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Upper gastrointestinal bleeding treatment technology, traditional Chinese medicine

 

 

China's traditional Chinese medicine reported

 

 

        Upper gastrointestinal bleeding is refers to the difference of the digestive tract above ligament, including the esophagus, stomach, duodenum or pancreatic, bravery, etc lesions caused by bleeding, the stomach of jejunum anastomosis jejunum lesions caused by bleeding is this range. Major clinical manifestations hematemesis and (or) for black muck, acute around the loop. Upper gastrointestinal bleeding is a clinical common emergency, serious illness can endanger life, clinical should be paid much attention. According to clinical manifestations, its belong to traditional Chinese medicine "hematemesis", "stool" category. The feral, condition urgent heavy, at any time can appear dead Yin, wu Yang's "take off card", endanger life.

 

        etiology

 

        The main and diet is not section, internal injuries and LaoJuan sentiment about excessive. Hot contains the stomach, and the stomach HuoShang collaterals, or sorrow is hushed into anger, HengNi help make the stomach, and the stomach collaterals and vomiting blood burns, damage to bowel collaterals stool. Or endowment is insufficient, temper is weak, the spirit not ejection, and produce the disease. In addition, more than hematemesis stool, with blood gas off can cause death Yin, wu Yang's "take off card".

 

        Syndrome differentiations

 

        The stomach product heat syndromes: vomiting blood is bright red what dark purple, often mixed with food scraps, defecate black as paint, dry mouth like cold drinks, bilge boring approach the burn. Red tongue moss yellow, pulse slippery number.

        [comes] the pure stomach purging fire, to remove the bleeding.

        [herbs] spilled soup folded ash and heart scattered. Major drug: rhubarb, angelica, root of herbaceous peony, DaJi, XiaoJi physiological leaf, cogongrass rhizome, QianCao, gardenia, liquorice. The inverse gastric qi, the nausea and vomiting, add generation ZheShi, bamboo, she britannica; Hot hurt a stomach Yin, add MaiMenDong, stone, rhizoma anemarrhenae distribution.

        Help make stomach card: vomiting blood red or purple and dark, mouth bitter red eyes, stalking, chest pain, upset irritability. Red tongue moss yellow, pulse string number.

        [comes] venting clear liver stomach, drop inverse stop bleeding.

        [herbs] a tonic liver tonga diarrhea subtraction. Major drug: LongDanCao, radix scutellariae, gardenia, alisma, TongCao, CheQianZi, angelica, life was born, r., licorice. Can add white rhizome, QianCao, dry grass strengthen hemostatic Ephraim; Swallow adds the squid bone, acid fritillaria.

        Upper spleen fact: vomiting blood dim, defecate rare pond dark, pale face, dizzy palpitations, god fatigue strength. Tongue reddish, moss thin, white, pulse thin.

        [comes] spleen yiqi, raise blood to stop the bleeding.

        [herbs] spleen tonga to reduce. Major drug: astragalus, ginseng, white atractylodes, tuckahoe, liquorice, white and cranes, grass, squid bone, the donkey-hide gelatine. Taste cold empty adds the cooked with ginger piece, guns, or convert YeShang cypress; Much blood loss, can add to the yu carbon, six more than blood leaves, charcoal.

        Gas off with blood certificate: HP vomit, loose stools what black, dark purple, pale face, kubla khah dripping wet, cold extremities faint and dizzy palpitations, fidgety dry mouth, trance consciousness, or even coma. Tongue reddish, pulse count weakness or pulse subtle.

        [comes] yiqi ejection, back to Yang solid to take off.

        [herbs] alone and soup or four flavour to Yang drink to add and subtract. Major drug: ginseng, system of radix aconiti, roasted liquorice, gun ginger.

 

        Experience side

 

        1. ZhuLiangChun party

        [efficacy] back to Yang stop bleeding.

        [drug composition] system of radix aconiti 9 g, red ginseng 10 grams, born white atractylodes 10 grams, gun ginger carbon 10 grams, roasted liquorice eight grams, the stove heart loess (packet Fried) 60 g, sanqi (panax notoginseng) powder (points to swallow) 5 grams, ebony 20 grams, the donkey-hide gelatine 15 grams.

        [usage] water frying twice, take juice of about 300 ml, melting into the donkey-hide gelatine, stay solution lukewarm little clothing.

        [the attending] with blood gas off card.

        2. I number, a stomach blood stomach blood better II

        [efficacy] convergence hemostatic, detumescence born muscle.

        [drug composition] gastric blood better I number: purple powder pearl leaves 2 g, 3 g and white powder, squid and bone meal 5 grams, born rhubarb powder 1.5 g, mixed in a polybag, sealing. Stomach blood better II: blood carbon powder more than 2 grams, purple leaf powder pearl 2 grams, white and powder 3 g, squid and bone meal 5 grams, born rhubarb powder 1.5 g, mixed in a polybag, sealing.

        [usage] every time a pack of, 3 times a day, take boiled water.

        [the attending] acute upper gastrointestinal bleeding.

        

        Appropriate technology

        

        1. The acupuncture therapy

        The stomach product heat syndromes: take on wan, main, the needle with diarrhea law: help make stomach card: take not, fatigue palace, LiangQiu emmeniopathy, five, will, the needle with diarrhea method; Taste weak card: take in wan, spleen yu, sp9, hidden white, the needle with sticks and replenishing method.

        2. Acupoint sticking apply method

        (1) gardenia 1 g, turmeric 6 g, a. dahurica 6 g, rhubarb 15 grams, for a total by the end of the fine, leek juice move into mushy, and apply Shan, on the star in the three point, rou GUI, medicine do another new drugs. Suitable for hot filled hurt type winding.

        (2) a. dahurica, Fried appropriate amount of gardenia, water frying, cloth while hot compress chest liquid, suitable for hot filled hurt type winding.

        (3) the purple bead grass, having to root each 150 grams, water frying, concentrated 500 ml (can be obtained by the proportion of liquids), used to take 300 ml, with the tube into in the stomach, or so change positions, make solution and the stomach full contact, then pulling out. In another 200 ml in reserves into the stomach.

        (4) at the end of the WuZhuYu right amount, vinegar yongquan cave the apply.

        3. Apply umbilical therapy

        (1) 30 grams of rhubarb research at the end of the fine, add MiCu moderate tone cream shape apply umbilical, outside gauze to cover, taping fixed, the bandage daily time, 3 to 5 times for one period of treatment. Suitable for stomach heat to warm type filled.

        (2) rhubarb, gardenia each 20 grams, research at the end of the fine, MiCu right amount, usage is alexandrine. Suitable for help make stomach type.

        (3) fresh XiaoJi, fresh drought Ephraim appropriate amount of grass, broke lousy take juice, garlic a gold dao such as mud, and XiGuaShuang 15 grams and well cream shape, and apply umbilical nest and bilateral springs acupuncture point, outside gauze to cover, taping fixed, a bandage daily. Suitable for vomiting blood more than one.

        4. Proprietary Chinese medicine

        (1) including yunnan baiyao: function eliminating phlegm to stop bleeding, invigorate the pain. : every time a gram, swallow, 4 times daily.

        (2) and sanqi (panax notoginseng) powder: 3 g, oral, 3 times a day. Used for various parts bleeding.

        (3) rhubarb powder: 3 g, oral, 3 times a day. Used for various parts bleeding.

        (4) white and bulk: 6 g, oral, daily 2 ~ 3 times. Used to throw up blood, stool, lung injury haemoptysis, JinChuang bleeding.

        (5) the Que scattered: 6 g, oral, daily 2 ~ 3 times. Used for gastrointestinal bleeding.

        (6) ten ashes scattered: 3 ~ 6 g, oral, daily 2 ~ 3 times. Used for blood spilled folly bleeding.

        5. Chinese medicine injection

        (1) born pulse injection: function yiqi back to Yang nourish "Yin". Every time 20 to 40 ml, with 5% ~ 10% glucose dilution intravenous drip.

        (2) and attached injection: function yiqi back to Yang solid to take off. 20 ~ 100 milliliter join 5% ~ 10% glucose in salt water, intravenous drip.

        6. Other therapy

        Endoscopic to spray hemostatic focal bleeding, including yunnan baiyao, commonly used and sanqi (panax notoginseng) pink, white and pink, compound WuBeiZi liquid and other drug local stop bleeding.

 

        Preventive care

 

        Upper gastrointestinal bleeding is mainly on the complications of digestive disorders, have repeated attacks of characteristics, prevention is the key. To do live regulation, eating regularly, don't drink and eat coarse food. Avoid damage of the gastric mucosa with drugs. Actively treating primary disease, guarantee the continuity and the long-term treatment, such as the decrease of portal hypertension, antiulcer treatment, etc. (excerpt from the emergency treatment technology, traditional Chinese and western medicine ") D4