Sebaceous cyst

Sebaceous cysts are a very common disease. Usually, this disease does not require surgical treatment, but if the cyst is too large, it can be removed through surgery. There are many ways to treat sebaceous cysts. Traditional Chinese medicine can also treat sebaceous cysts because in traditional Chinese medicine, it is caused by dysfunction of internal organs. The following is a detailed introduction to the treatment of sebaceous cysts.

1. How to treat sebaceous cysts

1. Surgical treatment of sebaceous cysts

Surgical removal of the atheroma. Once diagnosed, the patient should undergo surgery to remove all cysts. In fact, surgery is the only way to completely solve cysts. During the operation, the skin connected to the cyst may be affected, especially the duct opening. A fusiform incision is designed along the direction of the skin grain and removed together with the cyst.

Be extremely careful during the separation process because the cyst wall is very thin, so try to remove it as completely as possible. If the cyst wall remains, it is easy to relapse. If there is redness, swelling, heat, pain, etc. before surgery, the inflammation must be controlled before surgery. How to treat sebaceous cysts

Patients with complicated infected cysts must take antibiotics, commonly used ones are enhanced sulfamethoxazole tablets and midecamycin, etc. They can also receive anti-inflammatory treatments such as hot compresses. After the inflammation is controlled, surgical resection can be performed. Patients with severe scarring may choose cosmetic treatment.

2. Treatment of sebaceous cysts with traditional Chinese medicine

Traditional Chinese medicine believes that sebaceous cysts are mainly caused by dysfunction of internal organs, which leads to internal accumulation of dampness and heat, and accumulation of phlegm and blood stasis in the skin. Treatment is divided into internal treatment and external treatment.

Internal treatment: For patients with multiple cysts, the treatment should be to clear away heat and resolve phlegm. Take 12 grams each of Artemisia capillaris, white mustard seeds, ginger pinellia, tangerine peel, 15 grams each of radish seeds, dandelion, and Scrophularia ningpoensis, 30 grams of Prunella vulgaris, raw hawthorn, and 30 grams of tea tree root. Decoction in water and take one dose a day, divided into 3 doses.

For those with secondary infection, you can use Yinpu mixture, which includes 50 grams each of honeysuckle and dandelion, 30 grams of wild chrysanthemum, 30 grams of Viola yedoensis, 20 grams each of Scutellaria baicalensis and Fleabane. Decoction in water, one dose a day, once in the morning and evening. The above prescriptions all have 7 days as one course of treatment. If the cyst is soft, painless and non-itchy, it is advisable to resolve phlegm and disperse nodules, relax muscles and tendons, and you can choose Cangfu Daotan Pills with modifications.

For the elderly, weak bodies, and those with pale flesh on the wound surface, thin pus, and difficulty in new tissue growth, it is advisable to use Shiquan Dabu Decoction with modifications to help replenish qi and nourish the body, and promote tissue growth; for those with a weak and cold constitution, Yanghe Decoction with modifications can be used. Chinese patent medicine can be selected from Qingjie tablets, 5 tablets each time, 3 times a day; Xiaojin tablets, 4 tablets each time, 2 times a day.

External treatment: mainly surgery, which can be combined with Chinese medicine to remove dead tissue and regenerate new tissue.

When the area around the cyst is red, swollen and burning, you can use a mixture of Jinhuangsan and Vaseline to apply a patch to clear away heat, detoxify and reduce swelling. When the infection becomes purulent, use a scalpel to make a cross incision for drainage, use a curette to scrape off the cyst wall as much as possible, remove the pus, then use a sterilized cotton ball dipped in a small amount of Shengdan or Qisandan, or use diluted Baijiangdan to insert into the cavity to dissolve the cyst. After the cyst wall is completely corroded, use Hongyou ointment, Jiuyidan, and finally cover with Baiyugao and Shengjisan to close the wound until the wound heals. During surgery, it is best to take Chinese medicine that clears away heat and detoxifies, promotes blood circulation and reduces swelling, or give appropriate amounts of antibiotics.

3. Folk remedies for treating sebaceous cysts

The ingredients of the Danzihuangbai Decoction are: Salvia miltiorrhiza, Lithospermum officinale, processed rhubarb, Oldenlandia diffusa, and Shenqu. In clinical practice, the dosage of medicinal ingredients can be increased or decreased according to the specific situation. For severe cysts, add wild chrysanthemum and forsythia to clear away heat and detoxify; add astragalus to drain pus.

For local itching, add cicada shells to dispel wind and relieve itching, and apply Borneol Sanhuang Powder externally. The composition of Borneol Sanhuang Powder is: borneol, Sichuan coptis root, raw rhubarb, and sulfur. Grind the four herbs into fine powder, mix with sesame oil and apply to the cyst.

Explanation of the prescription: Salvia miltiorrhiza can invigorate blood circulation and remove blood stasis. Modern studies have shown that tanshinone is antibacterial and anti-inflammatory, and there are reports of its use in the treatment of facial cysts; Lithospermum officinale cools blood and detoxifies, and modern studies have shown that it has antibacterial and anti-inflammatory effects; Rhubarb has the functions of purging fire, cooling blood, relieving constipation and detoxifying; Oldenlandia diffusa clears away heat and detoxifies, and is a good medicine for the treatment of sores, boils and swellings. Because the above four medicines are all cold in nature and may affect the spleen and stomach, Shenqu is used to protect the spleen and stomach.