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Acute organophosphate poisoning diagnosis and treatment technology

 

 

 

China's traditional Chinese medicine reported

 

 

 

        Organophosphorus pesticide have garlic, soluble in water, is not easy to dissolve in many organic solvent, in alkaline conditions easy decomposition failure, easily through the skin and mucous membrane, respiratory and digestive tract absorption. Organophosphorus pesticide poisoning accounted for 49.1% of the emergency poisoning, the highest in the various poisoning.

 

        Syndrome differentiation type points

 

        Poison accumulate taste: nausea and vomiting, wan abdominal distension painful, diarrhea or constipation, hematemesis, having blood in one's stool, what are the hot flashes, tongue qualitative scarlet, moss yellow bored with, or spend strip moss, pulse string number.

 

        [treatment agent] and detoxification, spleen and stomach. Licorice xie heart soup (" treatise on febrile diseases ").

 

        Poison gather courage: two stalking, pain, nausea and vomiting bitterness, dry throat, dry mouth, leader vertigo, very appear icteric, limb tic, tongue quality red, moss HuangWei black, pulse string number.

 

        [treatment agent] clear solution evil poison. Four inverse scattered (" treatise on febrile diseases ").

 

        Drug traffickers lung kidney: cough shortness of breath, can't recumbent, urinate short red, or a swelling, very close, urine urinetoplasma ratio, tongue quality red, white, thin moss pulse heavy fine.

 

        [treatment agent] clear mission drop turbidity. Chen four tiger drink (the heavy book wide tepid theory ").

 

        Poisonous defect heart palpitation and shortness of breath, upset, and sleep, or insomnia clearly, expression indifference, lethargy, very the coma, ZhanYu or ZhengSheng, follow the stiffness, JiaoGongFanZhang, pupil at first glance at small or large size), tongue quality, no moss Jiang red, disease, or birds pulse several peck, or roof leak.

 

        [treatment agent] QingDu brain. Tortoise yu jintang (the popular treatise on febrile diseases ") take jade hub Dan (the) is 101 choose party ").

 

        Experience side

 

        1. The compound

 

        (1) three holy scattered (gold · tickets from are the things he kiss ")

 

        [drug composition] LiLu 6 g, wind 10 grams, and the melon 6 g's (or common "6 grams).

 

        [usage] to water two bowls, cook take a half, slag's clothing.

 

        [efficacy] spits detoxification. The acute poisoning.

 

        (2) spits jiedu decoction (wu Ming · the hope the agent Yin of materia medica)

 

        [drug composition] licorice 60 g, melon's seven, scrophula-riacede 60 grams, yu 15 g (or bitter and 30 grams).

 

        [usage] water frying take a daily agent.

 

        [efficacy] spits discharge poison. The acute poisoning.

 

        (3) green beans licorice jiedu decoction

 

        [drug composition] mung bean 120 grams, born 30 grams of licorice, 30 grams of salvia miltiorrhiza, 30 grams of forsythia, 30 grams of dendrobium stone, white rhizome 30 grams, rhubarb 30 grams.

 

        [usage] water frying uniform, a dose of each day and night, when necessary, a dose of every six hours.

 

        [efficacy] and stomach detoxification. The acute poisoning.

 

        (4) two flowers jiedu decoction

 

        [drug composition] mung bean 50 grams, purple flower DeDing 20 grams, the mother chrysanthemum 12 grams, honeysuckle 10 grams, liquorice 6 grams.

 

        [usage] water frying take a daily agent.

 

        [efficacy] detoxification heat. The acute poisoning.

 

        2. Single prescription

 

        (1) licorice wash gastric juice: born licorice 250 grams, adding water right amount, Fried twice, take juice 2500 milliliter, join talcum powder 60 g, soybean face 60 g, dao slurry, clarified, washing stomach or take orally, function and remove detoxification.

 

        (2) the day 1 g, the gold flower 0.5 grams, the water frying uniform, apply to organophosphorus pesticide poisoning early.

 

        (3) centella asiatica is 250 grams, dao lousy juice of irrigation clothing. Function and remove detoxification, suitable for organophosphorus pesticide poisoning early.

 

        (4) plantain, white rhizome each 30 grams, water frying uniform, function and water discharge poison.

 

        (5) green beans, sugar is right amount, Fried water oral, function detoxification, revealing a light for organophosphorus pesticide poisoning or severe poisoned recovery.

 

        (6) because senna 30 grams, bubble water clothing. Function detoxification detoxification.

 

        (7) the golden 120 grams, honeysuckle 150 grams, born licorice 60 g, water frying clothing. Remove the function and detoxification.

 

        Appropriate technology

 

        1. Chung vomit method

 

        This law must be in the patient was awake or vomiting response of existence.

 

        (1) first instructing patients to moderate drinking water, again with a finger or a spatula, or clean the stimulation such as chicken feathers posterior wall a spit of cricoid cartilage and base of tongue out. Vomit again after drinking water, repeated several times.

 

        (2) alum 0.5 grams, at the end of the inquiry, warm water tone takes.

 

        (3) 10 to 20 eggs, take the egg white, add alum 3 ~ 6 grams, and stir, oral or fill the stomach, after filling up again.

 

        2. Wash stomach method

 

        If poisoning in 4 ~ 6 hours washing stomach the effect is good. Patients can be awake to swallow the tube, the mouth will open a can stomach tube slowly into, first note a few warm boiled water, stomach content will take time as far as possible, then poured into. Can be repeated several times, until the wash out things change qing dynasty so far. Can be appropriately take milk, rice water, egg white, such as the batter protectant, also can use saline or green bean soup repeated washing stomach. If the twitching, esophageal varicose veins, aortic aneurysm bleeding ulcer disease, and for corrosive poison and gastrointestinal tract injury caused by esophageal patients, all disable this law. Pregnant women are used.

 

        3. The XiaFa

 

        Some poison although already into my intestines, but not all the absorption, can use oral medication guide diarrhea.

 

        (1) angelica 90 grams, 30 grams of rhubarb, alum 10 grams, liquorice 15 grams, water frying clothing.

 

        (2) to morning pure 60 g, rhubarb 18 grams, natrii sulfas exsiccatus 10 grams, water frying clothing.

 

        (3) one of the 10, 6 grams rheum, 100 ml water, Fried to 60 ml,'s clothing.

 

        (4) because senna 15 grams, bubble water clothing.

 

        (5) rhubarb, wind, liquorice each 30 grams, water frying clothing.

 

        4. Enema method

 

        (1) soap water 200 ~ 300 ml, high instillation.

 

        (2) rhubarb 15 ~ 30 grams, water frying 200 ~ 300 ml, instillation.

 

        (3) because senna 10 ~ 15 grams, water frying 200 ~ 300 ml, instillation.

 

        5. Acupuncture therapy

 

        (1) vomiting: TiZhen take off, foot inside) in wan, tian tu and acupuncture point, acupuncture, strong stimulation.

 

        (2) severe abdominal pain: TiZhen take in wan, day hub, foot three mile, beam door hole, acupuncture, strong stimulation. Earpins take stomach, subcortical, sympathetic, such as the door god hole, acupuncture, strong stimulation.

 

        (3) convulsions: TiZhen springs of water, take people, ten xuan (bloodletting) hole, acupuncture, strong stimulation; Or take calming springs of water, tiger, edge, the three Yin/points, acupuncture, strong stimulation. Take subcortical, earpins god door, pillow, heart, brain, liver, brain stem point, hole, acupuncture, strong stimulation, each choose 3 ~ 4 acupuncture point.

 

        (4) high fever: TiZhen take big vertebral, QuChi, close valley, foot three mile and acupuncture point, acupuncture, moderate stimulation, twisting a minute or so, not LiuZhen. If the heat is not retreated, add tao tao, body column, ten xuan (sting blood), etc.

 

        (5) the early poisoning, god faint not clear: desirable in point of close, the plug or bird pecked the technique, to begin to understand god wake; Chest tightness breath-holding difficulty in breathing, desirable shut, too; within, god door, columns, Shan lack of LianQuan hole, etc; turn or mention twined interpolation method, to fill gas help Yang; Abdominal pain worse, optional) foot in wan, such as close yuan hole and mention interpolation method, to pain qi; If the limbs to paralysis soft, can use YangLingQuan, QuChi, such as the hole shut to remove evil dredge collaterals.

 

        6. Chinese medicine injection

 

        (1) clear liver injection: function qingrejiedu up to god. 20 to 40 ml each use, add 10% glucose solution 200 ~ 300 ml of intravenous drip, daily 1 ~ 2 times.

 

        (2) calamus turmeric injection: every time 2 ml, muscle injected, daily 4 ~ 6 times; 10 to 20 ml or every time, to join 200 ~ 10% glucose solution 300 ml of intravenous drip, once a day.

 

        (3) brain static injection: every time 4 ml, muscle injected; Every time or 40 ml, add 5% glucose solution in 500 ml, intravenous drip, daily 1 ~ 2 times. (excerpt from the emergency treatment technology, traditional Chinese and western medicine ") the D4