Chinese and Western medicine together to anti-flu several parties
Posted on October 20, 2009
Filed Under H1N1 Prevention, H1N1 Treatment & Drugs | Leave a Comment
★ Influenza A H1N1 influenza virus outbreak more moderate performance
★ symptoms lighter, more common and sweat-free itch throat, muscle aches
★ mostly drug permit the passage of Lung Wei, wind-heat on the disturbance permit
★ timely Chinese medicine treatment, ease the patient’s condition rapidly
Influenza A H1N1 influenza virus variants arising from the performance of relatively mild disease, patients with systemic symptoms of poisoning are more seasonal influenza as the light. Since March 2009, Mexico, the United States appears Influenza H1N1 influenza, the epidemic quickly spread to dozens of countries. In six cases of imported cases of Influenza A H1N1 flu in the clinical features and treatment of Chinese and Western Medicine observed that strains of virus virulence is weak, and Mexico, the United States compared with cases of domestic no cases of severe disease, 6 patients had essentially no gastrointestinal symptoms.
Research contents and methods
6 cases of Influenza A H1N1 confirmed cases of influenza were May 13 ~ June 4 Beijing Ditan Hospital medical ICU ward admissions, of which 4 males and 2 females, average age of 37.8 years, were imported cases, including 4 cases from the United States, 2 cases from Canada.
Diagnostic criteria: according to the “Influenza A H1N1 flu clinic program in 2009 trial version” and the Chinese Medical Association developed “Traditional Chinese Medicine Clinic Guide to Western diseases, part of the common disease” and so on.
Treatment: Anti-viral treatment medicine Tamiflu 75mg, 1 to 2 times, orally. Complicated with bacterial infection increases with antibiotics; traditional Chinese medicine under the “Influenza A H1N1 flu clinic program in 2009 trial version” TCM program, to take individual syndrome differentiation treatment.
6 cases of poisoning were the passage of the lung Wei syndromes, mainly in order to wind-heat syndrome
6 cases of imported cases, flu-like symptoms observed study, fever, two were the highest temperature over 39 ℃, after appropriate treatment within 24 hours after the basic body temperature normalization, the remaining 3 cases the body temperature below 38.1 ℃ basically, 1 case did not occur in patients with fever, weakness and fatigue (2 cases), muscle pain (3 cases), headache (2 cases) and other systemic symptoms of poisoning are not heavy, stuffy nose (2 cases), rhinorrhea (2 cases), sneezing (n = 2 ) and other respiratory catarrhal symptoms of a rare, no abdominal pain, diarrhea, nausea, vomiting and other gastrointestinal symptoms.
6 cases, 30 patients under the age of emphasis on symptoms of systemic poisoning symptoms, including one who complicated with bacterial infections; over the age of 45 symptoms of mild, 3 cases of hypertension in elderly patients, including 1 case of influenza occurred after frequent ventricular premature . 4 cases of early course of the disease in patients with CD4 + and CD8 + T lymphocyte count showed a transient decrease, but the ratio of the basic are normal within a week CD4 + and CD8 + T lymphocyte counts were restored to normal.
TCM Syndrome Analysis: Patients with symptoms of Wei table lighter, more common and sweat-free (5 cases), pharynx itch (3 cases), muscle pain (3 cases), etc.; heat heavy, mainly for drink thirst-hi (4 cases), throat (5 cases); Xuan Su-induced cough, lung failure (6 cases) the performance of more common, but many non-sputum (three cases) or less sputum (1 case); fever is characterized by fever, bad thermal weight ( 4 cases), aversion to cold light (3 cases), pharynx red red more common (5 cases), Mu Chi more common (5 cases). Red tongue in 3 cases, dull red tongue, pale red in 3 cases, TCM belong to the 2009 trial of the drug hit the lung and the cult hit Wei Wei card tables of wind heat syndrome.
6 patients in the main symptoms are fever, 4 cases without application of antipyretic analgesic drugs, in addition to application of Tamiflu, the 2 patients complicated with bacterial infection due to application of oral antibiotics, 1 patient was taking metoprolol, mainly in the medicine-based treatment, in patients with oral medicine 4 ~ 9 hours after the withdrawal sweating hot, hot back to traditional Chinese medicine to improve the cough, expectoration, and other symptoms, 6 patients were discharged from hospital seven days to alleviate the symptoms quickly.
With the winter and spring seasonal influenza compared to heat cold outside, cold outside the beam, Hyperactivity intrinsic rare syndrome, six cases of confirmed cases have demonstrated the passage of the lung Wei poisoning syndromes, mainly in order to wind-heat syndrome. Select Agent Sang Ju Yin and Xin Liang-Ping Xin Liang heavy dose Maxingshigan soup and Chai Ge Jie Ji Tang. Two cases of patients with high fever that focus on the use of Tamiflu without prior in time to traditional Chinese medicine treatment, especially the first two cases of patients without the use of antipyretic analgesics circumstances, the sweating heat retreated, quickly alleviate the patient’s condition. 5 patients are at fever heat after Xuanfei, relieving cough and phlegm-based therapy treatment, the patient coughs, throat, headache, sore throat and other symptoms are soon to alleviate.
Introduction Typical Case
Patients with Mr. Yang, male, 21 years old. Main cause of fever, cough, 1 day admission on May 20. Patients from Canada May 16 for Beijing. At 10:00 on May 19 fever, body temperature 38.5 ℃, the body tired fatigue, aversion to cold light, dizziness, throat, cough, light, first, a dry cough, and later sputum, sputum slightly yellow urine Huang Shao, anorexia, a slight evil heart, no sneezing, runny nose, self-serving cold granules, have not been improved. Afternoon diagnosed as cases of Influenza A H1N1 influenza investigation fever, body temperature 38.8 ℃, I Aspisol, cephalosporin antibiotics, cold granules and so on, static point Tanreqing injection. Medication, after sweating, body temperature returned to normal. At 6:00 on May 20 the body temperature rose to 38 degrees. At 1:00 p.m. on May 20 transferred to Ditan Hospital.
Admission: The body temperature of 38.0 ℃, heat heavy, face red eyes be red, mild aversion to cold, fatigue and malaise, thirst To drink, throat, dizziness, cough, yellowish sputum, anorexia, urine yellow, red tongue fur thin yellow greasy, pulse the number of floating Hung.
Admission on the same day 14:00 and 20:00 each oral Tamiflu 75mg.
TCM: Immunotoxin attack the lungs, Wei-qi with the disease.
Governing law: heat thoroughly evil, Xuanfei phlegm.
Recipe: Ma Xing Shi Gan Tang and Chai Ge Jie Ji Tang addition and subtraction. Sunburn 6 grams of ephedrine, bitter almond 10 grams, 10 grams Gypsum (Xian Jian), 6 grams of licorice, honeysuckle 20 grams, 15 grams of Bupleurum, Scutellaria 15 grams, 15 grams of Pueraria lobata, mulberry leaves 10 grams, 10 grams of chrysanthemum , mint, after 6 grams, under 30 grams of Artemisia annua, Zhejiang Fritillaria 10 grams, 6 grams of Campanulaceae.
17:30 patients with body temperature 39.1 ℃, taking the Chinese medicines 200 ml, 18:30 division of micro-sweating, body temperature dropped to 38.6 ℃; 19 Shi 30 hours there taking Chinese medicines in 200 ml, sweating poor; 21:00 temperature 38.6 ℃. 23:00 body temperature 37.6 ℃, mild aversion to cold, after the temperature rose to 38.8 ℃; 23 Shi Fen 30 re-taking Chinese medicines 200 milliliters; at 12:20 on the 21st whole body sweating, heat back, systemic symptoms relieved. After the body temperature maintained at about 37 ℃, and 16 o’clock on the same day returned to normal.
May 21: Tamiflu, medicine added him for the medical service, the body temperature normal, dizziness improved, improved cough, sputum less significant improvement in appetite, mamillata moss thin yellow, floating pulse number, Sang Ju decoction of Chinese medicine.
15 grams of mulberry leaves, chrysanthemum 10 grams, 10 grams of skullcap, Trichosanthes Paper 15 grams, Shegan 10 grams, 10 grams of oneself, Nansha, Ref 15 grams, 10 grams of loquat Sunburn, Sunburn 100 10 grams, 6 grams Campanulaceae, bitter almond 10 grams, 10 grams of Semen Sojae Praeparatum, raw licorice 6 grams. 3, Shuijianbi.
May 22 2-up care in reducing cough, sputum turn white, reduced thirst, reduced sweating, mental significant improvement mamillata, moss white, pulse breakdown.
15 grams of mulberry leaves, chrysanthemum 10 grams, 10 grams of skullcap, 15 grams of Trichosanthes skin, Shegan 10 grams, 10 grams of oneself, Sunburn loquat leaf 10 grams, 6 grams of Campanulaceae, bitter almond 10 grams, 15 grams of honeysuckle, holly Wong, 10 grams, raw licorice 6 grams, 4 pay Shuijianbi.
Discharged from hospital on May 27.
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