Fungal Infection of Nails (Onychomycosis ) Formulae Translated by: Joe Hing Kwok Chu 按此看中文 One of the formulae can be used. Name of Formula: External formula for onychomycosis Application: fungal infection of nails Formula 1:
Composition: tu jin pi , da feng zi ruo , hua jiao , bai bu, zao ci, huang jing, bai fan , wu jia pi 15 g each，chuan wu, raw cao wu 9 g，rice vinegar 500--750 c.c.
Procedure: mince the above herbs. Soak the herbs in the rice vinegar. Shake the mixture several times a day. After one week, strain and obtain liquid and discard the herbs. Soak the affected parts for 20 to 30 minutes, 2 to 3 times a day.
Formula 2: Composition: ku fan, bai fan 30 g each，di gu pi 60 克，zhu ya zao , ce bai ye﹐ , hua jiao , xiong huang 15g each, acetic acid 10 c.c. （or in 50 c.c. 0f rice vinegar) Preparation: add water 1000 c.c. to di gu pi ，zhu ya zao , ce bai ye﹐ , hua jiao , and bring to boil. Simmer down to 600 c.c. Strain and obtain liquid and save the herbs. Add 700 c.c. water again to the herbs and simmer down to 400 c.c. Mix the 2 batches of liquid. Then add bai fan, xiong huang﹐ acetic acid or rice vinegar and mix well. Soak the affected nail(s) in the liquid for 20 to 30 minutes. Cut off the affected nail(s) with a sharp knife. Cover with gauze and fasten with tape. Apply 2 to 3 times a week until new nail comes back. Translator note: ku fan is anhydrous bai fan (alumen). When ku fan is added to water, the characteristics should be the same as bai fan. In the translator opinion, just increase the amount of bai fan and do not have to use ku fan. Internal herb formula should also be used. Usually the fungal nail infection cannot be solved unless the systemic fungal infection is also solved. Internal herb formulae will be uploaded. Drugs like Lamisil can be toxic. Lamisil (terbinafine hydrochloride) is an antifungal drug. It is used to treat fungus infections of the scalp, body, groin (jock itch), feet (athlete's foot), fingernails, and toenails. It is toxic to the kidneys and liver. Extreme caution should be used if you take Lamisil.
甲癣(tinea unguium)是指由皮肤癣菌侵犯甲板所致病变。
甲真菌病(onychomycosis)由皮肤癣菌以外的真菌包括酵母菌等侵犯甲板所致病变。 [1]
〖症狀〗
一, 甲癣在中國最常见的致病菌为红色毛癣菌 (Tinea rubrum)。
(1), 甲癣有两種类型。一種表现为白甲，常先从甲根开始，甲板表面出现小白点， 逐 渐扩 大，致甲板变软下陷。
(2) 另一種损害先从甲游离缘和侧壁开始，使甲板出现小凹陷或甲横沟，逐渐发展至甲板变脆，易碎，增厚，呈内褐色。甲下碎屑堆积常易使甲变空，翘起与甲床分离，甲板
表面凹凸不平，粗糙无光泽。
二, 甲真菌病的甲板常表现为不平，呈黑色，甲板常有轻度萎缩，而不增厚，常伴甲沟炎。 油灰甲外用藥方 方一
[来源]《外科學》
[配方]土槿皮, 大枫子肉, 花椒, 百部 , 皂刺, 黃 精, 白 礬 , 五加皮各15克，川乌, 生草乌各9克，米醋500--750毫升。
[用法]将上药切碎，加入米醋500--750毫升中浸泡，每日振荡数次，1周後去渣备用。每日浸泡患甲2--3次，每次20--30分钟。
[功效]杀虫治癣。适用于甲癣，即中医所称油灰甲。证见指（趾）甲增厚，灰褐色，或有缺损等。 方二
[来源]《新中医》（6）1989年
[配方]枯 礬, 白 礬 各30克， 地骨皮 60克，豬牙皂 , 側柏葉, 花椒, 雄黃各15克，冰醋酸10毫升（或米醋50毫升）。
[用法]先将豬牙皂 , 地骨皮 , 侧柏叶, 花椒加水1000毫升，煎至600毫升，过滤取液，将渣加适量水再煎，取滤液400毫升，将两次滤液混合後加热并投入枯矾, 白矾, 雄黄, 冰醋酸，搅溶；待温浸泡病甲20--30分钟，然後用刀削除肥厚病甲至甲床，外用纱布, 胶布固定。每周2--3次，至新甲正常生长为止。
[功效]主治甲癣。
[注意]削甲後病甲可涂克霉唑软膏Clotrimazole 及作硬塑指甲套保护。 編者按﹕ 枯礬加水後﹐其性質與白礬一樣。上方有枯礬與白礬可能多此一舉。看來加重白礬既可。 甲真菌病 常是身體內部有感染﹐ 必須內服治療。只用外治法是不能斷根的。 Tinea 是皮膚癬﹐最常見的是 红色毛癣菌 (Tinea rubrum), 小芽胞廯菌 (Microsporum), 禿髮廯菌 中(Trichophyton), 與表皮癬菌 (Epidermophyton) 所致。Unguium 是指甲。
[1]很多醫藥著作把甲癣(tinea unguium) 與 甲真菌病(onychomycosis) 混為一論。 看﹕http://www.zjtcm.net/wljx/Medicine |
中藥詞典