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Aversion therapy

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[Intro]

Aversion therapy, or offensive condition method is a specific behavioral therapy. Which reads: want to get rid of the target behavior (or symptoms) combined with something unpleasant or punitive stimulation, through offensive conditioning, and reach to quit or at least is the purpose of reducing the target behavior.


called

[nickname]: antagonistic conditioned reflex therapy
[also known as: the obnoxious Conditions Act

Introduction

modern clinical psychiatrist also use this method to help people stop drinking, alcohol service tartar emetic, or injection of apomorphine, emetine, impending nausea, alcohol drinking. So once a day, 7 to 10 times until the alcoholics, drug use and pure drinking nausea aversion only wine. Namely the conditioned reflex has been fully established, the subsequent year can still be for 1 or 2 times to consolidate treatment. 4096 cases and alcohol in this way, according to Lemon (Lemere) line performance statistics, a course of treatment. Maintain abstinence for more than five years accounted for 38%, to maintain more than 10 years accounted for 23%, the rest of the people continued to drink.
aversion therapy is not now a new creation, for example, in China's rural areas, since ancient times, there extend lactation contraception, children 6 and 7 years of age have not yet weaned, resulting in bad habits. Time to be weaned, the way of persuasion and forbidden the children of this bad behavior is very difficult. civil weaning methods are usually two: First, the nipple on the Tu coptis a class of bitter agent, children in suck 1,2, will not dare to mention sucking requirements. Another approach is in the painted an ugly color on the breast, children daunting, since even the sucking attempts do not dare. Both weaning method is the use of aversion therapy that we are now talking about. Of course, when unadorned, and did not reveal its theoretical basis.

content

want to get rid of the target behavior (or symptoms) with something unpleasant or punitive stimulation combined the role of the offensive conditions, and to achieve to get rid of or at least the purpose of reducing the target behavior.

aversion therapy indications

aversion therapy is commonly used in the treatment of alcohol addiction, sexual perversion, forcing concept. Through the training of the patient's condition, to form a new condition behavior in order to eliminate the bad behavior of the patients. In the treatment of aversive stimulation should be to achieve sufficient strength. Indeed make by stimulating patients to produce pain or disgust response duration of treatment until the bad behavior disappeared. Such as forced the concept of patients, treatment with pull elastic rubber band method. The first few days, when the emergence of obsessions to a series of pull-shells 30 to 50 times, in order to make the symptoms disappear. In addition, the requirements of the patients have confidence in, and actively cooperate with treatment. Doctors when treatment progress must be promptly encourage patients to family members of patients with the best made when necessary, would be better.
the general principles of

aversion therapy

the principle of aversion therapy is a classical conditioned reflex.
using the principle of avoidance learning, the repulsive stimuli, such as electric shock, vomiting, the language of blame, imagine, the combination of with Qiu Zhizhe bad behavior, the formation of a new conditioned reflex to right antigen and some bad behavior, thereby eliminating this undesirable behavior.
form of

aversion therapy

first electric shock aversion therapy

upcoming Qiu Zhizhe habitual bad behavior response and electric shock together, once this a behavioral response

electric shock aversion therapy


imagine that appear to be an electric shock. electric shock once, rest a few minutes, and then a second. Each treatment time of 20 to 30 minutes, repeated electric shock several times. Treatment times from six times a day to once every two weeks, electric shock, the intensity of selection should be the consent of the consent Qiu Zhizhe.

second drug aversion therapy

namely, when the in Qiu Zhizhe stimulus of lust, and let it take vomiting drugs, resulting in vomiting, so that the behavioral response to gradually disappear. Drug aversion therapy used for correction and eating-related behavioral disorders such as alcoholism, overeating, the drawback is taking too long, and easy to dirty the environment. the

The third is to imagine the aversion therapy

about to stimulate the differentiation by verbal description aversion situation and Qiu Zhizhe imagine linked

imagine the aversion therapy - to quit smoking


aversion response to therapeutic purposes. This therapy is easy to operate, wide adaptability and good effect on the variety of behavioral disorders. In order to change the perverted sexual acts, it was also used such therapies. Such as theft of fetish concept in fetish Qiu Zhizhe mind or the occasion for such acts, in patients with pain in their own power or with a needle and repeat the combination of many times, you can reduce or eliminate patients with such maladaptive behaviors. Furthermore, it was the same method of treatment of habitual muscle tic. Philpott, MD, in the treatment of obsessions, also used a similar approach, he is not painful stimuli; but when When Qiu Zhizhe every occurrence of obsessions automatically stop breathing, sense of suffocation caused distress to suppress forced the emergence of the concept of . -

a

imagine the initiative show a disgust scene and this scene with some sort of adapt to poor impulse (or behavior

, imagine aversion therapy


) the combination, in order to achieve therapeutic purposes. For example, patients with sexual perversion, when their desire or behavior, to immediately close your eyes and imagine standing in front of a tall policeman, solemn faces, hand chains staring at him. Or memories of the past have been detained masses angry reprimand scene, in order to achieve the reduction and control of such maladaptive behavior. In addition, the psychiatrist also designed to curb alcoholism or bulimia imagine nausea and vomiting, but imagine what is better, as effective a given stimulus. Imagine aversive correction to adapt to the bad behavior of the method, also known as implicit sensitized France (covertsensitization). Lovelorn youth hidden into despair, implicit sensitization infatuated with a certain effect. Some people say that the role played by the implicit sensitization method and the dream of Red Mansions in the same love affair Hokyo.

use the use of aversion therapy treatment of aversive stimulation should achieve sufficient intensity of pain or disgust reaction through stimulate indeed make Qiu Zhizhe generated, the duration for until the bad behavior disappears. Patients with obsessions, such as treatment, the first few days, pull the elastic rubber band method, obsessions appears to pull a series of bomb 30 to 50 times, in order to make the symptoms disappear. In addition, the requirements of Qiu Zhizhe have confidence in, and actively cooperate with treatment progress to be encouraged, if necessary, is best achieved with their families, this effect will be even better.

aversion therapy Note

1

aversion therapy will Qiu Zhizhe a very unpleasant experience, and treatment in the decision before using this method, be sure to Qiu Zhizhe explained clearly in the consent the Qiu Zhizhe consent before treatment. And therapy should generally be aversion therapy as a last choice.

2

While the use of aversion therapy, efforts should be made to help Qiu Zhizhe discriminating conditioned response. For example, a gay aversion therapy, and treatment should be rendered to aversive stimuli, limiting the performance in Qiu Zhizhe of homosexual sex within; the same time, the to Qiu Zhizhe the formation of the happy reaction of the normal heterosexual sexual activity. The only way to eliminate the non-adaptive behavior, the establishment of adaptive behavior.

clinical study modern clinical psychiatrist also use this method to help people stop drinking, alcoholics service tartar emetic, or injection of apomorphine, spit root alkali impending nausea, drinking alcoholics. So day 1, repeated 7-10 times, until the alcoholics, drug use and pure drinking nausea aversion only wine. Namely, description of the conditioned reflex has been well established and annually thereafter can still make 1-2 times to consolidate treatment. 4096 cases in this way the effect of abstinence statistics line Lemon (lemere), a course of treatment to maintain abstinence for more than five years accounted for 38% of the maintenance of more than 10 years accounted for 23%, and the rest later continued to drink.
the

aversion therapy treatment of pedophilia addiction "

into the psychological clinic, his face was ashamed. Ages, only to tell the truth: "I'm introverted, usually less if married more than ten years of married life not very interested, always worried that she had impotence. But the strange thing is, see the neighbor's 10-year-old little girl. I had an incredible "impulse" is often an excuse with her out shopping, watching movies, the park, took the opportunity to spy on, touch her privacy zone, and sometimes can not help but hug her, kiss her, I think access to a great deal of satisfaction. Later, in the face of his wife and children, I deeply remorse and anxiety, can not be controlled. "
Analysis: why he have a little girl "soft spot"? This is a distortion of psychological mess "bad" - he is suffering from "pedophilia".
"pedophilia addiction" is targeted at children to get sexual gratification kind of sexual perversion, more common in male patients, their love of children is often between 10 to 17-year-old children of friends or acquaintances. Most scholars believe that its occurrence is the day after tomorrow caused by abnormal psychological development. Psychological factors: the sympathy and affection innocence in everyone, but child sexual overly concerned with more than a certain limit, you can cure mental and control human behavior. Social factors: There is no capacity to deal with heterosexual relationships, nervous, afraid, in order to transfer the interest to the children who Family factors: family discord, poor marital relationship, or impotence, adult sexual life of fear or love in the children lose interest can be transferred. personality defects: timid, cowardly, lack of ability to deal with the crisis of the susceptible population. When they encounter a major spiritual impact of the work, study and other aspects of his wife was having an affair, they tend to have the courage to face the reality back to the childhood fantasy, thought is transferred to the little girl who metamorphosed them in the eyes of lovers or mother. Other diseases: Some mental retardation, persons with disabilities may be less opportunity and mature women contacts will appear in this disease.
addiction in patients with typical manifestations of pedophilia is only interested in the immature children, the patient pursuit of psychological sexual satisfaction and sexual pleasure, but not necessarily the pursuit of sexual intercourse. one of the
aversion therapy be regarded as an effective means of treatment of the disease. When the patients with fantasy or with children, given a certain current to stimulate the hoku zusanli or intramuscular emetic drugs, to cause their physical and mental pain in order to break the reflection of pathological conditions, to correct the abnormal behavior of pedophilia.

aversion therapy program

(a) to determine the target symptoms

aversion therapy with highly targeted, and thus must intend to abandon addition to the what kind of behavior, namely the identification of target symptoms. Callers may have more than one bad behavior or habits, but only a main or seeking help urgent requirements abandoned in addition to bad behavior as the target symptoms.

(b) selection

aversive stimuli aversive stimuli must be strong. behavior often does not apply to seeking help to bring some satisfaction and fast

aversion therapy film - "A Clockwork orange


meaning, such as the voyeuristic pleasure, drinking comfortable after the experience carried away after taking drugs. These meet and Fiat continue to strengthen these does not apply to behavior. Aversive stimuli must be strong to a certain extent, to produce not going to far to overwhelm all the pleasure, be possible to replace it, in order to weaken and eliminate bad behavior. Commonly used aversive stimuli:
1. Electrical stimulation .
electrical stimulation voltage and stimulating time to accurately adjust and control, but also a general fear, which is often used as the aversive stimuli. Electrode is generally concentric electrode (concentric electrode) is usually placed in the forearm, because here is more secure. Such as concentric electrodes, the available saline soaked wet gauze electrode wrapped, but also prevent burning the skin. The current intensity varies from person to person, can do first test. The current childhood to gradually increase until the subjects were unbearable, and then whichever is l/4 the value of the current intensity as a treatment for the future, as the treatment situation may be slightly adjusted. Barker (1968) in the treatment of compulsive gambling, namely switches opened off instantly stimulate the gambling three hours electric shock l50, several treatment, electric shock, the total number up to 672 times gambling desires disappear.
2. Drug stimulation.
drug nausea and vomiting, the role of aversion therapy first reported by Voegtlin and Lemere (1942), they use drugs:
(1), tartar emetic. Also known as antimony potassium tartrate, highly toxic drugs. Because of its various organizations have irritation, oral administration can stimulate the gastric mucosa causing severe nausea and vomiting. This role can be made use of tartar emetic oral dose of expectorant and emetic. Early treatment of alcoholics used this drug, each oral dose of 10mg-60m9. Because of its toxic side effects, children, the elderly, pregnant women and people with hypertension, the heart

aversion therapy - drugs to stimulate


dirty disease, hepatitis, nephritis and other callers disabled. tartar emetic in body build
plot was 100 days after treatment is still available in the urine measured trace, and thus is not free to re-use.
(2) ipecac New Users. Also known as according to Miding, is extracted from a South american Rubiaceae from ipecac biological New Users, the highly toxic drugs. The ipecac New Users The most common side effects of salivation, nausea, vomiting, gastrointestinal irritation, and this side-effects are most vulnerable after drinking induced. This feature is the use of ipecac New Users use of aversion therapy treatment of alcoholism. Ipecac New Users toxicity considerably, in addition to the above gastrointestinal irritation, myocardial damage, can cause decreased blood pressure, pulse
speed, precordial pain, extrasystoles and other. Of ipecac New Users in vivo accumulation time up to two months.
(3) apomorphine. Also known to apomorphine is a highly toxic drugs. The strains of authentic emetic drug that works by stimulating the chemosensory area of ​​the medulla oblongata in the emetic reflex excitability vomiting center, causing nausea and vomiting. Subcutaneous injection of 5 to 10 minutes after the nausea and vomiting. Discharge of the poison by the stomach contents. The amount used for each subcutaneous injection of l ~ 5m9, the maximum amount of time 5m9. The apomorphine banned from serious heart disease, arteriosclerosis, patients with open tuberculosis, stomach, and xi refers to ulcer and other.
In addition to the above drugs can cause nausea, vomiting, l963 years Sanderson, who also introduced a class of drugs do aversion therapy, that is, curare-type drugs. The representatives of these drugs is succinylcholine, also known as succinylcholine (Sc0 line). Is a depolarizing muscle relaxant. Laverty (1960) that the effect of succinylcholine to the treatment of wine diseases very well, but can not be sustained.
3. imagination to stimulate.
the first to report the use of imagination to stimulate the aversion treatment of gold and Neufeld et (1965), later Cautela named implicit sensitization. He used language prompts callers to enter the imagination, and imagination will does not apply to acts and disgust reaction. The one you want to quit eating apple pie to seek treatment on him, he the Qiu Zhizhe body to relax, close your eyes, with his instructions into the imagination. Cautela the command is:
imagine you have eaten a staple food, but also to sit down and plan to eat apple pie. When your fork into the pie, you will feel a little strange feeling stomach. Oh, it is disgusting. stomach of food residue has gradually come up to the throat to vomit! When you take apple pie into her mouth, food residue Bay to the mouth. You must be tightly shut or food residue is sprayed in one place. You insist to eat apple pie, lips moving to open, ah, all the vomit spray your pie on the fork on the floor, and even spray to guests sitting on the opposite side dishes, unpleasant odor great. Tears, nasal mucus, saliva paste filled with your daily Burgundy eyes, nose and mouth. Looking at the apple pie of vomit pollution, you can not help but also to vomit, in any case stop. You push the pie, they feel a lot better. Pie thrown booty bucket, got up and left the table, everything will resume as usual. You clean the table j wash face and hands, you want to eat pie, I feel great.
imagine stimulate has many advantages: security, will not harm the callers, and the informal conditions, anywhere possible.
4. Other stimuli.
can bring unpleasant emotional stimulation can be as disgust stimuli, as long as this stimulus does not bring large damage to the body. For example: ① hold your breath, as lasting as possible, automatically stops breathing, to hypoxia, chest expansion, his face very red. Philpott l977 reported obsessions of the method of treatment of the breath holding. ② humiliation. In 1970, Serber report humiliation as the aversive experience of treatment of transvestites, voyeurism, exhibitionism. For example, let the voyeurism callers to enter a particular room, around the room are fitted with a one-way glass mirror, seeking help through one-way glass mirror, you can see in front of a room where a semi-nude heterosexual. Through both sides of the one-way glass to see a lot of people walking back and forth seemed to be publicly observed. In fact, in addition to the counselor, who can not see him, people are discussing other issues. When he could not stop to readily view the opposite sex, he felt around the people naturally have been observed to his wretched form, so shame shame. ser. bet treatment in this way had seven individual psychological barriers to seeking help, track followed six months, in which the abnormal behavior of five callers once disappeared. ③ strong light, sharp noise, as well as acupuncture. - F induced pain has been used as aversive stimuli.

(c) to grasp the opportunity to exert aversive

in order to form a conditioned reflex as soon as possible, it must be closely linked to disgust experience and does not apply to acts. Before the implementation does not apply to acts or for Shi does not apply to impulsive behavior, even if the callers disgust experience, definitely not conducive to the conditions of contact. Does not apply to conduct to an end after a nauseous experience, but also amounted to less than the establishment of a conditioned reflex, at best, is only a small penalty. disgust experience and bad behavior should be synchronized. But not every stimulus can be an immediate aversion to experience, to control accurately. Electrical stimulation is easy to control, in seeking help does not apply to acts or does not apply to the impulse appears to be an electric shock, disgust experience immediately. Does not apply to the behavior to stop, electrical stimulation stopped, the disgust experience to stop. Difficult to control the drugs, drug performance and seeking help to understand the reaction, the peak drug effect does not apply to behavior are closely linked. For example, apomorphine treatment of alcoholics, the general in five minutes after the injection of drugs, alcohol, after drinking about l-2 minutes potency attack, began to nausea and vomiting, which comply with treatment requirements. If you have been vomiting began drinking, the effect will be much less.


[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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