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2014年09月01日
Bian really hot winter vacation Treat solid off back to Yang
Big abnormality is save heart soup to cure infection H7N9 severe 1 case of bird flu
Xiao-yan feng Yangjiang, guangdong hospital of traditional Chinese medicine
China's traditional Chinese medicine to
2004 outbreak of SARS, professor tie-tao deng made significant clinical breakthrough, from the perspective of the temperature raise spleen and stomach, caused a rethink of fu Yang. Old doctor of traditional Chinese medicine li also thinks, in front of critical patients and venereology, sun be the spirit is a disease. When bird flu, clinical from pathogenic heat injury Yin treatment, curative effect is not satisfied.
The author believed that old adage deadly infectious diseases treatment should be diligent, upholds the deadly infectious diseases lead to dying of severe, should aim at present situation; Typhoid warm disease this is a, not wedded to the cause is a cold or hot. For bird flu, is exogenous pathogens, stay in the sun, for little Yang meridians exogenous symptoms, straight into the three Yin meridians for critical patients.
On December 20, 2013, the writer use big li ke abnormality save heart soup treating H7N9 avian influenza infection in severe case, obtain good result, now report as follows.
Case report
Liang Mou, male, 62 years old, on December 16, 2013 to the hospital.
Chief complaint: fever, poor appetite, fatigue, 5 days increase with shortness of breath, blood, phlegm 2 days. Patients with 13 days before the sick poultry exposure history, deny that contact with dead birds. Five days ago has no obvious cause fever, temperature up to 39 ℃, the persistent fever, chills, chills, fatigue, muscle pain; With a little cough, no obvious sputum, chest pain, coughing up rusty sputum, haemoptysis, in a local clinic diagnosed as "cold", symptomatic treatment no better (specific drug use is unknown).
Two days before symptoms gradually increased, and appeared after shortness of breath, cough up a small amount of blood in phlegm, hence to yangjiang people's hospital. Considering the upper respiratory tract infection, clinic cure to fight infection, fever, fever, and shortness of breath is still no significant relief of symptoms. On December 16 at yangjiang people's hospital.
Before symptoms after admission. Check leucocyte count is normal, low platelet; Blood gas analysis suggests type I failure; Chest radiograph in right lung inflammation. Consider "severe pneumonia," does not exclude people H7N9 avian influenza infection. Then go to yangjiang specialist public hospitals make a diagnosis and give treatment, 16 H7N9 nucleic acid positive.
Diagnosis: 1. H7N9 avian flu infection; 2. Severe pneumonia; 3. Type I respiratory failure; 4. Multiple organ function damage.
Patient illness aggravating, slow drop in blood pressure, pulse, blood oxygenation index and SPO2 (blood oxygen saturation) declined obviously. Continue breathing machine auxiliary breath, palmer peramivir antivirus, imine south anti-infection treatment, the use of methyl prednisolone, norepinephrine, dopamine, albumin, gamma globulin treatment, etc. Chest radiograph: right pneumonia development to double lung diffuse lesions. Patients rising, then invite Chinese medicine consultation.
Carved diagnosis: god knows a coma patients, respired, limbs cold, pale and gray blue the nail, lip, tongue, mouth open eyes closed, and the whole body dropsy, exophthalmos, micro pulse. Syndrome differentiation as the sun be the spirit fails, Yin fluid in the exhaust. As sun be the spirit of dissipation, caused by deficiency Yang outside the syndrome of Yang to take off. Is in danger, when Yang solid back off, begin to understand wake up, with big heart abnormality save soup.
Formula: 200 grams of lateral root of aconite, dogwood, 120 grams, 30 grams of keel, oyster powder 30 grams, 30 grams of magnet, dried ginger 120 g, 120 g main licorice, musk, 0.5 g (points five times a blunt), ginseng 10 grams (suit) against the other concentrated juice, cinnamon, 15 g (baked).
Medicine in 3000 ml water, slow fire decoct juice 1000 ml, 2 hours every 2 hours nasogastric 200 milliliter, every time a blunt musk 0.1 grams.
Patients after taking the drug was gray, ruddy gradually, warm skin. Blue lips, tongue, nails, mouth open eyes closed, whole body dropsy, exophthalmos, limbs cold symptoms disappear one after another. Still need to maintain breathing breathing machine, the blood pressure to rise to 110-150/71-97 MMHG, SPO2 rose to 80% ~ 99%. Eyelid edema, double conjunctival edema, blood pressure, pulse, breathing smooth earlier. Asymmetric double lung auscultation breath sounds, left lung breath sounds a bit less, double lung are audible and tubular breath sounds, both lungs in audible and wet rale. X-ray suggests lung inflammation absorption significantly.
As li said: "the party is the agent of back to Yang solid, back off. Clinical applications, play to the score, do not hesitate." Because of using quantity is great, big heart abnormality is save soup in a dose, nasty knock off. Subsequent differentiation and subtract treatment, although have again and again, but eventually recovered discharged from hospital.
discuss
Big abnormality is to save the composition of the heart soup aconite root, dried ginger, main licorice root, ginseng, dogwood, keel, oysters, magnet, and musk. The late are suitable for all kinds of critical patients, patients with symptoms of a series of disharmony between Yin and Yang qi and blood.
His own four decoction in treatise on febrile disease through vein as the basis, draw lessons from the reflex of Zhang Xichun soup and form a good party. Li Keyou a response to the critical venereology, to protect the stomach gas-solid kidney, patients dying in liver is given priority to. So his own soup on the four unclogged arteries inversion removing the gas of the spleen and stomach, reflex Shang Gu protect liver and kidney qi.
Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2014-08/29/content_90189.htm