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Important
Note: Although
the information in this section was written by Healthphone.com's Healing
Centre Panel of professional Chinese doctors, licensed acupuncturists,
herbalists and other experts, Healthphone.com accepts no legal responsibility
nor liability for any errors or omissions. The information in this section
is presented as is, for educational purposes only. As with any medical
matter, always consult your healthcare professional before acting
on any health-related information.
Click
here to learn more about our Healing Centre Panel.
Å~¯g
1.
Overview and Causes
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Fungal infection,
also called tinea, is an infectious mycosis of the skin, due to
a fungal intrusion of the skin, hair, or nails. Common cases include
hand-foot tinea, tinea corporis, tinea cruris, tinea unguium, tinea
capitis and tinea versicolor. It has a high incidence rate in warm
seasons and warm areas.
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2. Symptoms
(a)
Hand- foot tinea: The skin lesion is in most cases limited to the
palm, sole, and between the toes. It causes itching, burning, and
stinging sensations. The skin between the toes reddens, cracks open,
and crumbles. In extreme long-lasting cases, the toenails may become
infected, discolored, and overgrown. The fungus may spread to underside
of foot, beneath the arch, producing groups of itching blisters
and peeling of the skin.
(b) Nail tinea (onychomycosis): It results mainly from the
spreading of hand-foot tinea. Its clinical manifestations include
thick growth of the nail edge or the whole nail, with rough and
uneven surface, loss of luster, opaqueness of the nail and the colour
turning gray. The surrounding cuticle may become red, tender, and
swollen, and ooze pus if a bacterial infection accompanies. It is
also manifested by crispness of the affected nail, which is often
incomplete or misshaped, but painless.
(c) Tinea corporis and Tinea cruris: Tinea on the face, neck,
torso or limbs is classified as tinea corporis. Tinea cruris refers
to those on the inside surface of the upper end of the thigh, including
those, which spread to the genital organs or buttocks. It is manifested
by ring- shaped or multi-ring-shaped erythemas with clear and prominent
boundaries, papular eruptions, vesicles (lesion filled with clear
fluid), scabs, which are mostly near the boundaries. The affected
area may be extremely itchy.
(d) Tinea capitis: This is a kind of surface mycosis on the
scalp and hair, found mainly among children. At first, there appear
papular eruptions on the hair follicles. These are covered with
grayish, or yellowish, or white scales. The scales may join together,
or spread separately. The affected hair is dry and crisp, and gradually
it begins scaling off unevenly. Later, the hair follicles become
damaged, may result in permanent scars. The scalp itches and smells.
The course is chronic.
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3. TCM Effectiveness
and Evaluation
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It is the treatment of choice for fungal infection. It has
been successfully used in Asia to treat fungal infection. It can
be used alone, or in conjunction with other methods. However, the
prevention is a very important factor in the treatment process,
because the infection often relapses.
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4.
Common Syndromes and Treatments in TCM
This ailment, according to TCM,
has different syndromes. The treatment for these syndromes using herbal
medicine and acupuncture is shown below.
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External
treatment is the main treatment applied in fungal infection diseases.
Syndrome
(a)
Hand-
foot tinea
Lotion: Zhiyang Xiyao; or Qufeng Xiyao. Choose one of those
two formulas. Steam and cleanse the affected part while the decoction
is warm.
Tincture: Apply the Fufan Tujingpi Ding to the affected part.
Acetum: Soak the affected part twice a day in Huoxiang Cujing
Ji.

To treat by Acupuncture and Moxibustion
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Syndrome
(b)
Nail
tinea (onychomycosis)
Acetum: Soak the affected part in Huoxiang Cujing Ji twice
a day.
Lotion: Soak the affected part in the infusion (formulated
as below) twice a day, each time lasting 20-30 minutes.
Ingredient: Herba Schizonepetae 18g, Radix Ledebouriellae
18g Semen Hydoocapi 18g Spina Gleditsiae 15g Flos Persicae 15g Cortex
Lycii Radicis 15g Alumen 12g
Method: Soak the above ingredients in 1500 grams of
white vinegar for seven days. Then it is ready to use.
During the treatment, the softened portion of the diseased nail
should be gently scraped regularly with a clean blade.
To treat by Acupuncture and Moxibustion
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Syndrome
(c)
Tinea
corporis and Tinea cruris
Tincture 1: Apply Fufang tujingpi Ding to affected part two
or three times daily.
Tincture 2: Sock 60 grams of Radi et Rhizoma Rhei (tudahuang)
in 250 ml alcohol (density: 75%) for three days before being filtered
for external application, two or three times daily.
To treat by Acupuncture and Moxibustion
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Syndrome
(d)
Tinea
capitis
Lotion: Wash the hair every day with the decoction of 30
grams of Fructus Cnidii (shechuangzi).
Ointment: Apply Xunhuang ointment to affected part twice
daily.
To treat by Acupuncture and Moxibustion
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5. Healing by
Other Therapies
(a) Qigong and other therapies



For
effect of Qigong on the Nervous System Function, click here.
Generally speaking,
Qigong is good for healing effect of this specific ailment, however
individual results may vary. It improves the flow of the qi and
the circulation of the blood, so you'll experience more energy,
but, you won't see/ feel any immediate effects, as with many exercises
and therapies, it takes a few weeks or even months of practice before
you'll see any significant improvements.
The following
types of Qigong may help:
For the information
of different types of Qigong ,just click a link above.
This information
is for education purpose only. We strongly advise you seek a licensed
Qigong master to learn the correct ways to conduct these exercises
before attempting them.
(b) Medicated diet
1)
Coix seed (yiyiren) 50g, Atractylodes rhizome (cangzhu) 10g, make
soup to eat once a day.
2) Glabrous Greenbrier Rhizome(tufuling) 15g. Decoct it and drink
the soup as tea, one dose a day, continue some days if necessary.
(c) Life style
1) Prevention of Hand and Foot Tinea:
Keep the feet and hands clean and dry, especially during the hot
summer months. Use dusting and drying powder to keep the feet dry.
Separate your toes with small wads of cotton when you are sleeping.
Basins and towels for foot washing and slippers, etc. should not
be exchanged. The shoes, socks should be frequently changed, washed
and dried in the blazing sun.
2) Prevention of Nail Tinea: Fingernails and toenails should
be dried thoroughly after bathing. Footwear should be changed often
if feet tend to perspire. Thorough drying eliminates the moisture
that fungi thrive in.
3) Prevention of Tinea corporis and Tinea cruris: Keep
the body clean and dry, especially during the hot weather. Bathing
towels and cloths should not be sheared with someone who has fungal
infection.
4) Prevention of Tinea Capitis: The hats, pillows, and combs
that have been used by the patient must be sterilized before use
again. Tools and devices for hair cutting must be strictly sterilized.
The disease should be treated as early as possible after discovery.
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Acknowledgments:
Healthphone.com greatly acknowledges
the support and dedication of our
Healing Centre Panel, without whom this section
would not be possible.
We also greatly
acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms.
Munir simplified the highly technical medical documents into easy-to-read
documents, for the enjoyment and education of our numerous visitors.
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