Paronychia, also known as furuncle along the claw, is a purulent infection of the tissue around the nail caused by minor local injury. It starts with redness, swelling and severe pain on one side of the nail or at the root of the nail, and then gradually suppurates and accumulates under the nail. Sometimes, a subungual abscess forms. After ulceration, chronic inflammation often occurs due to poor drainage of pus. Here are some prescriptions for external treatment with traditional Chinese medicine. l. Take 1 gram each of green tea leaves, black sesame seeds, and fine table salt, add a little saline, mix, and mash into mud. After routine disinfection of the skin, apply the medicine to the paronychia area, change the dressing once a day, and apply the medicine 2 to 4 times continuously. Do not allow the affected area to get wet during application. 2. Take equal parts of coptis and rhubarb, pick them up, dry them, and grind them into powder for later use. Before use, mix thoroughly with vinegar (if it is for children, the vinegar can be diluted and used), apply it externally to the affected area, and replace it after cleaning every day. 3. 50 grams of fresh cactus, remove the thorns and pound into a paste. Add 2 grams of salt and 6 to 8 drops of safflower oil. Mix thoroughly and place in a container for later use. Use and prepare on the same day. During treatment, take an appropriate amount of the above ointment and apply it externally on the affected area, and wrap it with gauze. The dressing should be changed once in the morning and once in the evening, and 4 days is a course of treatment. 4. Wash an appropriate amount of fresh verbena, mix it with a little salt and mash it, apply it to the affected area and bandage it. Change the dressing once a day. Generally, the symptoms will be relieved in 1 to 3 days, and the disease will be cured in 5 days. Verbena can clear away heat and detoxify, reduce swelling, remove blood stasis and expel pus. It has inhibitory effects on a variety of bacteria and is rich in medicinal sources. 5. Take the black plum and wrap it with a wet towel. After moistening, remove the flesh and remove the core. Use the fleshy inner surface of the black plum to apply externally to the affected area and fix it. Change the dressing once in the morning and once in the evening. Most cases can be cured within 1 to 3 days. If pus has formed, anti-inflammatory drugs can be used first, and the method can be used after draining the pus. The treatment methods for paronychia are as follows: Apply and soak with iodine. Whenever there is a little trauma or damage to the toe, apply or soak the affected toe with iodine, 4 to 6 times a day, for 15 to 20 minutes each time, until the skin turns white. Use the disinfectant effect of iodine to corrode the diseased skin tissue and allow it to regrow to prevent paronychia. Traditional Chinese Medicine Application Traditional Chinese Medicine Application is a conservative treatment method. It functions to reduce swelling, relieve pain, and detoxify. It is suitable for patients with early paronychia. In general hospitals, Ichthyostatin ointment or Sanhuang powder is applied externally to the affected area. Zhang Yingchun, deputy chief physician of the Department of Traditional Chinese Medicine at Hubei Maternity and Child Health Hospital, has prepared a "desilting ointment" for newly suppurated toes. The "decontamination ointment" is about 90 yuan for a course of treatment. While applying it, keep your mouth closed. Eat fat. Nail removal In fact, nail removal cannot cure paronychia, especially paronychia caused by ingrown toenails. This is because the toenails curl up on both sides and grow into the flesh. When walking, the soft tissue at the edge of the nails will be cut, forming " "Ingrown toenail", eventually leading to paronychia. Nail removal can only remove the nail flakes, but has no effect on the nail groove and nail bed. The newly grown nails will continue to grow into the flesh, causing ingrown toenails, pain, and paronychia. A patient once had his nails removed after one year. Four or five records. Onychoplasty Professor Wu Liansheng from the Department of Plastic and Cosmetic Surgery at Zhongnan Hospital of Wuhan University uses onychoplasty to fundamentally solve the problem of nail curling and growth. The specific method is to start from the patient's nail root, make a straight "Z"-shaped incision through the nail edge to the nail groove, remove the nail patch and nail bed near the nail groove together with the inflammatory granulation tissue, and use the soft tissue outside the nail groove to Create a new nail groove so that the toenails can grow straight. Paronychioplasty requires only an outpatient procedure. Paronychia Overview The proximal side of the nail (nail root) is closely connected to the skin, and the skin extends distally along both sides of the nail to form a nail groove. Paronychia is an infection of the paronychia or the tissue surrounding it. It is mostly caused by injuries such as tiny puncture wounds, contusions, barbs (reverse peeling) or excessively deep nail cutting. The pathogenic bacteria are mostly Staphylococcus aureus. Diagnosis 1. The proximal end of the nail groove on one or both sides of the finger or toenail becomes red, swollen, and painful, and then pus spots appear, and granulation tissue can be seen after the pus discharges. 2. When the infection spreads to the nail bed, local accumulation of pus can cause the entire finger and toenail to float and fall off. Treatment measures: In the early stage, hot compress, physical therapy, external application of Ichthyostatin ointment or Sanhuang powder, and iodoamine or antibiotics can be used. If pus already exists, longitudinal incision and drainage can be made at the nail groove. When the infection has affected the subcutaneous surroundings of the nail base, longitudinal incisions can be made in the nail grooves on both sides, the epithelial sheet of the nail root is turned up, the nail root is removed, and a small piece of Vaseline gauze or latex sheet is placed for drainage. If pus has accumulated under the nail bed, the nails should be pulled out or the nails above the abscess cavity should be cut off. When removing the nail, care should be taken to avoid damaging the nail bed to avoid deformation of the new nail in the future. Clinical manifestations: At the beginning, the subcutaneous tissue on one side of the nail will appear red, swollen, and painful. Some may subside on their own, while others may rapidly suppurate. The pus spreads from one side of the nail groove to the subcutaneous part of the nail root and the opposite side of the nail groove, forming a semi-circular abscess. Paronychia often has no systemic symptoms. If it is not incised and drained, the abscess can spread to the subungual and become a subungual abscess. Yellow-white pus can be seen under the nail, causing the nail to separate from the nail bed. Subungual abscess can be caused by a direct puncture of the nail by a foreign body or by a traumatic hematoma infection under the nail. If not treated in time, it can become chronic paronychia or chronic phalangeal osteomyelitis. In chronic paronychia, there is a small sinus opening next to the paronychia, and granulation tissue protrudes outward. Chronic paronychia can sometimes be secondary to fungal infection. Don't cut your nails too short. If there is a small wound on the finger, you can apply iodine tincture and wrap it with sterile gauze to protect it to avoid infection. Apply iodine and soak it. As long as there is a little trauma or damage to the toe, rub or soak the affected toe with iodine, 4 to 6 times a day. 15 to 20 minutes each time until the skin turns white. Use the disinfectant effect of iodine to corrode the diseased skin tissue and allow it to grow again to prevent paronychia.
Traditional Chinese Medicine Application Traditional Chinese Medicine Application is a conservative treatment method. It functions to reduce swelling, relieve pain, and detoxify. It is suitable for patients with early paronychia. In general hospitals, Ichthyostatin ointment or Sanhuang powder is applied externally to the affected area. Zhang Yingchun, deputy chief physician of the Department of Traditional Chinese Medicine at Hubei Maternity and Child Health Hospital, has prepared a "desilting ointment" for newly suppurated toes. The "decontamination ointment" is about 90 yuan for a course of treatment. While applying it, keep your mouth closed. Eat fat. Nail removal In fact, nail removal cannot cure paronychia, especially paronychia caused by ingrown toenails. This is because the toenails curl up on both sides and grow into the flesh. When walking, the soft tissue at the edge of the nails will be cut, forming " "Ingrown toenail", eventually leading to paronychia. Nail removal can only remove the nail flakes, but has no effect on the nail groove and nail bed. The newly grown nails will continue to grow into the flesh, causing ingrown toenails, pain, and paronychia. A patient once had his nails removed after one year. Four or five records.