A case of allergic cheilitis caused by tetrodotoxin poisoning treated by Professor Lü Wenliang from the perspective of “internal retention of wind-toxicity”
YAO Ziang1 QIANG Rui2 ZHANG Lili2 LYU Wenliang2
1.Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China;
2.Department of Infectious Diseases, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
Abstract:Puffer fish poisoning is a relatively rare type of food poisoning. At present, there is no specific antidote for puffer fish poisoning. It is necessary to induce vomiting, gastric lavage, and diuresis as soon as possible to promote the discharge of toxins and symptomatic treatment. This case reports a rare case of recurrent allergic cheilitis due to puffer fish poisoning in a patient without a previous history of food allergy. Professor Lü Wenliang clinically combined with his medical history and pathogenesis, and proposed that the traditional Chinese medicine syndrome differentiation characteristics of tetrodotoxin should be “wind-toxin mainly, and with fire carries dampness”, with “the residual toxin is not clear, the wind toxin is embedded” as the pathogenesis, with “softening liver and dispelling pathogenic wind” as the core treatment method, taking into account “clearing heat and removing toxicity, invigorating spleen for eliminating dampness”, and using traditional Chinese medicine to treat allergic cheilitis secondary to tetrodotoxin poisoning. This case is relatively rare and has remarkable curative effect. It is hereby reported for the benefit of colleagues, aiming to supplement and enlighten the traditional Chinese medicine treatment of allergic cheilitis secondary to puffer fish poisoning.
姚子昂1 强睿2 张丽丽2 吕文良2. 吕文良教授从“风毒内伏”论治河鲀毒素中毒后继发过敏性唇炎1例[J]. 中国医药导报, 2022, 19(32): 184-188.
YAO Ziang1 QIANG Rui2 ZHANG Lili2 LYU Wenliang2. A case of allergic cheilitis caused by tetrodotoxin poisoning treated by Professor Lü Wenliang from the perspective of “internal retention of wind-toxicity”. 中国医药导报, 2022, 19(32): 184-188.