Almonds are divided into sweet almonds and bitter almonds. Almond produced in the south of China belongs to sweet almond (also known as South Almond), which is slightly sweet and delicate, and is mostly used for eating. Almonds produced in the north are bitter almonds (also known as north almonds), which are bitter in taste and are often used as medicine. Nutrients Almond is rich in protein, fat, sugar, carotene, B vitamins, vitamin C, vitamin P, calcium, phosphorus, iron and other nutrients. Indications: 1. Bitter almond can relieve cough and asthma, moisten intestines and relieve constipation, and can treat diseases such as lung disease and cough. 2. Daily consumption of sweet almonds and dried almonds often has a moisturizing effect and a certain lung nourishing effect. 3. Almonds are also rich in flavonoids and polyphenols, which can not only reduce the cholesterol content in the human body, but also significantly reduce the risk of heart disease and many chronic diseases. 4. Almonds also have a cosmetic effect, which can promote skin microcirculation and make skin ruddy and shiny. 5. Almonds also have anti-tumor effect. Bitter almond contains amygdalin, which can enter the blood to kill cancer cells, but has no effect on healthy cells, and can improve the symptoms of patients with advanced cancer and prolong their survival. At the same time, because it is rich in carotene, it can resist oxidation and prevent tumors! The nutritional value of almonds is extraordinary, but it is not without scruples. If you eat almonds while eating pork, it will cause stomach pain. And don't eat with chestnuts and the like, it will cause gastrointestinal discomfort. Therefore, when eating almonds, we should also pay attention to some diet combinations. Adverse reaction mechanism bitter almond contains amygdalin, which is hydrolyzed to produce hydrocyanic acid, causing poisoning. Hydrocyanic acid is a protoplasm poison, which quickly combines with cytochrome oxidase after invading human body, blocking the reduction of fe3+ shaking, preventing organisms from redox through cytochrome A and C, causing tissue asphyxia and toxic hypoxia in cells. However, its effect on the central nervous system is excited first and then paralyzed, and respiratory paralysis is the main cause of death from hydrocyanic acid poisoning. After poisoning by adverse reactions, symptoms such as bitter mouth, itchy throat, burning sensation, salivation, nausea, vomiting, diarrhea, dizziness, headache, fatigue, rapid heartbeat, high blood pressure, unconsciousness, cyanosis of lips and shortness of breath appear, and then it is slow and irregular. At the same time, I can smell bitter almonds, have fear, and have a feeling of oppression in my upper chest. In severe cases, unconsciousness, incontinence, dilated pupils, loss of light reflex, intensity spasm and cyanosis, closed teeth, increased body temperature, liver swelling, disappearance or weakening of reflex, and finally shallow breathing, extremely irregular tidal breathing, cold limbs, deep coma, shock, and death from respiratory paralysis and suffocation. Breathing often stops before heartbeat, and the patient's blood is bright red and not coagulated. Autopsy can find that the stomach, lungs, liver, kidney and spleen are congested or spotted, and the central nervous system changes to meningoedema. Treatment and rescue (1) If poisoning symptoms appear within 4 hours after eating, fully wash the stomach with 1: 2000 ~ 1: 5000 potassium permanganate solution, plenty of clean water or 3% hydrogen peroxide to induce vomiting, then take 2g sodium thiosulfate, or wash with 10% sodium thiosulfate solution. (2) Combination of sodium nitrite and sodium thiosulfate: Nitrite can form methemoglobin with hemoglobin, while cyanide ion (cn- 1). However, after a few minutes, methemoglobin cyanide gradually dissociates and releases cyanide ion, so sodium thiosulfate should be injected immediately to form stable thiocyanate with cyanide ion, which is excreted in urine. Specific usage: 1) Quickly take 1 ~ 2 isoamyl nitrite, break it, and let the patient inhale it through the nose and mouth for about 15 ~ 30 seconds, and then inhale it as before after 2 minutes. This can be repeated several times according to the situation, but the total amount should not exceed 5 ~ 6 times. 2) At the same time, use 10 ~ 20ml of 3% sodium nitrite solution as soon as possible, and slowly inject it intravenously (about 2 ~ 3m 1 per minute). Once the blood pressure drops, stop taking medicine immediately, and use antihypertensive drugs (adrenaline is not allowed), oxygen inhalation and blood transfusion if necessary. 3) Immediately after sodium nitrite injection, inject 25 ~ 50ml of 50% sodium thiosulfate into the same needle tube, and if necessary, inject half or full amount (0.25 ~ 0.5g/kg for children) after half an hour. (3) If there is no sodium nitrite, methylene blue can be added to 40 ml of 5% glucose solution at a dose of 10 mg/kg, and then sodium thiosulfate is injected, but the curative effect is not as good as sodium nitrite. (4) Cobalt edetate can be added to 50% glucose solution at the ratio of 5 ~ 15 mg/kg, and can be reused for 8 ~ 10 times if necessary. The binding force of this product with cyano group is greater than cytochrome oxidase, and o.8g cobalt edetate can bind o. 1g cyanide. (5) The aldehyde group of glucose can combine with cyanide ions to form nontoxic nitrile. Intravenous injection of hypertonic glucose solution can promote the excretion of poisons and prevent and treat brain edema and pulmonary edema. (6) Symptomatic treatment: respiratory stimulants, cardiotonic agents, sedatives and antihypertensive drugs are given when necessary, and cytochrome C is given in severe cases, and other treatments such as oxygen inhalation and artificial respiration are given according to the circulation and breathing conditions. (7) Chinese medicine treatment: 1) 60 ~ 90g of apricot root, decocted and taken every 4 hours 1 time. 2) Raw radish or cabbage 1 ~ 1.5 kg, mashed to get juice, added with appropriate amount of brown sugar or white sugar, and stirred evenly. 3) 0.5 kg of water spinach root is mashed and taken with boiling water. 4) 9 grams of Ramulus Cinnamomi, Linderae and Radix Paeoniae Rubra, 65,438 0.5 grams of Carthamus tinctorius and Peach kernel, and 65,438 0.5 grams of cinnabar (orally), decocted in water and taken separately in the morning and evening. 5) licorice and jujube. 120g, decocted in water. 6) 60g mung bean, decocted in water and taken orally with white sugar.

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