Hand, foot and mouth disease cause I conquer

XuRongQian SunTaoYu Beijing university of Chinese medicine dongzhimen hospital

China's traditional Chinese medicine to

        Hand, foot and mouth disease also called brothers mouth syndrome, it is by A variety of intestinal virus infection causes of acute infectious diseases, mainly for coxsackie virus group A (5, 9, 10, 16 type), or by group B (2, 5 type) and new intestinal virus (71 type) cause. At present in some areas in China popular is mainly caused by infection EV71 by. The disease occurs more often in children under the age of five, clinical with fever, hand, foot and mouth, hip rash, herpes as the main characteristics, may be associated with upper respiratory infection symptoms. Hand, foot and mouth disease clinical symptoms weight is differ, light disease only for the performance of the hand, foot, hip skin rash or herpangina. Severe cases can cause encephalitis, encephalomyelitis, meningitis, pulmonary edema, circulatory failure, etc. Source of infection for children and recessive infection, mainly through the fecal-oral transmission way.

        The disease belongs to the category of "warm disease", mainly for the pathogenic dampness evil when disease caused by poison. Have "hot and humid according to once and not shift" characteristics. Pathogenic damp and hot hand, foot and mouth disease poison, first make health table, applies yu lung gas, XuanSu lost company, disease see fever, cough, runny nose, very is out of suppress, shortness of breath, etc.; After making the spleen and stomach, damp and hot trapped spleen, fumigation in limbs, the hair for herpes. If lost in modulation, the evil in faint cloudy, so see tic coma, Damage the heart Yang, so see palpitation, chest tightness, shortness of breath or breathing difficulties. The disease in a lung, spleen, heart three dirty, according to different clinical manifestations, divided into often card and variable card two.

        A prodromal stage,

        In hot and humid supplement lung is given priority to, the clinical symptoms of fever, micro evil wind, sore throat, headache sour, cough, runny nose, coating on the tongue thin yellow, vein floating number. Treatment with cool and refreshing nourish, steam trap wind cooling is given priority to. Prescription choose Chinese goldthread gypsum tonga minus. Commonly used Chinese goldthread 1.5 g, plaster stone 25 g, cortex phellodendri 10 g, mint 3 g, red paeony root 10 g, kudzuvine root 10 g. (LiuBiChen party)

        Second, rashes period

        In hot and humid trapped the taste is given priority to, early mouth pain food refusal, brothers mouth pharynx ministry skin, appearance of a large number of herpes, local itching, accompanied by fever, dysphoria, night insomnia restless, make urine and stool stem node or loose stool, red tongue, moss many yellow greasy, pulse number slip. The patient's condition is different, can be divided into both hot and humid, wet is better than heat and thermal focus on wet 3 types, treatment to clearing away heat and toxic material qushi is given priority to, or to go out and through rash. Heat treatment to nourish, chemical wet rash to.

        Wet on fever, with dew disinfection Dan add and subtract rule. Commonly used talc 15 g, forsythia 15 g, herba artemisiae 10 g, mint 3 g, white Kou kernel 3 g, ageratum 10 g, plaster stone 30 g, rhizoma acori graminei 10 g, shoot dry 10 g, fritillary bulb 10 g, ricepaperplant pith 5 g, mint 3 g.

        Heat is better than wet person to huanglian jiedu with this rule. Commonly used Chinese goldthread 1 g, radix scutellariae 15 g, cortex phellodendri 10 g, gardenia 6 g, cold water stone 15 g. Hot and humid and the person that weigh, huanglian jiedu decoction and three kernel tonga minus. Commonly used Chinese goldthread 1 g, radix scutellariae 15 g, cortex phellodendri 10 g, gardenia 6 g, cold water stone 15 g, almond 10 g, white Kou kernel 3 g, born YiRen 30 g, ricepaperplant pith 6 g, talc 15 g, bamboo leaves 10 g.

        If the poison thermogravimetric card, for the performance of the strong heat is not retreated, what night; Severe headache, mouth acute pain; Brothers even limb skin, hip herpes intensive, colour and lustre is dark purple or fascicles appear; Blister fluid turbidity or purulent fluid, urine, stool stem node with make, coating on the tongue HuangHou or yellow dry, pulse number slip. Treatment is with clearing away heat and toxic material, through camp qushi give priority to. Party to clear hot disease and add and subtract. Commonly used Chinese goldthread 1 g, radix scutellariae 15 g, cortex phellodendri 10 g, gardenia 10 g, forsythia 15 g, plaster stone 45 g, rhizoma anemarrhenae 10 g, raw radix rehmanniae 15 g, red paeony root 10 g, cortex moutan 10 g, bamboo leaves 10 g, xuan and 10 g, radix arnebiae seu lithospermi 15 g, buffalo horn tablet 30 g.

        If the oral symptoms, reducing heart guide red powder add and subtract rule. Commonly used Chinese goldthread 1 g, radix rehmanniae 15 g, ricepaperplant pith 5 g, born liquorice 3 g, rush 1 g.

        If the limbs herpes symptoms, to clear away heat diarrhea spleen bulk add and subtract rule. Commonly used radix scutellariae 15 g, mountain Zhi 6 g, plaster stone 30 g, rhizoma coptidis 1 g, rush 1 g, raw radix rehmanniae 15 g, red Indian buead 10 g, talc 15 g, phragmites communis 15 g.

        Three, convalescence

        Because the course be bewitched hot poison of the consumption of injury Yin fluid, and oropharyngeal of herpes affect the person's eating, so in the late stage of disease in patients with spleen deficiency in YinShang is given priority to, disease see herpes gradually disappear, accompanied by body heat away, thirsty, NaCha and red tongue less tianjin, pulse count. Treatment with nourishing Yin to. Selection of formula shashen dwarf lilyturf tonga minus. Commonly used shashen 10 g, dwarf lilyturf 10 g, jade bamboo 10 g, mulberry leaf 10 g, liquorice 10 g, radix trichosanthis 10 g, white hyacinth bean 10 g.

        If there is a sputum saliva obvious person, can use liquid gold six gentleman Fried add and subtract rule, commonly used Chinese angelica 10 g, cultivated land 10 g, 10 g dried tangerine or orange peel, pinellia tuber 10 g, poria cocos 10 g, roasted liquorice 10 g, ginger two pieces.

        If dry throat for cough, upset thirsty obvious person, can choose clear dry save lung with this rule, commonly used mulberry leaf 10 g, plaster stone 25 g, radix pseudostellariae 10 g, born liquorice 10 g, til kernel 10 g, colla 10 g, MaiMenDong 15 g, main Ba leaf 10 g, almond 10 g.