管理变得越来越困难。在阿育吠陀,它可以与Nāsāruṇaśikhā(鼻疖病)相关。形态学上表现为pīḍikā(疖),其特征为Rāgayuktaśotha(炎症伴发红)。Jalaukāvacaraṇa(水蛭疗法)是阿育吠陀中描述的用于治疗各种疾病的古老而重要的辅助外科手术之一。在这种情况下,已经在患处应用了水蛭。水蛭治疗后,搏动痛的强度减轻,肿胀和发红在两天内逐渐减轻。本病例提示水蛭在鼻前庭疖病中的应用。
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