Functions of heat dissipation polioplus partners treat rheumatic fever

MiaoWeiPing Miao Ziqing Shandong Texas college institute of medical sciences

China's traditional Chinese medicine to

        The disease early are feeling fever evil wind, temperature on poison, belongs to the category of warm disease of TCM; The wandering body pain, joint pain "migratory arthralgia"; Acute rheumatic arthritis belongs to "rheumatic fever bi"; Chronic rheumatoid arthritis, "the wind cold dampness bi" or more "blood stasis" certification; Heart inflammation, belong to "bi". Total in lung, spleen, kidney, is deficient, joint pain and other symptoms as standard.

        According to "of fever cold treatment" principle, the general treatment of rheumatic fever is still clear method as the main line, with functions of heat dissipation polioplus partners as the main therapeutic principles, then according to the different etiology and pathogenesis of different stages in the course of treatment, respectively.

        Rheumatic fever is a recurrent acute or chronic connective tissue inflammation, mainly involving the heart, joints, central nervous system, skin and subcutaneous tissue. Clinical expression is given priority to with myocarditis and arthritis, may be accompanied by fever, blood poisoning, skin rashes, subcutaneous nodules, chorea, etc. Acute onset usually evident in arthritis, acute, inappropriate treatment or therapy can be left or not in time and tide wait for no heart damage, lead to rheumatic heart valve disease; In the tiredness, stress, or after a cold infection can lead to heart failure or even death. Rheumatic fever, belongs to the Chinese medicine "BiZheng", "rheumatic fever bi syndrome" category.

        Etiology and pathogenesis

        Neijing cloud: "memory of vital qi, evil cannot do"; "Evil of gather together, the gas will be empty". The onset of rheumatic fever and vital qi, feeling of cold and dampness evil and other factors. Mainly caused by a lack of innate endowment, liver and kidney deficiency, blood deficiency in camp, lung who falsely at outside, cou justified solid, caused by wind, cold, wet, hot, dry evil decide; Or must eat spicy taste, wet aggregates heating, or damp, to live or internal lesion caused by overexertion glove, transport and dereliction of duty, after feeling invaded, first on the table, gradually to enter.

        If wet skin, rheumatic fever, bizu meridian, qi and blood run chang, keep bones and joints, often symmetrical involvement of knee, ankle, shoulder, wrist, elbow, hip large joints, such as performance for the wandering arthritis, local redness, swelling, heat, pain of inflammation. Long illness into complex, involving the heart, for certification.

        The disease early are feeling fever evil wind, temperature on poison, belongs to the category of "warm disease" of traditional Chinese medicine; The wandering body pain, joint pain "migratory arthralgia"; Acute rheumatic arthritis belongs to "rheumatic fever bi"; Chronic rheumatoid arthritis, "the wind cold dampness bi" or more "blood stasis" certification; Heart inflammation, belong to "bi". Total based on lung spleen kidney damage, joint pain, etc.

        Justification of rheumatic fever type and treatment

        Type generally divided into hot and humid certification of justification of rheumatic fever, cold dampness heat bi, bi, phlegm and blood stasis, the hot wind polioplus partners, such as blood deficiency heat bi syndrome. According to the incidence, also divided into acute and chronic phase, acute phase is given priority to with rheumatic fever bi, heart inflammation and joint pain as the main clinical manifestations, see more fever, sore throat, dry mouth wind attack on hot symptoms such as thirsty; Then wandering muscle joint pain, local redness, swelling, heat, pain and see the whole body is hot or humid partial sheng, joint swelling pain, burning, heat is also very, skin erythema, red tongue, p redictors coating on the tongue, pulse number.

        According to "of fever cold treatment" principle, the general treatment of rheumatic fever is still clear method as the main line, with functions of heat dissipation polioplus partners as the main therapeutic principles, then according to the different etiology and pathogenesis of different stages in the course of treatment, respectively. Or and with breeze, or to detoxify and, or and in wet, or concurrently with cold, or and in cold blood, or phlegm and blood stasis, or and to nourish Yin, or and to raise the blood, or more method and application. In this paper, of the following rheumatic fever bi typical cases, discussions with fellow.

        Typical medical record

        Zhao mou, male, 9 years old, was on March 12, 2007.

        V: fever more than 1 year, increase more than 20 days. Patients with more than 1 years since the sweat, dry mouth, fatigue, reduce, chills; Was susceptible to a cold, throat pain, each will have a fever, 38 ° C above. Check for many times, in addition to the blood picture tall, heart and kidney check no abnormal findings. Local hospitals by the cold treatment, antipyretic, infusion treatment, the body temperature drops, sometimes in delay no more. But the 20 days to aggravate, fever 39 ° C above, infusion, injection doesn't work, and left knee joint, wrist joint pain, walking with a limp.

        Assay of 2.3 x 109 / L white blood cells, neutrophils 80%, fight "O" > 250 units, 96 mm/h blood sedimentation, successively in several hospital, diagnosis of rheumatic fever, get better after treatment, but soon after discharge and fever, joint pain. Then pass to make a diagnosis and give treatment of traditional Chinese medicine.

        Carved diagnosis: children with body temperature of 38.6 ° C, angular, complexion is light yellow, listless, fatigue weakness, sweating, heat evil, like cold drinks, left knee joint, YouWan joint swelling pain, walking with a limp, thirsty to drink, urinate less yellow, move bowels a little secret, tongue reddish, moss yellowish, pulse counting and smooth.

        TCM diagnosis, rheumatic fever bi.

        Syndrome differentiation: virtual table who is weak, rheumatic fever, blood stasis resistance, lingers joints, general clauses pain. Who put to do: to reconcile camp, functions of dehumidification, heat-clearing and detoxicating. Party to radix bupleuri guizhi tonga taste.

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