L Green tea, black sesame and refined salt 1 g each, mixed with a little physiological saline, and mashed into mud. After routine skin disinfection, apply the medicine to paronychia, change the medicine 1 time every day, and continue to use the medicine for 2~ 4 times. Do not touch the affected area with water during application.
2. Coptidis Rhizoma and Radix et Rhizoma Rhei are equally divided, washed, dried and ground for later use. When used, it is mixed with vinegar (diluted if used by children), externally applied to the affected area, and replaced after daily cleaning.
3. 50 grams of fresh cactus, after deburring, mash it into paste, add 2 grams of salt and 6-8 drops of safflower oil, mix well and put it in a container for use that day. During treatment, apply appropriate amount of the above ointment to the affected part and wrap it with gauze. Change medicine every morning and evening 1 time, 4 days is 1 course of treatment.
4. Wash the fresh verbena properly, mash it with a little salt, apply it to the affected area, and change the dressing every day 1 time. Generally, symptoms will be relieved in L-3 days, and it will be fine in 5 days. Verbena can clear away heat and toxic materials, reduce swelling, dissipate blood stasis and expel pus, inhibit a variety of bacteria, and is rich in medicinal resources.
5. Take ebony, wrap it in a wet towel, take out the core from the meat after wetting, apply it to the affected area with the inner side of ebony meat and fix it, and change the dressing every morning and evening 1 time. Most of them can be cured within 1-3 days. If it has become pus, you can use anti-inflammatory drugs first, and then use it after the pus is discharged.
Comparison of treatment methods for paronychia
Iodine daubing and soaking
As long as the toes are slightly damaged or broken, wipe or soak the affected toes with iodine, 4-6 times a day, each time15-20 minutes, until the skin turns white, and use the disinfection effect of iodine to corrode the diseased skin tissue and make it grow again to prevent paronychia.
Traditional Chinese medicine application
External application of traditional Chinese medicine is a kind of conservative treatment, which has the functions of detumescence, analgesia and detoxification, and is suitable for early patients with paronychia. General hospitals apply fish fat ointment or Sanhuang powder to the affected area. Zhang Yingchun, Deputy Chief Physician of Chinese Medicine Department of Hubei Maternal and Child Health Hospital, prepared "Quyu Ointment", which has obvious curative effect on newly suppurated toes. A course of "Quyu Ointment" is about 90 yuan, and eating hair is prohibited at the same time.
nail pulling
In fact, nail pulling can't cure paronychia, especially paronychia caused by ingrown toenails, because the two sides of toenails curl and grow into the meat, and when walking, the soft tissue on the edge of toenails will be cut, forming "ingrown toenails" and finally causing paronychia. Nail removal can only remove the deck, but has no effect on nail groove and nail bed. The newly grown nail plate will continue to grow into the meat, and it is also nail ingrowth, pain and paronychia. There have been records of patients pulling out their nails four or five times a year.
Nail groove plasty
The nail groove plasty by Professor Wu Lianlian from the Department of Plastic Surgery, Zhongnan Hospital of Wuda University has fundamentally solved the problem of deck curl growth. The specific method is to make a vertical zigzag incision from the nail root of the patient to the nail groove through the nail edge, and cut off the deck and nail bed near the nail groove together with the inflammatory granulation tissue, and shape a brand-new nail groove together with the soft tissue outside the nail groove to make the deck straight. Nail groove plastic surgery only needs outpatient surgery.
paronychia
Source: Shanghai Union Medical College Hospital: Date: 2004- 1 1
abstract
The proximal side of the nail (nail root) is closely connected with the skin, and the skin extends distally along the nail to form a nail groove. Paronychia is an infection of nail groove or its surrounding tissues. Most of them are caused by minor stab wounds, contusions, barbs (reverse peeling) or too deep nail cutting, and most of the pathogens are Staphylococcus aureus.
diagnose
1. The proximal end of one finger, toenail or bilateral nail groove is red, swollen and painful, followed by pus, and granulation tissue can be seen after pus discharge.
2. When the infection spreads to the nail bed, local pus accumulation can make the whole finger and toenail float and fall off.
Treatment measures
Early hot compress, physical therapy, fish fat cream or Sanhuang powder for external use, etc. And use iodonium drugs or antibiotics.
If there is pus, it can be cut and drained longitudinally at the nail groove. When the infection has involved the subcutaneous periphery of the nail root, vertical incision can be made in the nail groove on both sides, and the nail root epithelial sheet can be turned up to remove the nail root, and a small piece of vaseline gauze or latex sheet can be placed for drainage. If pus has accumulated under the nail bed, the nails should be removed or cut off from the pus cavity. Pay attention to avoid damaging the nail bed when pulling out nails, so as to avoid new nail deformity in the future.
clinical picture
At first, the subcutaneous tissue on one side of the nail was red, swollen and painful, and some of them could subside on their own, while others festered quickly. The pus spreads from one side of the nail groove to the subcutaneous part of the nail root and the opposite nail groove, forming a semicircular abscess. Most paronychia has no systemic symptoms. Without incision and drainage, the abscess can spread to the subnail and become a subnail abscess (Figure 1). Yellow and white pus can be seen under the nail, which separates the nail from the nail bed. Subphalangeal abscess can be caused by foreign body directly stabbing nails or traumatic hematoma infection under nails. If not treated in time, it can become chronic paronychia or chronic phalangeal osteomyelitis. Chronic paronychia, there is a small pus sinus near the nail groove, and granulation tissue protrudes outward. Chronic paronychia can sometimes be secondary to fungal infection.
Figure 1 Subnasal Abscess
You can't cut your nails too short. Fingers with minor wounds can be coated with iodine and wrapped with sterile gauze to avoid infection.
Iodine daubing and soaking
As long as the toes are slightly damaged or broken, wipe or soak the affected toes with iodine, 4-6 times a day, each time15-20 minutes, until the skin turns white, and use the disinfection effect of iodine to corrode the diseased skin tissue and make it grow again to prevent paronychia.
Traditional Chinese medicine application
External application of traditional Chinese medicine is a kind of conservative treatment, which has the functions of detumescence, analgesia and detoxification, and is suitable for early patients with paronychia. General hospitals apply fish fat ointment or Sanhuang powder to the affected area. Zhang Yingchun, Deputy Chief Physician of Chinese Medicine Department of Hubei Maternal and Child Health Hospital, prepared "Quyu Ointment", which has obvious curative effect on newly suppurated toes. A course of "Quyu Ointment" is about 90 yuan, and eating hair is prohibited at the same time.
nail pulling
In fact, nail pulling can't cure paronychia, especially paronychia caused by ingrown toenails, because the two sides of toenails curl and grow into the meat, and when walking, the soft tissue on the edge of toenails will be cut, forming "ingrown toenails" and finally causing paronychia. Nail removal can only remove the deck, but has no effect on nail groove and nail bed. The newly grown nail plate will continue to grow into the meat, and it is also nail ingrowth, pain and paronychia. There have been records of patients pulling out their nails four or five times a year.
Nail groove plasty
The nail groove plasty by Professor Wu Lianlian from the Department of Plastic Surgery, Zhongnan Hospital of Wuda University has fundamentally solved the problem of deck curl growth. The specific method is to make a vertical zigzag incision from the nail root of the patient to the nail groove through the nail edge, and cut off the deck and nail bed near the nail groove together with the inflammatory granulation tissue, and shape a brand-new nail groove together with the soft tissue outside the nail groove to make the deck straight. Nail groove plastic surgery only needs outpatient surgery.