Swelling and pain in the left medial ankle with swelling of the foot

It may be vasculitis. The onset of vasculitis is relatively insidious and is often accompanied by immune system diseases. It is recommended that you go to the rheumatology and immunology department to check the complete immune system, blood routine, urine routine, and erythrocyte sedimentation rate to confirm what the disease is. , for symptomatic treatment.

Vasculitis can occur in any tissue outside the joint. It involves small to medium-sized arteries and veins. There are lymphocyte infiltration and fibrin deposition in the vessel wall, and intimal hyperplasia can lead to stenosis or blockage of the vessel lumen. Many extra-articular manifestations of rheumatoid arthritis are related to vasculitis. Rheumatoid nodules may be a granulomatous reaction following small vessel vasculitis. Rheumatoid vasculitis affects small and medium-sized arteries and may involve limbs, peripheral nerves, and internal organs. The pathology of rheumatoid vasculitis is very similar to polyarteritis nodosa, but the difference is that medium and small arteries mostly show proliferation and occlusion of the inner layer of blood vessels and rarely show inflammation. Early arterial lesions mostly show the deposition of immune complexes (immunoglobulin, complement), while late lesions show no deposition of fibrinogen.

How to treat

1. Find out the cause of the disease and treat the cause.

2. During the acute attack period, you should rest in bed as much as possible, elevate the affected limb or reduce activities as much as possible, and avoid more strenuous exercise.

3. Western medicine treatment

(1) If it is caused by infection, antibiotics can be used; if it is caused by tuberculosis bacteria, anti-tuberculosis treatment can be used.

(2) Corticosteroids: If it is an autoimmune disease, it can be chosen with caution.

4. Treatment with Traditional Chinese Medicine

This disease is equivalent to the categories of syndromes in traditional Chinese medicine such as "dampness poisoning", "lower sores", and "melons and vines entangled". The disease is caused by multiple factors: heat in the body's blood, external dampness, accumulation of dampness and heat, leading to blockage of the meridians and stagnation of qi and blood.

Common clinical syndrome types include:

1. Damp-heat accumulation type: Symptoms include redness around the nodules, conscious burning, swelling and shiny surface, and pain when touched. The nodules are higher than the skin, appearing one after another, with repeated attacks, difficult to heal over time, accompanied by joint pain, red tongue, yellow and greasy coating, and weak pulse. Slip number.

2． Qi stagnation and blood stasis type: The nodules are dark red or purple in color, and are more common in the lower limbs, especially below the knees. They are aggravated or relapsed after activity or exertion. Foot and ankle edema, conscious pain and tenderness are more obvious, and the tongue is purple or purple. There are ecchymoses, thin fur, and stringy and astringent pulse.

Traditional Chinese medicine treatment mainly focuses on strengthening the spleen and replenishing qi, activating blood circulation and removing blood stasis, clearing away heat and cooling blood, and removing freckles and dissipating stagnation. It is one of the main methods we use to treat this disease at present. The "Erythema Nodosum" developed by our center "Soup", "Zihua Yong'an Capsule" and "Yiqi Fuzheng Capsule" can be selected according to different symptoms. The treatment method is unique and the effect is significant. It can usually be cured in 2-6 months.