How to treat papillitis?

There are many types of nipple diseases, all of which can cause headaches for women, especially papillitis. This inflammation can cause constant breast pain in women, making it impossible to wear a bra, etc. This inflammation can also affect the milk secretion of breastfeeding women and pose a certain health threat to the baby. Let's take a look at how to treat papillitis.

Mastitis is a purulent inflammation of the nipple and areola skin and glands caused by infections such as Staphylococcus aureus. It often occurs during the lactation period of women. If not handled properly, it can develop into mastitis. Traditional Chinese medicine calls this disease "nipple wind".

1. Antibiotics can be administered orally or intramuscularly. For example, cephalexin 0.25g, 4 times/d, orally; or cefadroxil (cefotaxime) 0.25g, 4 times/d, orally; or lincomycin (lincomycin) 0.25g, 3 times/d, orally; erythromycin 0.5g can be used, orally, 2 times/d.

2. Application of Chinese medicine Traditional Chinese medicine believes that this disease is related to "liver qi stagnation and internal heat stagnation", and the treatment principle should be "soothing the liver, promoting qi, clearing heat and detoxifying". Commonly used Chinese herbal medicines include:

(1) Burdock Soup: 9g each of cooked burdock, raw gardenia, honeysuckle, and forsythia, 12g each of whole burdock (crushed), dandelion, 4.5g each of tangerine peel and tangerine leaves, 6g of bupleurum, and 9g of phellodendron. Decoction in water, 1 packet per day.

(2) Drink for sores and ulcers: 9g each of pangolin beads, soapberry, angelica root, radix trichosanthis, and dried tangerine peel, 6g each of frankincense and myrrh, 30g each of honeysuckle, red peony root, and dandelion. Decoction in water, 1 serving per day. This prescription has the effects of promoting blood circulation and removing blood stasis, clearing away heat and detoxifying, and reducing swelling and softening hard masses.

(3) Take 1 whole piece of Rhizoma Corydalis (weighing 100-200g), decoct it in water and apply the residue to the affected area while it is still hot.

(4) Take 60-120g of fresh dandelion and 30-60g of green onion, mash them into a paste, apply it to the affected area, tie it tightly with a bandage or triangular bandage, and change the dressing once a day.

3. Abscess incision and drainage: For patients with subareolar cellulitis or abscess, incision and drainage should be performed. In order to prevent damage to the sebaceous glands in the areola and the formation of milk fistula, the following points should be noted during surgery: ① Make an arc-shaped incision along the edge of the areola. ② After cutting the skin and subcutaneous tissue, insert vascular forceps or fingers into the abscess cavity to stretch the abscess cavity partitions one by one to facilitate drainage. ③ When using vascular clamps to open the abscess cavity, it should be parallel to the areola skin and expanded close to the areola skin. Do not enter too deep or perpendicular to the mammary duct to avoid damaging the lactiferous duct.