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2011年10月31日
Acute respiratory failure appropriate technology of traditional Chinese medicine
China's traditional Chinese medicine reported
Acute respiratory failure is to point to the original lung respiratory function is normal, because DuoZhong sudden factors, such as encephalitis, the brain trauma, shock, drug anesthesia or poisoning directly or indirectly control breathing center, or nerve-muscle disorders, such as polio, acute multiple nerve root inflammation, myasthenia gravis, lead to respiratory inhibition, in a short time, cause serious gas exchange barrier, produce the lack of oxygen and carbon dioxide retention of respiratory failure. The disease of traditional Chinese medicine "out of card" category. TCM holds that, though the disease causes, but nothing toxic heat retraction, trauma, take off the gas and air exhaust the long illness three aspects.
Syndrome differentiations
Heat to warm the passions of the lung: breath out of promoting, mouth TaiJian, blackout phlegm to warm, lip purple, high fever irritable, thirst, constipation, god what is out ZhanYu, tongue quality red Jiang, moss yellow, pulse slippery number.
[among herbs] qingrejiedu, eliminating phlegm to drop inverse. Clearing lung tonga diarrhea subtraction. The heat even close to Ann palace bezoar pill, purple snow Dan begin to understand god wake up, or intravenous drip clear open spirit ShuangHuangLian injection, FenZhenJi.
Setting real QiNi: phlegm saliary warm cheng, out of promoting the restless, fever not evil cold, stomach full constipation, irritability, red tongue moss yellow greasy, pulse slippery number or sink slippery number, right "real big pulse.
[among herbs] the setting down inverse. Do bearing gas tonga breast reduction.
Trauma gas from: or burn, or drop servant, gold blade after injury, and the breath out of promoting, mouth TaiJian, blackout phlegm to warm, lip purple, claw armour acromegaly cyanosis, dark complexion and constipation, tongue qualitative dark purple, pulse acerbity.
[among herbs] the setting by stasis, yiqi save lung. Nut cap and ShengMaiYin gas soup. Have the fact the syndrome, add white rhizome, notoginseng, DaJi, XiaoJi, lotus root section cool blood to remove such as bleeding; Patients with a lot of blood, appropriate back to Yang save inverse, large doses can only serve soup and irrigation.
Phlegm stasis resistance lung: shortness of breath between throat sputum sound, lip purple, XiongGe plug stuffy, sputum saliary sticky stiff, is not easy to produce, the complexion diablo or purple, tongue whitish and greasy, or tongue quality red, moss white or yellow greasy, tongue body fat, pulse slippery number or FuHua.
[among herbs] phlegm eliminating stasis variable, calamus yu jintang take scattered seven to.
Lung qi failure: out of promoting DuanQi, language and weak, cough, low voice, fear the wind from the sweat, pale face, tongue pale, thin vein.
[among herbs] having lung gas, and be velvet antler soup. And lung gas kui virtual to take off, and see fidgety limb cold, urine from the left, tongue (sac shrink, pulse micro desire unique person, put to appropriate yiqi back to Yang solid take off, hurry to the big agent alone and soup or and with soup irrigation clothing.
Heart kidney Yang: out of promoting shortness of breath, move is very heavily, heavily can't lie, edema, loins and why, in the depression, heart palpitations flustered, urine less cold limbs, facial dull, lip cyanosis, tongue qualitative light fat or dark purple, moss white satiny, pulse sink acerbity weak.
[among herbs] WenTong heart kidney, lung gas line diarrhea. With GuiHang water tonga decreases.
Appropriate technology
1. The acupuncture therapy
Main point: the da-zhui, after lung yu,. Methods: prick, not LiuZhen, the needle with cupping jar. Add: much sputum and add day axon to warm, Shan, gimmick to purge method; Out to take off and shut three Yin, add in hand in, the tactics for nourishing ping xie.
2. Earpins therapy
Take heart, lung, and sympathetic, adrenal cortex and the brain stem, etc, the hole, strong stimulation, LiuZhen 20 ~ 30 minutes every 5 minutes fine twined a needle, or to electroacupuncture.
3. Point injection
(1) los heencouraged 3 mg, injection in QuChi acupuncture point, according to the illness can DuoCi alternating injection on both sides.
(2) back to will 8 milligram, injection in sp9 or three Yin hand in, can DuoCi alternating injection on both sides.
(3) to get a brain static 1 ~ 2 ml, injection in Shan, QuChi, in the government, lung yu, sp9, acupuncture point, every 30 minutes change point injection.
(4) AnChaJian 0.5 ~ 1 ml, injection in the column, in short, all the valley's point, etc, can be duplicated.
(5) 75% of the compound angelica injection 0.5 ~ 1 ml, injection in the diaphragmatic acu-points, can control the alternate use.
4. Point therapy
In the day a sudden acupuncture point thumbnail stick throat, the acupuncture point fingers, vertical downward pull. With a little fingers, and frequently flexible fingers move, make the throat itchy cough, can stimulate active row with phlegm, ease of airway obstruction, improve the difficulty breathing. The mind owe clear patients can try.
5. Chu nasal therapy
Chu nose with scattered (analgesic action, soap Angle, county) and customs clearance scattered (pig teeth soap, analgesic action, mint, musk), or use above 1 ~ 2 flavour to have a spicy go cluster of drugs, grind for fine, the stir in or blowing in patients in nasal cavity, sneezing and, when necessary, every 15 to 30 minutes can repeat to excite waking and breathing the purpose of the mind. This law applies to, drowning, hanged himself in electrical shock and turbidity in caused and closed acute respiratory failure. The high pressure and intracranial hemorrhage is carefully use this law.
6. Proprietary Chinese medicine
(1) Ann palace bezoar pill: every time a pill, 3 times a day, oral or BiSi, suitable for hot filled in the lungs caused by failure. Function: begin to understand god wake up.
(2) his treasure Dan: every time a grain per day, 2 ~ 3 times, oral or BiSi, suitable for hot filled in the lungs caused by failure. Function: begin to understand god wake up.
(3) bezoar snake Dan ChuanBei scattered (prescription drug) : every time a gram, twice daily, oral, applicable to phlegmy heat contains the lungs of failure. Function: clear away heat, eliminating phlegm.
(4) MengShi roll phlegm pill: every time 9 g, twice daily, oral, applicable to phlegmy heat contains the lungs of failure. Function: clear away heat, eliminating phlegm.
(5) HouZao scattered: every time 0.3 grams, twice daily, oral, applicable to phlegmy heat contains the lungs of failure. Function: clear away heat, eliminating phlegm.
(6) day fairy powder (prescription drug) : every time 0.5 grams, twice daily, oral, applicable to phlegmy heat contains the lungs of failure. Function: clear away heat, eliminating phlegm.
(7) soap is scattered (TCM) : 2 g are withered, soap Angle for 1 g, each 1.5 grams, twice daily, oral, applicable to phlegmy heat contains the lungs of failure. Function: clear away heat, eliminating phlegm.
(8) nightfall pill: 10 each grain, 3 ~ 4 times daily, oral, applicable to lung failure to take off heavily promoting the card.
(9) black tin Dan: suitable for Yin flourishes while Yang declines, fill the empty respiratory failure. Every 6 ~ 9 g, pale salt take soup, 3 ~ 4 times daily, after the symptoms can take three to five days.
(10) Sue and sweet pill: have the function of aromatic begin to understand and apply to respiratory failure slant the cold. Every time a pill, oral twice a day.
7. Chinese medicine injection
(1) dislinguished injection: apply to respiratory failure HunZhe with god. This medicine used 20 to 40 ml, adding 5% glucose solution in 100 ml, intravenous drip, daily 1 ~ 2 times.
(2) calamus turmeric injection: apply to respiratory failure HunZhe with god. Commonly used this drug 10 to 20 ml, adding 5% glucose solution in 250 ml, intravenous drip, once per day; In 2 ml or intramuscular injection, daily 4 ~ 6 times.
(3) toads force Sue injection: suitable for respiratory failure and pulmonary encephalopathy and the heart failure. Commonly used this drug is 2 ~ 4 mg, adding 5% glucose solution in 20 to 40 ml, slow intravenous, daily 1 ~ 2 times.
(4) to get a brain Ⅱ number and I, injection: suitable for phlegmy heat to warm the respiratory failure caused by the close. No. I NiuDan acid by 3.25 grams, the pig bile acid 3.75 grams, gardenia 25 grams, root of 200 grams, were made into 1000 ml, are installed went, each two ml, intramuscular injection, No. Ⅱ by 20 grams, turmeric musk skin of 100 grams, agastache rugosaq, 100 g dislinguished 100 grams, borneol 1 g, mint brain 0.75 g, makes up to 1000 ml, are installed went, each two ml, intramuscular injection or intravenous drip. General every time I number, Ⅱ with no. 4 ml each injection, intramuscular injection, every six to eight hours at a time; To coma patients responded with a number I injection intramuscular injection, with no. Ⅱ injection intravenous drip, each time with this drug 12 ml, adding 5% glucose solution 250 ~ 500 ml, intravenous drip, once per day, continuous drug use 5 ~ 7 days, was fully awake after use.
(5) to get a brain static injection: by the musk, borneol, turmeric, bezoar, rhizoma coptidis, radix scutellariae, gardenia medicine made from. Longer than clear heat begin to understand, apply to toxic heat shut in, coma deep breathing failure. Commonly used this drug 10 to 20 ml, adding 5% glucose solution in 250 ml, intravenous drip, once a day.
(6) clear open spirit injection: by bezoar, water ox horn, mother-of-pearl, radix scutellariae, gardenia, honeysuckle, root of medicine made from. Its function and purpose and cool the brain static injection similar. This medicine used 20 to 40 ml, adding 5% glucose solution 250 ~ 500 ml, intravenous drip, once a day.
(7) linen I th injection: suitable for respiratory failure and the blood stasis. Commonly used this drug is 1 ~ 2 ml, adding 5% glucose solution in 100 ml, intravenous drip, daily 1 ~ 2 times.
(8) ginseng injection: suitable for respiratory failure and the qi deficiency. Commonly used this drug 10 to 20 ml, adding 5% glucose solution in 100 ml, intravenous, daily 1 ~ 2 times.
(9) born veins (or and wheat) injection: suitable for respiratory failure and the deficiency of both qi and Yin. Commonly used this drug 10 to 20 ml, adding 5% glucose solution in 20 ml, intravenous, daily 1 ~ 3 times; Or with 20 to 40 ml, adding 10% glucose solution 250 ~ 500 ml, intravenous drip.
(10) with 30% and injection: suitable for respiratory failure and the Yang. Commonly used this drug 10 to 20 ml, adding 5% glucose solution in 20 to 40 ml, intravenous, twice daily; Or with 50 ~ 100 ml, adding 5% glucose solution 250 ~ 500 ml, intravenous drip.
(11) wear Hu better injection: 400 ~ 600 mg per day, 1 ~ 2 times, to join 250 ml of solution and permeability, daily 1 ~ 2 times, intravenous drip, suitable for hot poison contains the lungs of failure. Function: carambola detoxification.
(12) ShuangHuangLian FenZhenJi: every time 60 mg/kg weight, to join 250 ml of solution and permeability, daily 1 ~ 2 times, intravenous drip, suitable for hot poison contains the lungs of failure. Function: carambola detoxification.
(13) danshen injection: every time 4 ml join 25% glucose injection 20 ml, intravenous push note. Or 8 to 16 ml to join in 250 ml and drainage, twice daily, intravenous drip, apply to the lungs of internal blood stasis failure and other types of aid in the treatment of lung failure. Function: qingrejiedu, for activating blood circulation and eliminating stasis.
(14) easy blood better injection: every time 4 ml twice daily, intramuscular injection, suitable for hot poison contains the lungs of failure. Function: qingrejiedu, for activating blood circulation and eliminating stasis. (excerpt from the emergency treatment technology, traditional Chinese and western medicine ")