ABSTRACT

This condition is discussed under bleeding at muscle (Ji Nu) and Zi Dian Feng. It is caused by internal excess of heat toxins or external wind-heat toxins steaming and accumulating at Ying and blood level that manifest as purpura of the skin. In Western medicine, this is also called hemorrhagic capillary blood poisoning syndrome. It is an allergic reaction of the body to certain conditions leading to increased permeability and fragility of the capillaries. Thus there is bleeding or edema at skin, mucous membrane, and internal organs. The manifestations are frequent, symmetrical, purple spots on the skin and medial sides of the arms, hip, and legs, especially the latter. Some patients also present with swollen painful joints, abdominal pain; and hemafecia, edema, hematuria, and proteinuria. TCM treatment focuses on expelling dampness, dispersing wind, invigorating blood, cooling blood, relieving toxicity, and strengthening Spleen.