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Acute liver failure appropriate technology of traditional Chinese medicine

 

        Acute liver failure is by DuoZhong causes of acute large necrosis of liver cells, or liver cell organelles serious function obstacle, the progress in the short term to hepatic encephalopathy a syndrome. The illness itself, the 12 to 24 hours after jaundice, 2 ~ 4 days after a coma, and a bleeding tendency, in explosive viral hepatitis, acetaminophen poisoning, fluorine silane anesthesia poisoning, pregnancy acute fatty liver etc, rate as high as 80% ~ 90%. The disease of traditional Chinese medicine "urgent yellow" category. Also called "epidemic disease yellow", "wen yellow".

        Syndrome differentiations

        Evil in gas points: rapid onset, and yellow eyes, gradually, dark yellow urine, and the heat vexed thirsty, the face also rich, irritable or god faint ZhanYu, nausea, dry mouth mouth bitter, abdominal distension flank pain and constipation, tongue qualitative scarlet, moss yellow greasy, pulse string slippery number.

        Evil to the camp blood: the body hot night very, body eye color yellow as gold, urinate short and drown deep yellow color, stalking, rib pain, god faint ZhanYu, sleepiness be darkened, or shock flapping tics, or dries, hematemesis, blood, urine the blood stool, skin macula, or abdominal distension has water, tongue quality red Jiang, moss yellow dry, pulse string count.

        Syndrome differentiation and treatment

        1. The evil in the gas points

        [comes] qingrejiedu, lishi retreat to yellow.

        [herbs] feed ChenHao soup (synopsis of golden chamber) flavored: main drug: feed ChenHao, gardenia, rhubarb, can add gazelles trumpets of RAMS 'horns, i. indigotica demonstrate niudali, le, and baiji, dandelion, honeysuckle strengthen hot alexipharmic effect.

        If evil ChiCheng heat, high fever is not retreated, add gypsum altogether clear heat, purging fire; Evil in the heat, and god HunZhe blinds our eyes shut, tone takes Ann palace to begin to understand god bezoar shot up. The stomach on the inverse inverse ou gas, and she would, rhizoma coptidis bamboo and stomach drop inverse; The right flank pain, of damp and hot accumulate knot, collaterals stasis sluggish, and radix, yuan hu, turmeric to ShuGan lidan, remove the pain; Often the abdominal distension stuffy, for setting gas impassability, add of frutus aurantii immaturus were, cortex magnoliae gas line the setting.

        2. The camp and blood

        [comes] clear camp cool blood, detoxification save Yin.

        [herbs] XiJiao scattered (the daughter YaoFang ") to $XiJiao hope (the daughter YaoFang ") : major drug: XiJiao (water ox horn generation), rhizoma coptidis, cohosh, gardenia, gall, born dihuang, peony skin, root. Take the above not effect, to serve hot drink clear manufactured. If the body yellow eyes, state interference as crazy, gradually to coma, breathing the air thick, s throat phlegm Ming, red tongue moss HuangHou greasy, pulse slippery number, is phlegmy in fire rao, put to appropriate qingrejiedu, polyester phlegm begin to understand, party to synchronize the rhinoceros with three juice drinks (the reschedule the wide tepid theory ").

        Appropriate technology

        1. The acupuncture therapy

        (1) the main point: (1) the liver, bravery yu yu, rows, sp9; (2) the big vertebral, to Yang Ming, medical, inside shut; and (3) the liver, spleen, yu yu emmeniopathy, YangLingQuan. Choose a group of acupuncture point daily, strong stimulation, not LiuZhen. Match point: coma: people, all the valley, springs, ten xuan (bloodletting); Be agitated: inside pass, god door; Hiccups: shut in, all the valley, sp9, midriff yu, in wan (or atropine 0.5 mg for point injection); Abdominal distension: sp9 (available at this point injection vitamin B1100 mg), also can use WuZhuYu fry the heat with cloth package hot compress periumbilical.

        (2) main point: the candidate, ten, all the valley, promote emmeniopathy, match with big hole in the vertebral, customs clearance, FengLong, springs, strong stimulation, not LiuZhen, with diarrhea method, used for god faint closed syndrome; Main point: grain liao, too abyss, after a walk, match with acupuncture point and valley, the palace, sp9, nourishing ping xie method, and add the sticks, shut, gas in the sea, for god faint off card.

        (3) HuangXuan back the da-zhui, liver yu, all the valley, inside shut; and Stop bleeding choose blood, springs of water; Begin to understand a candidate, 10, in mission will; Choose QuChi carambola detoxification, all the valley, big vertebra. Methods: use of diarrhea, get the needle feeling, LiuZhen 10 minutes.

        2. Stick apply therapy

        (1) with gall 30 grams, ginger, two pieces of, with dao, stick apply his chest, 24 hours after take off.

        (2) ShiSuan root 10 g, 3 g maren labyrinth, were beaten such as mud and stick apply springs acupuncture point, external use gauze fixed. The attending urgent yellow with GuZhang.

        (3) use the buttercup stem root 10 to 20 grams, dao lousy, stick apply at point of listed 24 hours, that local happen blister. If the blister is too big, can smoke in dry blister liquid.

        (4) is five, a little salt, broke lousy such as mud and stick apply monolith acupuncture point, long cover gauze, treating the acute yellow with vomiting.

        3. Enema treatments

        With the big bear gas soup or bezoar bearing gas soup, strong Fried to 60 ml, retention enema, every 6 hours at a time.

        4. Nose drops therapy

        (1) TingLi son 10 grams, big jujube 15 grams, money grass 30 grams, two ugly 5 g and ji 3 g, qiang work 5 grams, Fried BiSi soup. Put to hurry yellow with coma.

        (2) using a balsam pear, broke lousy, sacks ground take juice, keep the bottle to spare, every time 1 ~ 2 drops, drip into the nasal.

        5. Wine therapy

        (1) prescription: rushes root 120 grams. Usage: with wine, and the water rushes root half and half, into the container cook in half day; Dew night, depending on the drink. Points time served wine juice temperature. The attending hot and humid jaundice.

        (2) prescription: towel gourd root article 5, yellow rice wine right amount. Usage: towel gourd root dao lousy, a bowl of boiling water frying number, slag, take HouWen juice, with yellow rice wine against the clothing.

        6. Chu nasal therapy

        Melo's 10 grams, at the end of the research Chu nose, several times daily, yellow as it is, the more water.

        7. Cha medicine method

        Feed ChenHao a, ginger, a piece of, dao lousy, brush the chest, arms and legs.

        8. Proprietary Chinese medicine

        (1) Ann palace bezoar pill: every time a pill, 3 times a day.

        (2) his treasure Dan: every time a pill, 3 times a day, oral or BiSi.

        (3) dew disinfection Dan: each take 9 g, 3 ~ 4 times daily.

        (4) coptis chinensis qing pill: every time 6 g, 3 times a day.

        (5) the cow musk scattered: by artificial bezoar, cloves, stone calamus 3 copies each, musk a, gazelles horns powder October, saffron 7 sets, above the medicine research at the end of the fine of and into. Every time taking 0.85 grams, twice daily (in severe cases, every 3 hours at a time), and even served 2 ~ 5 days.

        (6) god Titan Dan: suitable for hot deep poison heavy, god the ZhanYu faint. 9 g each oral, twice a day.

        (7) the purple snow Dan: suitable for limb tic, god the ZhanYu faint. Oral 1 ~ 2 grams every time, twice a day.

        (8) Sue and sweet pill: suitable for opening out the partial shut god cold. Every time a oral pill, twice a day.

        (9) jade atlas and Dan: Lord including musk, mountain CiGu, thousands of frost, XiongHuang gold, ji, Spanish red, WuBeiZi, function detoxification swore monarch. Apply to frequent the vomit not only.

        9. Chinese medicine injection

        (1) clear open spirit injection: 80 milliliter join 5% glucose liquid 300 milliliter inside, intravenous drip, daily 1 ~ 2 times.

        (2) the gd yellow injection mold: 40 ~ 100 milliliter join 5% in 250 ml glucose liquid, intravenous drip, once a day.

        (3) to get a brain static injection: 20 ml join 10% glucose injection in 200 ml, intravenous drip, daily 1 ~ 2 times.

        (4) ShuangHuangLian FenZhenJi: 3 ~ 4.2 g join 5% glucose injection of 500 ml intravenous injection, once a day.

        (5) calamus turmeric injection: every milliliter dislinguished, turmeric with each 2 g, commonly used this drug is 10 to 20 ml, adding 10% glucose solution in 250 ml, intravenous drip, twice daily; In 2 ml or intramuscular injection, daily 4 ~ 6 times.

        (6) clear liver injection: by the gall, gardenia, rhubarb, turmeric, MaoDongQing made from such as. This medicine used 20 to 40 ml, adding 10% glucose solution in 250 ml, intravenous drip.

        (7) clear solution injection: only by its, honeysuckle, cane, root, dandelion made from such as. Every time the medicine with 80 ~ 100 ml, adding 10% glucose solution in 250 ml, intravenous drip, daily 1 ~ 2 times.

        (8) compound danshen injection: 40 ml join 5% glucose solution or low molecular dextran 1000 ml, intravenous drip. Also can use 2 ~ 4 ml intramuscular injection, 3 times a day.

        (9) ligustrazine injection: function for activating blood circulation and eliminating stasis, have fight platelet aggregation, and the effect of the platelet have gathered to depolymerization role; Still can expand small arteries, improve microcirculation and cerebral blood flow, produce the antithrombotic and dissolve clots role. Every time 40 to 80 mg, twice intramuscular injection, or add 10% glucose solution in 500 ~ 1000 ml intravenous injection, once a day.

        10. The diet

        (1) chicken bone grass pot red jujube: chicken bone grass 60 g, red jujube 8 pieces, water frying generation tea drink. Apply to Yang huang, the anxious yellow.

        (2) the HuangCao pot pig liver: creek HuangCao 60 g, 50 g pork liver, water frying clothing. Apply to Yang huang, the anxious yellow.

        (3) danshen ganoderma lucidum pot flogs: 30 grams of salvia miltiorrhiza, ganoderma lucidum 15 grams, flogs (frog) 250 grams. Will the skin of the chicken soup with clean, salt to taste drink soup meat. Apply to Yin yellow. (excerpt from the emergency treatment technology, traditional Chinese and western medicine ") D4