ShuiZhongBing of TCM nursing

HeZeYun YangNan hunan university of Chinese medicine first affiliated hospital

China's traditional Chinese medicine reported

        Edema is of lung spleen and kidney to carry of liquid water conveyance function disorder, cause the body to wet water retention, floods caused by skin. With head, arms and legs, abdomen, even the whole body dropsy for major clinical manifestations. The regulation of acute or chronic nephritis, nephrotic syndrome, diabetic nephropathy appear symptoms such as bloated belong to the traditional Chinese medicine "edema" range. For edema in the care of the sick should pay special attention.

        Life daily life care

        Daily life have often: patients with guidance and on time, daily life to have the law, not for hospitalization and disturb the original normal life rule. In severe cases bed rest should avoid days and YeZuo interest, reverse day and night.

        Work and moderate: severe or highly swelling of the patients should rest in bed, edema, reduce the rear can gradually bed activity, must not be too hasty. Patients with mild edema can moderate activities, such as walking, tai chi, so as to not feel tired for degrees. "The escape and", the appropriate activities can do qi and activate blood circulation, enhance the body's resistance, is helpful to health.

        The environment is appropriate: cold syndrome, Yang certificate, appropriate is exposed to the room, room temperature can be a little on the high side, avoid damp cold; Heat syndromes, Yin deficiency certificate, room temperature should be a bit low, ventilation cool, clean and dry.

        Gentle disposition nursing

        The coffins · mouth spirit ask "yue" sad sad sorrow is enchanted, move the intestines are wave." Thus it can be seen the importance of nursing sentiment. As the disease moved long refractory, easy to have the pessimistic mental patients, and the treatment of diseases to lose confidence, resist all kinds of treatment, so nursing staff in various treatment and nursing care should be patient explanation to the former, told the effect of treatment with and the necessity and comforting. At ordinary times with the patient should be more communication, encouraging its express their thoughts and feelings, patience, listen to and the said understanding, encourage its establish the confidence of conquer disease. At the same time also should do well the work of family members, so that families more concerned about patients, in order to increase the treatment of patients with confidence.

        Diet nursing

        The daughter YaoFang · food to "in the" food can arrange evil and Ann viscera, yue god great ambition to be blood." Explain correct eating during the course of treatment is also important.

        The water control: oedema patient should control water quantity, water quantity depending on the urine output and decide, general with total intake is equal to the total amount the day before the add 500 milliliter advisable, if there is a high fever, vomiting and diarrhea to appropriately increase the discharge is intake. The daily water quantity refers not only to the plain boiled water, also including the daily food intake of recessive water content. If two two rice contains approximately 60 ~ 70 ml water, and water content of fresh vegetables reached 65% ~ 90%. Calculating the total amount will be the it into consideration. Severe edema should be as directed by a physician ban water or water rationing, moderate who were must control into the water, mildly can be thirsty ready-to-drink, but not too much.

        The salt control: severe swelling as directed by a physician who give low salt or no salt diet, low salt diet namely sodium intake control in 2 ~ 3 g/day, including food and drinks containing sodium, such as sausage, bacon, canned food, etc.

        Dialectical diet: Yang water certificate, can give clear heat the water quality, such as watermelon, wax gourd, ChiXiaoDou, etc. Yin water certificate, diet appropriate abound nutrition, eating more fill in beneficial temperature Yang product, such as date, beef and mutton, etc.

        Medicine nursing

        Severe swelling should be avoid skin injected, as far as possible the intravenous infusion in order to ensure that the drugs accurately and timely input.

        Venipuncture: oedema patient subcutaneous tissue osteoporosis, and capillary permeability increase, the surrounding tissue high pressure, blood vessels are not clear, fragile, flexibility is poor, puncture is difficult. Mild-to-moderate oedema patient should be avoided in edema puncture site. Severe oedema patient as tissue edema cover blood vessels, which requires the nurse should be familiar with superficial vein the anatomy of the body, the body of superficial vein of the distribution of the first press the approximate location, see after the continue pressure vessels and surrounding edema place, make water to disperse the blood vessels of the liquid to subcutaneous tissue and see vein immediately after disinfection, quickly puncture, can improve the success rate of puncture. But oedema patient liquid outer infiltration time performance is not obvious, therefore, in the process should be strengthened in the infusion patrol, asking the patient feel.

        Yang water and the wind, Chinese traditional medicine one shoulds not be long Fried, appropriate heat uniform, Yin water temperature under appropriate license; Take the medicine under attack by water, Chinese traditional medicine should be frequency uniform, and ErBian observation.

        Traditional Chinese medicine characteristics of nursing

        Herbal fumigation law: with Chinese traditional medicine is Fried soup, first strike on affected area smoked Tong, stay not hot solution with drugs again after shower bath or a treatment method, can make the human meridians fluent, cou justified dredge, camp guard the strong, so as to remove blood stasis, eliminate edema, drive off disease evil purpose. Herbal fumigation drug composition: 30 grams of rhubarb, borneol 10 grams, li 30 grams of light, 30 grams of his subjects. This can clear heat raise blood, wind nourish "Yin". And the course of a long and dry skin, black, stiff patients, can drink to join cooked rehamannia, angelica, in order to achieve the effect of Yin activating blood. In the process of fumigation in patients with skin after heated local temperature, can cause the tiny blood vessels to dilate and increase the circulation of the blood and lymphatic fluid, favorable edema of the lift. Also through the fumigation parts of the skin to absorb drugs, in order to achieve the objective of treatment.