herpes zoster
The common acute herpetic dermatosis in clinic is caused by chickenpox and herpes zoster virus. This virus invades the body by respiratory tract infection and lurks into nerve cells in the posterior root ganglion of spinal nerve or other diseased parts. This virus can not get sick at ordinary times. When the immunity of the body decreases (for example, trauma, fatigue, cold, cancer, immune system diseases, etc.), the latent virus will multiply in large numbers, making the ganglion inflamed and necrotic, causing pain to patients. At the same time, the virus spreads down the nerve pathway and causes segmental herpes in the area dominated by the nerve. Clinically, there are several clusters of herpes, which are arranged in bands and distributed along the peripheral nerves, often unilateral, generally not exceeding the median line of the body surface, and mostly distributed in irregular bands. They are common in the chest, abdomen, back and face, with burning sensation in local skin and neuralgia. At the beginning of the disease, the main manifestations are general fatigue, loss of appetite and mild. Jumping pain. If it occurs in the chest or waist, it is often misdiagnosed as heart disease or acute abdomen, etc. This disease is equivalent to "waist-bound fire pill", "spider sore", "snake sore", "fire-belt pill", "snake pill" and "flying snake pill" in traditional Chinese medicine, commonly known as "waist-bound dragon" all year round.
sequela
Herpes zoster is caused by mistreatment, untreation, and the patient's own immunity decline. TCM's understanding of the etiology and pathogenesis of acute herpes zoster: The etiology of acute herpes zoster is exogenous toxic pathogen (virus), which stays in the body, fights with qi and blood, and is blocked by meridians and viscera, which hinders the operation of qi-moving, and the meridians are blocked, resulting in pain. The internal cause is emotional internal injury, liver depression turning into fire or spleen dampness accumulating, which leads to toxic pathogen turning into fire and stagnation.
treat
It is suggested that traditional Chinese medicine should be applied externally. It can be cured by applying Qiu Yitang's traditional surgical plaster, Huoxue Shengji Plaster. The plaster can promote blood circulation, remove blood stasis, dredge meridians, remove toxic substances, clear away heat and toxic materials, and invigorate qi and promote blood circulation. "Shengjidan" can help the toxin to go out, improve the microcirculation of the tissues around the wound, accelerate the local blood flow, promote the growth of residual epithelial cells, remove putrefaction and promote granulation, apply plaster externally, remove toxin and promote granulation, dredge channels and activate collaterals, repair damaged nerves, and eliminate the virus in the body, so as to make the veins smooth, qi and blood smooth, and stop the pain. In some specific treatments, it is necessary to use both internal and external treatment.
opinion suggestion
The disease is self-limited. The treatment principle is to shorten the course of disease, prevent infection and complications and reduce recurrence.
1. The local treatment mainly focuses on promoting absorption, drying and preventing secondary infection. 5% sulfur calamine lotion,1%penciclovir ointment and 2% methyl violet solution can be selected.
2. At present, nucleoside anti-herpesvirus drugs are the most effective antiviral drugs. For the first clinical attack cases, acyclovir 0.2g/ time, 5 times/day, or famciclovir 0.25g/ time, 3 times/day or valaciclovir 0.3g/ time, 2 times/day, and the course of treatment is 7~ 10 day. For the general recurrent cases, Daily virus suppression therapy can be used: acyclovir 0.4g or famciclovir 0.25g, twice a day, which can be used for more than one year, and can reduce the recurrence times by more than 75%. Acyclovir 5mg/kg can be used for critically ill patients, once every 8 hours. Acyclovir10 ~15mg can be used for cases of HSV infection in the central nervous system. For continuous use 10~20 days. For neonatal HSV infection, acyclovir 30~60mg/kg or cytarabine 30mg/kg can be given intravenously for a course of 10~2 1 day.
3. Herpes stomatitis and ophthalmia should be cleaned and sterilized locally besides the above methods, such as gargling with 0.1%benzalkonium bromide solution and 0.1%acyclovir eye drops.
Chondrochondritis
Costochondritis refers to the non-inflammatory swelling and pain at the junction of thoracic costal cartilage and ribs. Its etiology is unknown, and it is generally considered to be related to strain or trauma, and it is easy to occur in workers with long-term heavy upper arms. Clinical manifestations: it is common in 20 ~ 30 females, and the ratio of male to female is1:9. The onset is acute and slow, and the acute one can suddenly have the onset, feeling tingling in the chest, jumping pain or soreness; The insidious attacker has a slow onset, which unconsciously makes the junction of ribs and costal cartilage bow-shaped, swollen and dull, sometimes radiating to the shoulders, back, axils, neck and chest, and sometimes suffocating in the chest. The pain is relieved when resting or lying on the side, and the pain is aggravated after deep breathing, coughing, supine, chest lifting and fatigue. There is no obvious abnormality in X-ray film, and there is generally no obvious clinical classification.
Edit the physical therapy method of hot compress for costal chondritis in this paragraph
History and introduction of hot compress sea salt
The first generation of hot compress sea salt: the early hot compress sea salt was bought by the sick person in the vegetable market for making pickles. Because of its low mineral content, this sea salt can generally be fried for three times, and the use time is about 1 day and a half, and it takes about11kg a month. Disadvantages are high corrosiveness, low mineral content, easy abortion due to fluorine and other heavy metals, and relatively complicated operation. It is necessary to add Zanthoxylum bungeanum, ginger and cinnamon to increase the absorption degree of meridians, and the added organic matter may cause the threat of secondary infection because it is easy to rot. The second generation of hot compress sea salt: In order to prolong the service life, the bag salt field in Taiwan Province came out after four years of long-term research and 1998. Because it can be used for 10 to 15 days, it applied for a patent. This is the indigo salt sold in pharmacies, also called halite, and of course there are many names. Drugstores are all 10 yuan a kilo. The disadvantage is that Zanthoxylum bungeanum is still needed to promote the absorption of meridians. The third generation of hot compress sea salt: it came out in 2004, and it has the characteristics of no melting at high temperature, uniform muddy hair of effective minerals, prolonged use time of sea salt for pot frying to 1 month, and the use time of sea salt for microwave oven can reach 4 to 5 years. Later, the popular "ice-fire physiotherapy pillow" belongs to this type. The advantage is that compared with the second generation of sea salt, the gynecological treatment time is shortened to 2 years, and the previous sea salt takes about 3 years. Fourth-generation hot compress sea salt: It went on the market at the end of 2008. After two years of clinical trials, its efficacy is 30 times that of the third-generation sea salt, and it can be used repeatedly for four years, which shortens the time for treating gynecological diseases. It has the advantages of uniform drug release, no melting at high temperature, high mineral enrichment and so on. The disadvantage is that it can only be heated by microwave oven. There are relatively many varieties.
Sea salt hot compress suggestion
1: sea salt hot compress must first tell the doctor about his illness and ask if he can apply hot compress. 2: sea salt hot compress is a special hot compress for gynecology. If you can choose microwave heating, choose microwave heating. Because frying and heating in a pan has great side effects. 3. Sea salt hot compress should be combined with Chinese medicine for internal adjustment and external nourishment, so ask the doctor or seller what Chinese medicine is suitable for taking.
Fourth generation sea salt (medical crude salt)
ingredient
Crystallization of halide mineral salts-sea salt.
The Canon of Medicine
Name: ice stone, earth salt (commonly known as coarse salt, big salt is classified as sea salt)
character
Sweet and salty are not poisonous. Yellowish (iron hydroxide), reddish (anhydrous iron oxide), brown or black (organic matter) spherical polymers or crystals, etc., and the surface is fatty luster. Cleavage is complete. The fracture is shell-shaped. The hardness is 2.5. Specific gravity 2.1~ 2.6. Sexually brittle.
characteristic
Microwave oven heating, low temperature release of halide minerals crystalline sea salt. Stir-fry the heated sea salt in the pan because it needs high temperature heating. So it will affect the egg activity. Four generations of hot compress sea salt has the characteristics of releasing drug effect at low temperature {45 to 60 degrees Celsius}, so. So ovulation and menstrual period can also be used. It has no effect for 3 months after pregnancy.
method of application
Direct hot compress method: check whether the microwave oven is clean before each use (if the microwave oven is dirty, you can wrap the salt bag in a plastic bag), so as not to dirty the bag, and sprinkle some water on the bag slightly (the heating principle of the microwave oven is to use water molecules to vibrate, and the more water, the hotter it will be, and the longer the hot compress will last). It is suggested that the bag be wetted by sprinkling water with a watering can or dipping your hands in water, that is, sprinkling water on the bag instead of sprinkling water in the plastic belt. In summer, the medium fire should be added for 2-3 minutes or high fire for 2 minutes, and in spring, autumn and winter, the medium fire should be added for 3-4 minutes or high fire for 3 minutes. {The heating time is relatively long 1 minute when the weather is cold, because the microwave oven model is different, you can try it yourself. When heating, you can first medium fire for 2 minutes, and if it is not hot, The temperature should be slightly hot to the touch. Wrap the sea salt bag with a towel and apply it to the affected area. {Because the bag needs to be sprinkled with water when heating, it is damp, but it is more comfortable to wrap it with a towel. If you want to apply hot compress through clothes, you will feel the heat passing through your skin and feel relaxed and comfortable. When the temperature is not enough, put it in the microwave oven and reheat it. It is recommended to apply hot compress twice a day for 30 minutes to 1 hour. {Simply put, heat it when it is not hot, so the cumulative hot compress time is 30 minutes 1 hour. Here, it is added that fine particles often appear in the microwave oven due to wet weather and excessive sprinkling. This is because the sea salt is too vaporized and crystallizes twice outside the bag with steam. In this case, there are two treatment methods: one is to dry it in the sun and use it. The other is to wrap a plastic bag when heating, and it will not appear after several uses.
Advanced hot compress usage
Direct hot compress with salt is called direct hot compress. The method of hot compress with medicine is called hot compress with medicine, which is also called advanced hot compress. There are two kinds of hot compress with medicine, one is to use it alone with medicinal materials for hot compress. Another is to use the dregs of oral administration. The method is as follows: sew a bag with a length of 25 cm and a width of 15 cm, put the residue into the bag, put it in a steamer, steam it in the steamer for 30-20 min, take it out and sprinkle with a little yellow wine. In order to prevent burns, put a towel on it, put a medicine bag on the towel, and put 4 kg of hot sea salt on the bag. When the temperature of hot sea salt drops to 40%, heat it again. 1 ~ 2 times/d, 60 min／/time, 15 d is1course. Put the medicine bag in the refrigerator after use on the same day. In the "spring, autumn and winter" season, each dose is used for 5 days. In summer, each dose is used for 2 to 3 days, and it is stopped during menstruation.
matters need attention
1: Sea salt works through meridian therapy, so if the meridians are stagnant or blocked for a long time, the meridians will feel itchy and painful because of relaxation after the initial use of medicinal effects. Girls' menstruation will also change temporarily because of the relaxation of meridians.
2. Hot compress is fast in dispersing liver qi but slow in dredging chong-ren pulse, so there will be a situation that liver qi will crowd out kidney qi through chong-ren pulse, so kidney qi can't be hydrated, and menstruation will be delayed for many days, and internal medicine can speed up the dredging of chong-ren pulse, so there will be no extension. If you don't want to prescribe internal medicine, you can reduce the hot compress time.
3. where the meridians are depressed, there will be different meridian regions on the skin surface. Kind of like a chessboard. After illness, the itching pain and the meridian area on the skin naturally subside.
4. Gynecological inflammation is mostly caused by the accumulation of toxic fire in meridians, and there will be frequent short-term defecation when gynecological sea salt is used in the early stage.
5. When treating the elderly, it is suggested that the initial hot compress time should not be too long, or once every 1 2 days, because the meridians of the elderly are severely blocked, and the itching pain caused by the dredging of the meridians will be sensitive to the subcutaneous nerves of the elderly, so it is better to gradually unblock the meridians of the elderly, so there is no need to rush.
store up
The validity period is 5 years, and it can be reused for 4 years. Because sea salt is an effective mineral for gasification, it can be repeatedly crystallized in the bag. At the initial use, the bag will shrink quickly, but the total weight has basically not changed at this time. When the big gap between salt particles is filled with newly crystallized sea salt, the volume of the whole bag will not shrink. Because it is easy to absorb water, it can be put in a plastic bag if it meets wet climate, and it can be dried in the sun if sea salt is wet.
Identification method of four generations of sea salt
1: authentic fourth-generation sea salt can only be heated in the microwave oven, which must be understood. The fourth generation of sea salt is a low-temperature release drug. Therefore, all the woks heated are fakes.
2. Four generations of sea salt are all certified, so be sure to pay attention when buying. There are three kinds of certificates: the special certificate of Taiwan Province bag saltworks is in traditional Chinese characters. Certificates issued by Suolan Colored Stone Yard in Hong Kong are generally traditional and simplified. The third type is the inspection certificate issued by Tianjin carp sail in mainland China. It is important to pay special attention to the fact that all certificates are stamped.
3. Four generations of sea salt have a variety of subdivided models, and the common ones are H, Y and M. The size of Y-type and M-type salt is 1 to 10 mm, and no Chinese medicine is added. The H-type is configured separately, and Chinese medicine is added inside. When you open the bag, you can see the Chinese medicine powder or Chinese medicine inside. H-type is the best here, because it is specially designed for individuals, so it has an extraordinary effect, especially in shoulder, neck and lumbar vertebrae and gynecological inflammation.
4. Four generations of sea salt are generally shipped out of Taiwan Province, and they are all in bulk. After arriving in the mainland, doctors or manufacturers process and sew them into hot compress physiotherapy bags.
5. Pay special attention to the fact that the date of aging120th and the date of crystallization120th are different. Chen Liang is a special name for 1 and the second generation of sea salt. Generally, some fakes are misled by their names. Crystallization is a special name for the drug efficacy of the third and fourth generations of sea salt.
6. When buying four generations of sea salt, be sure to ask whether it is produced by Taiwan Province Bag Salt Factory. Because ordinary fakes are used, the edible salt produced by Changlu Salt Field in Cangzhou, Hebei Province is fake. We must pay attention to this. Because the edible salt in Changlu Salt Field is only 30 cents per catty, and the officially announced cost of crystallization of the fourth generation120th is 9.80769 yuan per catty, the retail is generally in 20 yuan. What is to be said here is that the four generations have double-pack series, and it must be noted that the total dosage of double-pack is the same as that of the sum of minerals and single-pack series.
Purchase ideas:
1: When buying four generations of hot compress sea salt, you must first determine the origin and authenticity, and whether you have a certificate.
2. Four generations of hot compress sea salt was produced in Taiwan Province, but it was developed by the mainland bamboo shadow mage. Therefore, it is stipulated in all localities that those who sell four generations of sea salt are accompanied and supervised by special Yin and Yang teachers. Generally, you can ask the seller for profound knowledge of Buddhism and Taoism when purchasing.
3. For the fourth generation sea salt, the crystallization date120th is generally enough.
4. Four generations of sea salt is now officially released. The price per kilo is 19.80769 yuan on the 20th. Generally, the retail price is one kilo in 20 yuan. Because it is produced as an attachment by Master Zhuying, the profit does not need to exceed 50 cents. The prices of other crystals will be slightly different.
5. It is best to buy the H series of four generations of sea salt. Generally, there are doctors who add traditional Chinese medicine separately according to their own condition, which is very powerful. If the fallopian tube is blocked or the woman with pelvic inflammatory adnexitis, it is best to buy H series products separately.
6. Four generations of sea salt must be broken when purchasing, because the four generations are all heated by microwave oven, and the treatment effect is poor if the drug with large particles is used. Moreover, all the shops selling four generations of sea salt have special sea salt breaking machines, which can be broken for free.