Skin mucous membrane lymph node syndrome diagnosis and treatment technology

China's traditional Chinese medicine reported

        Skin mucous membrane of kawasaki disease was also called lymph node syndrome, is a systemic vasculitis lesions as the main pathological changes of acute febrile disease in childhood. Clinical characteristics for fever with skin rashes, refers to the toe, red and take off bits, oral cavity mucous membrane and eye conjunctival congestion and cervical "enlargement, the name and skin mucous membrane lymph node syndrome. 5 years or less to the infant disease is given priority to, the boy see more. The four seasons all can come on. The coronary artery complications is children period coronary heart disease is the most common cause.

        According to the traditional Chinese medicine with acute fever rash of clinical characteristics, and it will be for "WenBing" category.

        A, symptoms

        1. The fever: often for irregular or relax a hot, can be as high as 40 ℃ above, generally lasted 1 ~ 3 weeks. High fever can have irritable or sleepiness.

        2. Conjunctival congestion: more than 3 ~ 4 days appear disease, eyes conjunctival vessels marked hyperemia, no purulent, hot when back to dissipate.

        3. Lip and oral presentation: dry red lips, sometimes with XieJia. Tongue nipple bumps, congestion, like Yang mei tongue. Oral cavity mucous membrane and pharynx diffuse congestion, a fresh beef color.

        4. Pleomorphism erythema or scarlet fever sample rash: in most torso, often appear in the first week, I have itching, don't happen herpes or scabby.

        5. Brothers symptoms: acute period in the brotherhood of solid sex swelling, zhang zhi and flush the toes. To temperature to drop, disease, while brothers hard swollen and red spot subsidise, toes in the end to skin appear chip junction with nails or film kind take off bits. The symptoms of this disease for more distinctive performance.

        6. Cervical "enlargement: unilateral or bilateral cervical" enlargement, hard tenderness, and surface not red, not festering. Disease start, hot when back to dissipate. Sometimes also with pillow, ear hind lymph node enlargement.

        7. Cardiovascular symptoms: the performance for the myocarditis, pericarditis, of which about 15% ~ 20% development for coronary artery aneurysms, infringe upon the left coronary artery.

        Second, diagnostic criteria

        In the following article 6 major clinical symptoms of at least five determine to meet:

        1. Unexplained fever for 5 days or more; 2. Bilateral conjunctival congestion; 3. The oral cavity and the pharyngeal mucosa diffuse congestion, red lip and weather-shack, and with the tongue myrica; 4. The brotherhood of period of hard swollen and palm red shots, and recovery toes in the membrane take off bits; 5. Hindquarters cadre pleomorphic erythema, but no blisters and scabby; 6. "the fester sex of cervical swelling, its diameter of 1.5 centimeters or more.

        Such as 2 d echocardiography or coronary angiography pulse found coronary artery aneurysms, or expansion, the four main symptoms can be diagnosed positive.

        Three, syndrome differentiation

        1. The guard gas with disease and syndrome: suddenly high fever, no sweat, vexed thirsty uneasiness, light red eyes, skin cough, scattered in the skin rashes, brothers swelling, flush, or vomiting and abdominal pain diarrhea, tongue quality red, moss thin white or yellow, pulse number.

        Treatment agent: thin to divert the outer wind, heat and toxins. YinQiao scattered to add and subtract.

        2. Gas camp two burnt card: strong heat unceasingly, fidgety thirsty, two eye redness, the whole body spread the rash, rash color bright red, red lip dry crack, brothers red, red tongue quality Jiang, moss yellow dry or see Yang mei tongue, pulse count.

        Treatment agent: qingrejiedu, cool blood camp. The camp tonga decreases.

        3. Gas Yin two injury card: the body heat has retreated, or have low heat, tired and less force, spontaneous sweating night sweats, upset dry mouth, macula subsidise, palm faded skin, red tongue less embellish, little moss or no moss, pulse thin.

        Treatment agent: qi, clear solution heat. Straight ladybell dwarf lilyturf tonga decreases.

        Four, experience party

        1. Qingrejiedu scattered

        [composition] honeysuckle, dandelion, purple flower DeDing, gardenia, windbreak 9 g each, mint, rhubarb, liquorice every 6 grams.

        [efficacy] qingrejiedu, [detumescence.

        [indication] in gas and who, fever, the lymph node enlargement.

        [usage] of powder, control store. Set aside. 6 months less than 0.3 ~ 0.45 g, 1 years or less each 0.6 ~ 0.9 g, 2 years old and under every time 1.5 g, 3 years or less each 1.8 g, 4 ~ 6 years old every time 2.4 g, 7 to 9 years old every time 3 g, 10 to 12 years old every time 4.5 g, 13 or 14 6 grams every time. 3 times a day, BaiTangShui take.

        2. Pink four things soup

        [composition] river xiong, medicine, born tuberous root of herbaceous peony, angelica, peachseed.

        [efficacy] immunity, remove blood stasis.

        [indication] gas camp two burnt card.

        [usage] a daily agent, water frying, points early, late clothing.

        3. To remove detoxification soup

        [composition] forsythia, water ox horn, raw land every 12 grams, angelica, root, ligustici chuanxiong rhizoma, Dan skin, dilong each 6 grams, safflower, nut, cicada skin, the tip of 5 grams snake, coptis chinensis franch 4 g.

        [efficacy] detoxification and camp, pass after the tunneling.

        [indication] skin mucous membrane lymph node syndrome.

        [usage] water frying, twice uniform, 10 days for one period of treatment.

        4. Antelope bitter and soup

        [composition] gazelles pointed horn (first Fried) 3 g, the dandelion 15 grams, forsythia eight grams, root, Dan skin, radix ophiopogonis every 10 grams, raw land 12 grams, bitter and licorice, born of 5 grams.

        [efficacy] heat cool blood detoxification.

        [indication] both qi burnt card.

        [usage] water frying a daily agent, twice clothing.

        5. Clear away heat removing stasis and soup

        [composition] water ox horn, honeysuckle, forsythia, radix scutellariae, Dan skin, root, danshen root every 10 grams, gypsum 18 grams, raw land and river xiong each eight grams.

        [efficacy] qingrejiedu, cool scattered camp blood.

        [indication] both qi burnt card.

        [usage] water frying a daily agent, twice clothing.

        Five, the appropriate technology

        1. Acupuncture method

        (1) location, QuChi da-zhui, closing the valley, ten xuan, quick needle strong stimulation, reducing method not LiuZhen.

        [indication] hot gas in the camp.

        (2) location, god door, heart yu inside pass, flat flat for reducing method, LiuZhen 20 minutes. Once per day.

        [indication] hot blood in the camp, disturbed mind.

        2. Massage method

        (1) the lung, liver, the day the river flat; Heat the person that weigh the lung, liver, flat out quickly, mention the da-zhui pinched. Long hot not refund, add cent Yin and Yang.

        [indication] heat evil in the guard gas

        (2) the tonifying spleen, knead two horses, clear day the river, push the springs of water. Long hot not refund, add cent Yin and Yang.

        [indication] Yin deficiency fever.

        3. External treatment method

        Leaf of 10 grams, 6 grams fermented, were beaten such as mud and apply two palms 4 hours. Apply to evil in the guard gas, hot and red tongue, moss thin white, pulse the number.

        4. Apply umbilical method

        Chinese rhubarb 15 grams, tiger 30 grams of rod, 75% ethanol to 100 ml. Will rhubarb, tiger rod into ethanol immersing in 48 hours. Set aside. Used when the dip in with cotton ball solution apply posted on the umbilical plexus, again with fixed tape, keep the humidity of cotton. Apply to fever heavy, as the long.

        Six, food therapy

        1. The watermelon juice: the watermelon seeds to take gourd ladle, with clean gauze ground squeeze juice, and drinking water.

        Apply to health gas with disease, the hot gas points tends to fill.

        2. Chopped borage sugar water: 3 ~ 5 g chopped borage, clear water right amount, Fried into 100 ml, to add sugar residue right amount YinFu, a daily agent, divide second frequency water.

        Apply to the disease fever, rash some faint, hot gas in the camp.