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Febrile Diseases

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[Intro]

Febrile Diseases is a clinical discipline of febrile disease during the development of its treatment and prevention methods. Is the understanding and prevention of the doctrine of warm diseases. Is the subject of a basic theory and clinical practice, closely integrated.


Overview

febrile diseases during the development of (febrile disease situation)

prevention and control means (countermeasures)
In the present epidemic febrile diseases materials, its contents are mainly composed of three parts: General, Theory, and Attachment. The general part is to understand and deal with the theoretical basis of the febrile disease, is a basic theory; all on the part the origins of the concept described four o'clock febrile disease, the etiology and pathogenesis, diagnosis, and dialectical treatment of the principles and various types of febrile disease and Treatment and clinical use guidance of Zonglun content. - Overview and theory are intertwined and together constitute the complete system of Febrile Diseases, said; Attachment classics selected as the ming and Qing febrile diseases home Ye Tianshi, a white xue and Wu ju Tong on behalf of medical, in-depth understanding of febrile diseases theory important inspiration and reference value. febrile diseases

task of febrile diseases

as a clinical discipline, by definition we can see that its mission is:
1, to clarify the temperature during the development of disease, which reveals the nature of the febrile disease;
2, febrile disease, diagnostic methods and preventive measures, effective prevention and treatment of warm diseases, safeguard the people's good health.
task --- to clarify the etiology and pathogenesis, reveal the nature of (warm disease theory)
discuss control methods (effective control) (reflects the practicality of the febrile disease)
ability to perform this task? Although not fully qualified, but western medicine can not replace. Has a unique feature such as viral infections, infectious diseases, hepatitis B, aids Qingrejiedu, heat and dampness, strengthening and restoring the methods have a good effect; the treatment of hepatitis B negative and typhoid, with the treatment of febrile disease traditional Chinese medicine with western medicine than the single effect is better.

febrile diseases status febrile diseases suggests the nature of the febrile disease, and effective prevention and treatment of febrile disease, to protect people's health, and thus it plays an important role in the motherland medicine.
febrile disease, Acute exogenous Heat, is a common and frequently-occurring disease in clinical, mostly infectious and epidemic characteristics. Therefore, understanding and prevention of febrile disease with extremely important to protect the health of the people, has a high practical value. , febrile diseases has long been effectively guide the clinical treatment of febrile disease. In addition, certain diseases of the Internally, the basic theory of Febrile Diseases, the women, children and the facial features and other disciplines, but also has a prominent role in guiding. febrile diseases is compulsory to study Chinese medicine one of the basic course, plays a very important position.

febrile diseases A Brief history

(This is the main content of the introduction of inspection derived from ancient literature)
febrile diseases in the motherland medicine is a young discipline. However, as a discipline in terms of a long process of development. understanding of their profiles, and can deepen the understanding of the discipline. epidemic febrile diseases originated in the Warring States Period "via" to the qin and Han jin and Tang period, temperature and disease are part of the typhoid fever range. Change after the Song, jin and Yuan period of development, temperature and disease from the beginning of the the typhoid barriers; when to the Qing, was gradually summed up a complete theoretical system and treatment method, thus forming an emerging clinical discipline. Looking at the history of the development of Chinese medicine, the development of warm Diseases in general after the following three periods:

embryonic period (Warring States - jin and Tang Dynasties)

according to the research of medical history, febrile diseases origin earlier. Ancient times due to production levels, the low level of science, coupled with other social reasons, such as war, famine, many febrile disease is widely spread, temperature and evil have become increasingly rampant, claiming the lives of countless people. It is in this case, the medicine of the motherland febrile diseases will be in the struggle with the disease. From existing medical analysis, from the Warring States Period to Han dynasty can be used as the infancy of febrile diseases said. In this period, although not yet called febrile diseases monographs medical books, but how temperature and disease prevention awareness has begun to sprout, there are a lot of scientific ideas and experience are scattered in the medical books for future generations temperature The theory of the development of the disease laid the foundation.
1, the initial understanding of the qin and Han era of febrile diseases theory (mainly seen in the "Nei Jing", "Classic", "Treatise on)
(1) febrile disease concept understanding: that, febrile disease is part of typhoid fever, typhoid fever in a type of typhoid fever is the general term for all exogenous fever.
"Classic": "this husband fever who are typhoid fever and the like." ("Classic" is not explicitly propose the disease name of febrile disease, called fever)
"Classic": "typhoid five: stroke, typhoid fever and wet temperature, fever, febrile disease." typhoid points Guangxia type II, Guangzhou including the above five categories. narrow these five, one of typhoid fever.
"Treatise on": febrile disease is a type of typhoid. "Sun disease, fever Er Ke, no aversion to cold, as the febrile disease.
(2) understanding of the etiology of febrile disease:
"Classic": "winter injury in the cold, spring will be sick temperature".
original cause is pathogenic cold
V cold of temperature
Hanxie of heat from warm diseases
(3) the understanding of climate temperature Syndrome: hot like the emphasis highlights the characteristics of the febrile disease of warm.
"Su Wen · assessment fever on the" sick temperature, sweating Noir reheating, while pulse Zaoji, do not sweat bad, raving can not eat. "
"Treatise on the Article VI:" The sun, fever Er Ke, no aversion to those febrile disease. "
(brief description of the symptoms of febrile disease, and later discusses the febrile disease syndromes and treatment of great guiding significance)
(hot like the emphasis on: evidence of febrile disease, climate description incomplete, inaccurate, but the basic features to check against climate has been to understand)
(4) the treatment of febrile disease awareness:
the Neijing to cool the heat "," warm clear of ", although not for the febrile disease, but the development of febrile disease laid the foundation. "Treatise on, although not explicitly pointed out the principles of treatment of febrile disease, but the theory described in the heat, capture, Yin, the treatment of febrile disease, the actual meaning and inspiration. Such as the white tiger soup can be directly used for the temperature of symptoms of illness of stomach certificate, Cheng qi Tang Tiaowei change capture for five chengqi decoction (bezoar Daochi, fluid and declared white, peach, etc.), In addition, Ma Xing Shi sweet soup, tarragon soup, gardenia soy soup, gegenqinlian decoction, etc., have a profound effect in the formation of febrile disease, are still in clinical use. In addition, the Han dynasty the prevention of febrile disease, odd bits of the record, here is not individually described.
2, jin and Tang Dynasties era of exploration of febrile disease etiology and prevention of prescription createdto
qin and Han dynasties after the jin and Tang era, the development of medicine is the collation of the other drugs in the entire Chinese medicine academic square book, this time more without a major breakthrough in medical knowledge on the development of febrile diseases .
(1) the cause of understanding:
Ge Hong's "elbow backup Ji Fang": "Year of the li gas concurrently relying on ghost poison injection, it is called a febrile disease." understanding of the etiology of temperature is a special risk factors, different other causes, this particular material of bad gas, pathogenic infectious. The ghost poison, Ge Hong was born in Taoism, so that the ghosts cytotoxicity.
chao Yuan Fang "to treat patients on the" Recognizing: febrile disease "of the gas of the people a sense of cynical and sick." different from the general cause of the risk factors is a special kind of pathogenic substances. These two kinds of understanding of great guiding significance for the later Wu can be bad gas theory ".
(2) the prescription Creation Therapy enrich the contents of Febrile Diseases
Ge Hong's "elbow Emergencies, sun Ssu" Qian jin yao Fang, wang Tao, "outside Taiwan Miyao," records the prescription of prevention and treatment of febrile disease. For example:
black paste - governance warm poison hair spotted wilt Rui Tang - governance air temperature (Yin and detoxification)
daqing Tang - governance febrile disease hot yin injury taiyi golden bulk - burning smoke to the provision of warm gas (air disinfection)
black Paste: Rehmanniae, tempeh, the swine cream (pig skin)
the wilt Shengrui soup: Bai Wei, ephedra, independent living, almonds, Chuanxiong, licorice, wood, gypsum
the daqing soup: Folium, donkey-hide gelatin (Ziyinqingre)
Tai-flow bulk gold: female and male yellow ettringite, ghost fletching, antelope angle
(more than a few prescription prominent qingrejiedu laid the foundation for the development of febrile disease.)
above shows that the discourse of the "Nei Jing", "Treatise on", "rear elbow", "Qian jin Fang" febrile disease, at this time, although febrile disease due to the stock clock rule has been a certain understanding, but the theory is simple, plain, scattered lack of system, no independent theoretical system is still typhoid areas.
speech summed up in this period:
A, nonaggressive of febrile disease, etiology, syndrome prevention and treatment have an initial understanding of
B, febrile disease on the concept of belonging to typhoid
C, a simple lack of understanding of the febrile disease theory systems
Febrile Diseases, said the development process, this stage is a good start. Febrile Diseases, said that the thinking has been generated for future generations to continue to develop the discipline to open up the right road.
tang dynasty was China's era of economic prosperity. After the tang dynasty in the south, the Yangtze River region, gradually development, urban construction, the population is concentrated, convenient transportation and commercial prosperity overseas due to heavy traffic, so the increased spread of the disease type. The fierce national struggle in the Song Dynasty, frequent wars, and the extreme hardship of the people's living exogenous Heat will be increased prevalence of infection is more brutal, physicians have more opportunities to practice. Doctors have long-term practice summed up the new treatment experience, and recognize the "Treatise on the differential treatment for the treatment of febrile disease, there are many deficiencies. At the same time because of the increasing number of drug discovery, so the conditions put forward the idea of ​​development and reform, febrile diseases into the growth and development period

growth period (the Song, jin and Yuan)

Therapy on new breakthroughs
① Song dynasty zhu Gong specializes in flexible use by the parties:
zhu Gong, first proposed the use by the parties can not stay in a rut, {because of illness vary from person to person due to} the flexibility to add and subtract with the card change.
② Jinyuan Liu Hejian stressed fever Expelling cold:
jin and Yuan Dynasties, contending academic activity. Ma Gui Xin Wen Xie table "Treatise on the table card first to break the Liu River, recognizing that many exogenous disease abuse Xin Wen Xie table, enough harm to the people. Asked the treatment of fever:
A, Theory of innovation - six qi are from the cremation, and six by the mass change are heat syndrome;
B, the Lixin France - cold heat-based method when the table two solutions;
C, the system of the new party - Fang feng Tong Sheng San, double dissolution of the table dual solution agent.
breakthrough in conventional published separated from Ma Gui, achieved good efficacy in clinical practice. A big step forward than zhu Gong, febrile disease therapeutics cold antipyretic laid the foundation for the later establishment of a major turning point in the history of the development of the Febrile Diseases. Therefore, future generations "Zhongjing of typhoid fever cases, fever Sung Ho," the said.
③ Luo Tianyi febrile disease Treatment of made a regularity prompt:
"Health Po Kam," according to the Heat on focus, focus, under focus, as well as in different parts of the "gas", "Blood" card, the system of party drugs, but no symptoms of the system summarized , are subject to the guard qi Ying xue and triple burner dialectical.
3, new progress in theoretical
(1) Song Guo yong elucidation of the cause of the doctrine of:
Song dynasty Guo yong typhoid Addendum on "Recognizing that: both winter injury occurs in the spring of febrile disease in the cold until the spring of the hair, the evil of the feelings of the spring seasonal and hair, and later generations think febrile disease incubated new sense of two types, in fact, originate here.
(2), Yuan Dynasty, wang Tao, the cold temperature of the different Analysis:
wang tao Motosue "medicine by Su whirl set nonaggressive of febrile disease, pathology, governance has a unique perspective analysis of the cold temperature is very important.
A, nonaggressive: Temperature disease shall not be mixed with said typhoid
B, pathology: febrile disease and typhoid fever pathogenesis very different temperature and disease is the heat outward, anxious depression in the table
C, the treatment: clear heat, mainly of the table and Chief
his views, drawn a cold temperature boundaries from typhoid fever, as an independent discipline system, played a significant role in promoting Febrile Diseases. Therefore, Wu ju known as his "before they can Tuoque typhoid, dialectical febrile disease.
From the above, the Song dynasty zhu Gong, Guo obstruct and jin and Yuan Liu Hejian, Luo Tianyi wang tao physicians discourse shows that the gradual deepening of the understanding of the febrile disease, both in theory and on both new developments and breakthroughs in the treatment method, laid the foundation for the formation of the later epidemic febrile diseases, so that is the growth stage.
summarize this period:
1, the progress in theory: a different view to put forward the cause of febrile disease and of disease, pathogenesis and treatment to distinguish between typhoid fever and febrile disease.
2, Therapy breakthrough: stands for flexible use by the parties, emphasizing the treatment of fever to cold, raised the exogenous cause of evil in the triple burner blood system side medication.
after the Song, jin and Yuan to the ming and Qing dynasties, the development of febrile diseases of the contending prosperity, febrile diseases home giving birth to febrile diseases monographs plexus are about febrile diseases in-depth discussion, and finally the formation of a complete theoretical system. febrile diseases of the development has entered a mature period. this stage of the

formation period (Ming and Qing Dynasties)

Wu can plague theory and Qing Tianshi "hot theory", xue a white hot and humid disease ", Wu ju Tong" warm Diseases identified, wang meng warm latitude and longitude of epidemic febrile diseases at home and febrile diseases monographs marked febrile disease of the hair cut prescription has a complete system, thus forming a new specialized independent discipline --- febrile disease learn.
1, the main achievements of the ming dynasty febrile diseases
(1) ming wang Rock Hill's first "new sense of warm diseases", said the rich development of the pathogenesis of febrile disease
the Jinyuan previously discussed temperature sick most of the Neijing, "Treatise on" as far as winter injury in the cold, spring will be sick temperature "of the" V-temperature disease ". Song Guo yong has recognized to occur in the spring of febrile disease, both cold winter volts then hair, also feel the evil of the spring seasonal hair in the growth stage, has dealt with. But he did not direct a new sense of febrile disease, "said. understanding of the Qing dynasty febrile diseases home to the seasons all sense that the incidence of febrile disease, the larger impetus and inspiration.
(2) the late ming and Wu can Bianzhu plague theory, the creation of the plague theory of syndrome differentiation
Wu can live a the Chongzhen Dynasty, is appropriate to the plague epidemic. his practical experience, writing the history of medicine in China febrile diseases monograph - "plague theory. In the book, creative some of the unique insight that different from typhoid febrile disease. Their academic achievements:
Ⅰ, discusses the febrile disease, and typhoid different, bold and unique insights into the "keep the traditional method, not to this disease.
II, the first "bad gas" doctrine, Tuoque, "six evils" risk factors circle to enrich and develop the Pathogenesis of febrile disease. He said, "the plague of disease, non-wind, cold, non-summer, non-wetland is between heaven and earth do not have a different air sense." The plague is feeling bad gas caused by evil from the nose and mouth into the room and lay anonymous film thickness, seize the collapse of hair there are nine kinds of mass change. plague have a strong sense of infectious, "No-one, young and old, strong or weak, and those who touch the disease."
Ⅲ, emphasized in the treatment of Quxie the first meaning, "off the evil of your almost as early as by" the evil go unhealed disease. And create a sparse profit through up to the law. Such as:
a, incidence of early, with up to the original drink sparse interest through up to film the original
(the original to drink: betel nut, Magnolia, grass nuts, Anemarrhena, peony, skullcap, licorice)
b, the mid-evil had already fallen into the stomach, chengqi Tang specifically the main three wins, evil best side only
(of Dachengqitang: rhubarb, magnolia bark, citrus aurantium, Glauber's salt)
(Xiao chengqi Tang: rhubarb, Magnolia, citrus aurantium)
(Tiaowei Cheng qi Tang: rhubarb, Glauber's salt, licorice)
c, late focusing nourish the body fluid, clear solution over evil. Such as the bupleurum Qingzao soup uphold Trichosanthis Tony yang Rong Tang, Qing Zao yang Rong Tang and so on.
(Bupleurum Qingzao soup: Bupleurum, Scutellaria, dried tangerine peel, licorice, pollen, Anemarrhena)
(Trichosanthis Tony yang Rong Tang: Anemarrhena, pollen, mother of pearl, trichosanthes real, orange, white peony root, angelica, Perilla)
These perceptions on the development of future generations Febrile Diseases, and provide new perspectives and the basis, not only in the historical conditions at that time is a major Transcend, still missing the advanced scientific thought. Wearing days chapter "wide plague on the Qing Dynasty, Liu Songfeng the" pine said that the peak epidemic ", I division stupidity epidemic rash both gains and Young Kuriyama typhoid plague identified" were all discussed the plague, are subject to Wu thinking impact.
(3) the ming and Qing yu GREENVILLE proposed plague prevention new insights into the creation of a new theory of qiuzao pathogenic: and advocate plague triple burner theory of governance:
Ⅰ, yu GREENVILLE plague prevention and treatment of a new understanding of
Yushi think "drink aromatic righteousness Tang disease, evil can not enter, this is also." ie, into the evil, while gradually removed as the first justice:
on the focus such as fog or by of detoxification
in focus, such as steep, sparse but by the of detoxification
next focus, such as ditch, make decisions by the of detoxification
on the later use of the the aromatic Huazhuo and Wu ju through sanjiao to dialectical have some inspiration.
Ⅱ, write "dry gas on the proposed autumn injury in the dry season (Gen. autumn dry and hot for the sick on the)
Yushi think Neijing only spring injury in the wind, summer injury in summer, autumn and injury in the wet, winter injury in the cold, spring will be the disease temperature discussion, did not deal with the dry gas , is not comprehensive enough. Therefore compose dry air on the complement autumn injury in the dry season, and customize the main square of the lung soup treatment of dry disease Qingzao save, this is indeed hair predecessors hair. Made important contributions to the development of warm Diseases.
2, the outstanding achievements of the family of the Qing dynasty the four Febrile Diseases:
febrile diseases Qing Dynasty's development has been the prevalence of the north and south, form a complete system of febrile diseases on the theory and Treatment. febrile diseases maturing, Tianshi is a white xue Wu ju Tong, wang meng and physicians established the wei qi Ying Xue, triple burner dialectical agenda as the main indicator. Which Tianshi febrile diseases history of the development of an outstanding representative of a complete system, "warm Masters said. Their contribution is:
(1) Ye Tianshi established the independent system of temperature cause of the card clock rule:
Ye Tianshi's greatest contribution is to establish an independent system of warm Diseases. Ye Tianshi's contribution can be said today Febrile Diseases. Represents the "hot" theory, "three volt gas exogenous articles.
Ye Tianshi, Name Gui, the word day, the number of Hong rock, but also on Tianjin elderly, the Qing dynasty Wuxian origin in She county, Ancestors moved to Wu. The Yip medical students the world family, youth, to the privately run school, comes home late from the parent grant medicine, family nurtured deep, 14 years old, his father died, and Yip with his father, the door of zhu xi doctors, keen to learn, where the smell of a medical good governance of a certificate, apprentice, after school, his teacher, from 12-18 years, thanks to the 17 division, which absorb the length of each, plus naturally intelligent, but also assiduously , it is able to diffuse into the academic Mengjin Zichengyijia.
Yip's life attending Service is busy, no time to writing, book now spread several Yip their doors or descendants gathered from another Weituo Yip, such as "hot" theory. "Guide to Clinical Case", "Yip's medical records the True" as the door people or descendants of finishing. Better able to truly reflect the the Tianshi clinical experience and academic thought. The "hot" theory Yip student gu Jingwen, according to the dictate gathered from febrile diseases theoretical foundation. Yip febrile diseases independent system performance in:
A, illustrates the main types of febrile disease and its occurrence and development of mechanism:
such as "three-volt gas exogenous articles by season, type, sub new sense volt gas
three o'clock: the spring is the warm spring air temperature, summer shubing autumn dry disease, integrated with a new sense of V gas.
Now we are teaching materials on the four o'clock febrile disease is basically by Ye Tianshi's ideological divide.
B, the creation of the "Wei qi Ying xue Wen syndrome differentiation theory:
for febrile diseases established the theoretical basis, following the "Treatise on the six meridians, hot VD syndrome differentiation system of a creative development. wei qi Ying xue is not Tianshi subjective imagination, but the objective reality, in line with the pathological changes of the wei, qi, Ying and blood
C, the development of febrile disease diagnosis:
typhoid fever, Synopsis of great importance to pulse, Ye Tianshi record tongue inspection gear. tongue inspection gear, and distinguish the spotted white to accompany a unique experience, and discusses in detail concise Tongue. Chen Zelin said: really tongue research is Tianshi Tongue. For example: burn patients began to show yellow coating, excessive noxious heat, the heat penetrating the blood when the tongue purple, would appear to septicemia.
D, establishes the treatment of febrile disease Dafa:
"Wei Khan also to the gas before clean air into the camp can still ringing through the heat transfer gas into the blood on the fear of consumption of the blood to move blood to be straight liangxue scattered blood. In addition, he 's "Guide to Clinical Case", "three-volt gas exogenous article" is the crystallization of clinical experience, the practical value of large, respected for future generations of physicians.
(2) Wu ju Tong enrich the development of Yip's doctrine, the content of a febrile disease Treatment:
Wu ju Tong Qing dynasty Jiangsu Huaiyin, a small study of Confucianism. Between the age of 19, his father is sick and died, that can not heal the disease of the parent, simply discredited stand the world, so generously abandoned to lift the sub-industry, specializes in alchemy. his nephew, the age of 23 suffering from febrile disease, "all medical treatment method in the febrile disease, not the smell." To the last body is yellow and died. , When Wu for novice doctors, it "did not dare to jump to praise the word, but this inspired the Wu ju Tong studying the determination of the temperature and disease. The age of 26, to the beijing calibration "Sikuquanshu," so that it can read a large number of sages medical. Extensive study of medical books, especially on Yip's "Guide to Clinical Case-depth and detailed analysis of the discussion with specific cases seriously and try to, with their own insights and experiences, Bianzhu warm febrile diseases . The book is a system, the book discusses the four o'clock febrile disease (column 238 France, 198 side), this book is not only charged the achievements of predecessors in Febrile Diseases, especially Yip febrile diseases that systematic, theoretical promotion of use, making it easy to learn, but also in the theory of warm disease, therapy, prescriptions, and prescribing medication for both development and improve. Wu's contribution in febrile diseases concentrated expression in the warm Diseases identified, the specific performance in:
A, the creation of a triple burner differentiation, perfect temperature and disease differentiation System
Tianshi health town gas, Ying and Blood Programme, clear febrile disease at different stages and levels of dialectical therapy made a huge contribution, however, wei qi Ying xue is still not exactly reflect the relationship of lesions of internal organs , and thus only wei, qi, Ying and Blood can not meet the actual needs of the clinical febrile disease. Wu ju General to triple burner to summarize the complex dialectical performance of febrile disease. Heart and lung disease is the focus of the spleen and stomach disease is its coke coke, liver and kidney disease. sanjiao dialectical dialectical wei qi Ying Xue, each other's latitude and longitude, together constitute the dialectical theory of warm disease
B, to clarify the pathogenesis of febrile disease mass change, suggesting that the law of development of the febrile disease
Wu proposed febrile disease "beginning on coke, and finally under focus" focus on the disease died, then transfer the focus, stomach and spleen; focal disease, has died, that is passed down the coke, liver and kidney. "- summed up the law of the pathological development of a variety of febrile disease.
C, created a treatment Dafa rich febrile disease therapeutics content
"rule on Jiaoru yu (non-light do not move), the the Jiao Ruheng (non-disturbed level) in the rule; under the rule of focus, such as the right (non-re-Shen).
non-light does not cite to describe the potency light clear, non-flat disturbed describe the placid nature, non-weight shen describe the herbal weight fall.highest
on the coke site, near the table so the governance of the focus of the disease, it is appropriate, such as feather as light clear l floating goods, otherwise the drug disease are; CKS calm such as weighbeam the balance, focus in on under the coke between the lift and out of the hub, so the focus is sick medication to be impartial, that can not spend focus light clear l floating, not preferable to focus aids tired of the potential drop; under the focal part of the minimum, and partial in years, the medication to be muddy, as if as heavy weights of the products can direct disease.Xue a white compilation of monographs,
(3) systematically discussed the hot and humid disease due to the stock clock rule
"hot and humid disease chapter" monograph hot and humid disease permits syndrome differentiation. xue Jiangsu Wuxian and Ye Tianshi with
the same place. according to legend, mutually contradictory and Ye Tianshi, sweeping leaves Villa, sweeping leaves, known for the elderly. xue learned before, broad interests, was able to draw good poetry, and poetry theorists Yuan Mei is very good friends, written poetry is very rich, "Garden Poetry. Character, elegant, light in the fame, rather than on court two Zhenghong Bo, concentrated in the yellow manifold art of medicine to the doctors for the lifetime of the industry. his masterpiece "disease hot and humid" hot and humid Syndrome exposition, detailed and insightful, the drug card is ready, no matter at the regular time of change, all certificates can be identified, there are laws to follow, febrile diseases history of the development system complete exposition of the earliest literature of the wet temperature and Treatment. To grasp the hot and humid disease syndrome differentiation, there are indeed a great inspiration and help. Each of hot and humid disease is mainly based on the hot and humid disease articles.
(4) of the home of wang meng pooling example, the culmination of the set of febrile diseases
Zhejiang Haiyan people, the early practice of medicine in Hangzhou, after living in shanghai practice for many years in his later years moved to his hometown sea salt. Practicing medicine for generations, the 14-year-old death of his father, determined to inherit their ancestors left the industry, I strenuously studying medical books to earn a living. Read, be mastery, so 10 years after the school Dacheng tests in clinical and from shen malady, the medical name so boosted. life book even more, most of them have been destroyed, save the stream as there are more than ten kinds of famous "Cholera" theory, warm Jingwei wang medical records "," owned by Yan recorded ".
wang before, febrile diseases and Their Works in large numbers, especially the advent of Wu ju "Warm febrile diseases Febrile Diseases, said the system has been established. But its academic content and more drawn from the Tianshi, rarely learn from the discourse of other Febrile Diseases. Thus, in terms of content, is still incomplete, is still not fully reflect the whole picture of Febrile Diseases, said system. wang For this reason, Bianzhu warm latitude and longitude "Zhang Zhong Jing Xuan discrimination of text by Ye xue example of the home identified as the weft". Book in five volumes: volume I "Neijing; volume II" treatise on "; volume III volume iv collected about febrile diseases of the Qing dynasty novel" exogenous hot papers, hot and humid disease "," exogenous febrile disease "epidemic"; the Kango side of (prescription and drug). Pooled on the basis of widely adopted the famous comment column card more than thirty kinds of literature, explain his opinion. The book played a full finishing febrile diseases said. febrile diseases synthesizer compiled on febrile diseases into the heat and played an important role. wang meng and therefore can Febrile Diseases, said the contribution of a par with Ye, xue Wu, known as one of the warm Four.
bold breakthrough the traditional concept of "warm disease is not more typhoid fever", differential treatment of febrile disease, the courage to previous experience, the creation of a new theory, the development of new treatment method, and finally in exogenous heat VD , has made epoch-making achievements. So, the ming and Qing Dynasties febrile diseases in the formative stages.
five-point summary of this period achievements:
create "a new sense of febrile disease," said the rich development of the febrile disease pathogenesis.
② bad gas theory, a big step forward in the etiology.
febrile disease as a general term for a variety of hot sexually transmitted diseases, academic self-contained.
the ④ establish the wei qi Ying blood and triple burner dialectical The febrile diseases theoretical system.
⑤ enriched febrile disease diagnosis and treatment methods.
With the booming epidemic febrile diseases, in particular the establishment of the new theoretical framework, the of typhoid school and febrile diseases send the dispute in the medical profession and related content on the second chapter of febrile diseases said explain the three debates.

continue to develop to improve the period (since the founding of New China)

febrile diseases in the ming and Qing dynasties to flourish. To the Republic of China, because of the reactionary government of corruption, imperialist aggression, China was gradually reduced to semi-feudal, semi-colonial country, the KMT has taken to ban the policy of elimination of traditional Chinese medicine, the motherland medicine much devastation, febrile diseases basically not been developed.
after the founding of New China, the superior socialist system, the CPC central Committee and the People's Government formulated a new Chinese policy, the motherland medicine gained a new country to establish a large number of Chinese medicine hospital (such as Anhui, there provinces, municipalities and the county Hospital). The General Hospital set up a traditional Chinese medicine, Chinese medicine treatment of febrile disease conditions. Especially Chinese medicine diagnosis and treatment of warm diseases, from outpatient to the ward to observe more subtle, more user-friendly summary. In the meantime, many Western to join the combined Chinese and Western medicine, under the joint efforts of Chinese and Western medicine, febrile diseases has been booming, there has been encouraging the broad prospects for this period is the stage of epidemic febrile diseases development and improvement, major achievements performance in the following areas:
1, widely used and significant achievements:
febrile diseases of the theory and experience widely used clinical and achieved remarkable effects. 1954 shijiazhuang use of febrile diseases theories and methods, the treatment of encephalitis, and achieved significant efficacy of their experience quickly attracted the attention of the medical profession throughout the country to promote, not only reversed the many minds Chinese medicine does not treat acute, the mistake does not treat organic diseases, but also attracted the attention of many Western circles and research Chinese medicine Febrile Diseases. Forty years use of febrile diseases theories and methods of treatment of meningitis, encephalitis B, epidemic hemorrhagic fever, measles, blood diseases, whooping cough, dysentery, typhoid fever, leptospirosis, pneumonia, acute biliary tract infections, sepsis and other acute infectious diseases and acute infectious diseases, have made a good effect, and disease syndrome differentiation, treatment of the law are summarized.
2, theoretical research progress:
founding of New China since the theory of Chinese medicine febrile diseases gradually specification. Due to historical reasons, some concept in febrile diseases theory is a bit confusing, or ambiguous, or more than one meaning, even in the presence of each other inconsistencies through the finishing of the system, these problems were largely resolved febrile diseases of the basic theory through in-depth discussion on this basis, while it has increased. Such as:
With the new insights of ① the cause of febrile disease theory: First of understanding right from the pure essence of the six evils of climatic factors to get out, but rather as a variety of risk factors, pathogenic properties and characteristics of classification method. Second, it proposed "poison" role in the pathogenesis and disease process.
six Classics dialectical, wei Qi, Ying and Blood and triple burner dialectical relationship between launched a discussion on how to create a new, unified exogenous Heat STD Programme were discussed. At the same time, the history of the cold temperate struggle "With a more unified understanding, people ask" cold temperature separation "in history, to promote the development of the tcm exogenous Heat VD theory and Treatment of cold Wendui li not suited to the actual clinical situation, and thus reach new heights. "cold temperature reunification" and on this basis to create a new Chinese of exogenous Heat.
② in the treatment of febrile disease, presented some new insights. understanding of the truncated therapy and how to master the use of "poison" in the febrile disease and take appropriate measures.
3, and experimental results:
the blood of febrile disease wei Qi, Ying Chuan become the law of its essence, the tongue changes substantial, the use of the knowledge and methods of modern physiology and pathology, biochemistry, and a systematic observation and research, to obtain certain results; in recent years has also produced a validated animal model of wei, qi, Ying and leukemia, and on this basis up to study the differentiation and treatment of the law of the febrile disease, has made some progress.constantly enrich
4, treatment prescription: First febrile diseases in Qingrejiedu, blood circulation, capture through the mechanism of action of qi, yin and other governing law and the prescriptions of chinese medicine pharmacological studies have made significant progress. Secondly, the combination of diagnosis and treatment, and developed a number of effective treatment prescriptions for different pathogens.
Publication: 2008
Folio: 16
......


[Cause]

boil is caused by what the?

infection and skin dirty, scratches, high ambient temperature or lower the body resistance to infection-related. boils can occur in any follicles of the skin area, often to the head, face, neck, armpits and buttocks so often by the friction of the parts is more common.

(a) causes

boil the pathogenic bacteria staphylococcus aureus based, Streptococcus, staphylococcus epidermidis, are also caused by the disease. Local and systemic skin's resistance to infection is reduced mainly due to Benbingfasheng, so infants, malnutrition, diabetes is a good risk of this disease. Dirty skin, skin abrasions, high ambient temperatures often lead to local infection such as the direct cause.

(B) the pathogenesis

bacteria invade the hair follicle and their sebaceous glands and sweat glands, in hair follicles and surrounding tissue multiply rapidly, producing toxins, causing local tissue degeneration, necrosis, and the center of the formation of boils, the performance of local congestion, exudation, induration. Aggregation of neutrophils to the damaged body tissue cells and bacteria to be destroyed, and he gradually necrosis and dissolution, the formation of abscesses in the dermis. Due to staphylococcus aureus, coagulase contain toxins, so the formation of pus bolt, protruding outward. Swelling and induration clinically visible in the center of a yellow-white pus plug. This is staphylococcus aureus infected lesion characteristics. ulceration after discharge pus, abscess gradually by the new fibrous tissue repair and healing.

[Sign]

boil the early symptoms?

1. redness, swelling, heat, pain summary, cylindrical cone.

2. inflammation to the development of nodules increases, the pain intensified.

3. A few days later nodules central necrosis, abscess formation, dissolution, soft induration, pain relief, the central pus head most of the self-rupture, discharge pus, inflammation subsided recovery.

4. furuncle usually no obvious symptoms, but if the blood flow occurred in the rich parts of the body resistance weakened, it can cause discomfort, chills, fever, headache and loss of appetite and other symptoms of toxemia.

5. facial boil such as intracranial infection, facial swelling and severe, may be associated with chills, fever, headache, sinus infections and other embolization.

boil because of location, severity of different clinical manifestations may vary.

local swelling and pain sclerosis: no systemic symptoms of early disease and more, only infection redness, swelling, pain, range of not more than 2cm in diameter, small nodules gradually enlarged, as papules bulge. A few days later lesions extended about 3 ~ 5cm, nodules gradually softened, the center was white, a slight touch of the fluctuations; then ulceration pus, and the emergence of yellow-white pus plug. pus bolt off, pus shed, the inflammation subsides and healing. There is no pus boil bolt (the so-called headless boil), since the collapse a bit late, need to find ways to promote its pus discharge (Figure 2 ).

fever, swollen lymph nodes: furuncle serious infection, the local area of ​​the lymph nodes, tenderness, and may be associated with body heat, and sometimes lymph node abscess formation.

nose, upper lip and around (called "dangerous triangle") of the surface boil, add or pushed in touch, the bacteria via the angular vein, ophthalmic vein into the brain, causing intracranial suppurative infection. At this point may have fever, headache, vomiting, consciousness disorders.

early follicular redness, swelling, heat, pain, induration. After the white purulent center, there is volatility. May be associated with systemic fever, elevated white blood cell count and differential count.

[Aftertreat]

boil ate?

therapeutic side:

1. composed of: a single head of garlic, honey, 9 grams. Usage: pound evenly wrap the affected area.

2. consists of: single head of garlic amount. Usage: peel and slice into 2 to 3 mm, with the first affected area with warm salt water when dry wash, and then sticking garlic, and gently massage the 10 to 20 minutes, 2 or 3 times a day, 2 3 There is no more. Indications: Boil, folliculitis. Note: In severe cases, such as local irritation may reduce the massage time, a serious condition should be added to serve anti-inflammatory drugs.

3 . composed of: tea 2 grams of dried honeysuckle 1 gram. Usage: boiling water 6 minutes after each meal drink in a cup. Indications: Boil, exogenous heat.

4. composed of: fresh Malan first 100 grams, the amount of liquor. Usage: Add a little salt before blindly smashed wine Ban Cheng paste, coating the surface of the skin furuncle carbuncle. Indications: furuncle, carbuncle.

5. Composition: rosin 10 grams of white wine. Usage: rosin research to fine tune white wine into a paste, resisting heat, wrap the affected area after dissolution, for the degree of responsibility to cover all of the above and then covered with wax paper and tape securely, to enhance efficacy, can drop a few drops of wine, rosin to keep moist. Indications: furuncle, carbuncle, folliculitis.

6. smashed topical papaya leaves, swollen boil carbuncle treatment drug.

7. fresh peach leaf, plug smashed the lesion, treatment of nasal furuncle.

8. rhizome or fresh banana leaves smashed Jiao Zhi, coating the surface of the skin, cure carbuncles, boils, swelling.

9. almond powder with sesame oil paint, heat treatment boil.

10. purple cane coal deposit of the skin, powder, paint the affected area or sesame oil dressing, boil carbuncle treatment, stomatitis , eczema.

11. raw taro add a little salt, smashed drunk wrap the affected area twice a day replacement, bones can cure pain, swelling of unknown drugs, pediatric head hot boil, finger boil.

12. raw loofah (or leaf), smashed juice, coated surface of the skin, soak sore treatment days, yellow water sores, heat boils, urticaria .

13. mung bean sugar kelp: seaweed 60 grams, shredded, green beans, 150 grams, with the soup, add brown sugar to taste food. There Sedative, diuretic, soft-kin, Phlegm, scattered gall tumor effect. For hypertension, beriberi edema, neck lymphadenopathy, simple goiter, prickly heat boils hot summer day in children poison, phlegm cough embolism.

14. yi melon soup: melon (not peeled) 500-600 g, yi 50-100 grams of soup. Can be flavored with sugar or salt, on behalf of the tea used, heat, hot weather, diuretic, dehumidification effect. Drugs for rush boils, eczema athlete's foot, yellow urine deficient.

15. Daozhi raw turnip, vinegar and rub the affected area transfer, heat treatment boil.

16. green beans 30 grams of powder, each 10 grams, water delivery service, boils cure breast swelling and pain.

17. failure to adopt the open rose 3 - 5 朵 wash, add water, two pregnant, suffering from a cup of low heat, ice sugar 30 grams, made of rose soup, until the temperature dose, to cure blood stasis amenorrhea, boils Chung pain, traumatic swelling and pain.

18. boils and pus ulceration of the skin sore or eczema, rinse with water, tea, allow the wound clean and promote healing.

19. a white sweet potato, peeled and chopped, smashed, can also be added with the same amount of fresh houttuynia smashed, spreads in the affected area, apply to the local heating that line replace (about two three hours long), and even apply a few days more, boils cure mastitis.

20. soybeans amount, turn on the water immersed soft, add a little alum were smashed drunk, external surface of the skin, swollen boils boil treatment.

21. adzuki beans with water until soft, mash with water or vinegar, or honey or egg amount, into a paste, external surface of the skin, cure mumps, hot boil.

22. kapok 30 - 50 grams of sugar amount, fry a bowl with water and drink two bowls and a half. Favorable moisture, heat effect. For enteritis, urethritis, eczema, summer boil embolism.

23. fresh buckwheat leaves 60 grams, Shuijianbi day one; or fried yellow noodles with the vinegar into a paste, applied to the lesion, sooner or later be replaced. Governance sore, swollen boils, erysipelas, mastitis, and swelling of unknown drugs.

appropriate patients to eat what?

1, edible grapes plus zinc salt or zinc, other foods such as soy, sunflower seeds, wheat bran, yeast, brown sugar and so on.

2, Yi Shi taste light, the cold food, such as Malan head, purslane, melon, red and white radish, bitter gourd, sponge gourd, mung bean, red bean, lily, chrysanthemum brain and celery.

patients unfit to eat what?

not eat ginger, pepper and other spicy foods , as well as mustard, yellow croaker, shrimp, crab, chicken head, goose, zhu tourou so fat objects.

should avoid fried foods and meat, edible oil cans.

data only refer to the specific, please ask a doctor.

[Prevent]

how to prevent boils?

boil is born of acute suppurative superficial skin disorders, widely available health, children, young people more common. "Surgical management case" that: "boil persons, birth processes, floating red rootless feet, swollen found in the skin, only the width of an inch, there is less pain, a few days later Microsoft, thin peel, the beginning of the blue water, the latter from breaking the pus out of. "The disease occurs in the summer and autumn, protruding roots shallow, swelling potential limitations, lift the red pain, mostly in the range of about 3cm, easily swollen, easy to collapse, Yi Lian. Early can be divided into a head, without the first two kinds of general light and easy to cure the symptoms, so the saying goes, "no boil the size of a pus like." ;;; ;;;;; ;;;;; ;;;;; But also due to the formation of improper treatment or care "mole cricket boils," or repeated seizures, lack of disunion. Multiple furunculosis ", is difficult to cure.

[Treat]

boil precautions before treatment?

attention to the skin clean, timely replacement of underwear and avoid skin injuries, especially in the summer, to bathe, wash your hair, hair, changing clothes, nails, children in particular should pay attention. With honeysuckle and wild chrysanthemum Jiantang tea. boil the surrounding skin should be kept clean and coated with 70% alcohol to prevent infection spread to nearby hair follicles.

boil Chinese medicine treatment methods

total boil caused by the toxic heat treatment to detoxify the basic principles.

A Differential Treatment:

1. Heat toxin accumulation card: lesion processes, such as cone, burning pain, or fever, thirst, tongue pink, yellow fur, rapid pulse. Detoxification. Flavors disinfection decoction.

2. shushi heat Melancholia: seen in summer and autumn, the affected area, such as agglomeration cone, single or multiple, burning pain, chest tightness, anorexia, deficient urination, red tongue, greasy or yellowish, veins slippery. Qingshu dampness, detoxification swelling. Qingshu Decoction.

3. Is virtual evil love cards: distributed in the body, local color dark red, pus scarce, one after another, delayed healing, with fever, irritability, thirst, or fatigue, limb soft, red tongue thin yellow, rapid pulse. Righting detoxification. Liu wei di huang Decoction.

Second, external treatment and other treatment:

1. The beginning of detoxification should be swelling, moderate to henbane, water reconcile, wrap the affected area. Or wishful golden powder for external application. Or green cream Waicha.

2. Pus, the clip bolt out the pus.

3. Unhealed after the collapse, sores can be a little ninety-one dan to drugs or drug line twist into sores, topical berberine gauze.

4. Oral Meihuadianshe Dan, Niuhuangjiedu, Fang feng Tong Sheng Wan, liushen other medicine.

5. unilateral prescription: silver flower 30g, licorice 10g, decoction, on behalf of the tea.

Western boil treatment

1. Local treatment, such as heat, physical therapy, 10% ichthyol coated ointment. facial boil should rest in bed should not squeeze or prick Boil, so as not to spread to the brain.

2. Swelling or have a large range of obvious symptoms, should give systemic antibiotics (third-generation cephalosporin antibiotics).

3. The formation of abscess, incision and drainage should be timely but should be avoided boil the face cut.

(a) treatment

1. The principles of early treatment to promote inflammation subsided, after early drain purulent pus; timely elimination of systemic adverse reactions.

2. Local treatment

(1) Physical therapy: early, ultraviolet micro-irradiation, can promote local anti-inflammatory, to prevent proliferation. Swelling stage, the selection of FM, infrared and other heat, promote boil liquid. 2 to 3 times / d, 20 ~ 30min / times.

(2) Drug eraser: 0.5% povidone-iodine scrub, the drug not only for skin irritation, and the role of long-lasting, no pigmentation. Can also be used erythromycin, tetracycline ointment.

(3) topical cream: local swelling and a small pustules, use ichthyol, wishful golden powder, Gyokuro powder and so on.

(4) incision and drainage: boil into pus, nodules soften, a sense of volatility, you can make a small incision drainage or fire needle drainage. Taboo squeeze purulent lesions.

(5) to keep local clean and dry: adhere to local skin cleaning, daily showers are the best conditions. Young children with skin, topical lip after taking a bath in summer, to avoid the formation of multiple Boil.

3. Systemic treatment usually does not require systemic treatment of boils. But facial boils or accompanied by chills, fever, headache, general malaise, etc., should be given antibiotics. Clinical observations and experimental results show that the efficacy of penicillin, cephalothin, cefazolin and amikacin better effect.

(B) the prognosis

generally good prognosis after active treatment, without sequelae.

[Examine]

boil should be how?

1. peripheral blood

(1) white blood cell count: fever, elevated WBC count may have.

(2) white blood cell count: white blood cell count was elevated often accompanied by increased neutrophils .

2. diabetes check

(1) fasting plasma glucose measurement: two fasting blood glucose were increased, should consider the possibility of diabetes.

(2) glycated serum protein: This clinical trial is not the impact of fluctuations in blood glucose higher than normal to help the diagnosis of diabetes.

(3) glycosylated hemoglobin: glycosylated hemoglobin and blood glucose were positively correlated, and the irreversible reaction. diabetes is often higher than the normal 2 to 3 times.

3. bacteriologic

(1) bacterial culture: the multiple, repeated infections, abscesses can be extracted directly pus for bacterial culture, positive results will help the diagnosis of pathogens.

(2) drug susceptibility testing: bacterial culture in the pus, while line drug susceptibility testing can provide the scientific basis of clinical drug treatment.

[Diff]

boil diseases easily confused?

1. Multiple sweat gland abscesses are summer disease, more common in infants and young children and frail mother's head, forehead, etc .. Lesions of multiple subcutaneous abscesses. Surface tenderness, inflammation lighter. No pus bolt, left scars. Usually accompanied by a lot of prickly heat. Generally known as prickly heat poison. It was also known as pseudo furunculosis (Pseudofurunculosis).

2. hidradenitis suppurativa common in young women, lesions of the skin induration. Subcutaneous abscess formation, followed by skin redness, swelling, heat, pain, ulceration scarring. Lesions occur in the armpits, groin, genital and perianal, umbilical, etc.

3. acne acne mild infection, red, swollen, painful, but the disease is small, the top a little bit like creamy.

4. sebaceous cysts sebaceous cyst infection are redness, swelling, pain, but the previous round has been painless mass over an extended period , the epidermis as usual.

5. carbuncle carbuncle with redness, swelling, pain, but there are several hair follicle infection, lesions larger than the boil.

[Disease]

hump-related diseases

juvenile osteochondrosis of vertebral osteoporosis youth sexual hump sore scoliosis ankylosing spondylitis vitamin d deficiency disease

more back symptoms

small blisters appear back back pain back spasms, back pain does not have subtle linen spine back pain sinus pain Road with sensory ataxia spinal nerve root damage spinal cord hemisection syndrome, spinal cord lesions of hemorrhagic infiltration of the spinal cord injury spinal cord infarction, cauda equina involvement across the spinal cord within the spinal cord gliosis in the spinal cord anterior horn of the spinal cord lesion cavity formed spinal thalamic tract compression

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