Clinically, according to its different therapeutic purposes, Chinese medicine enema method and there are three kinds of operation methods: Its purpose is to retain the infusion of medicinal liquid, to play the role of local or systemic treatment of anus and intestines.
1. Let the patient defecate, or enema with water, in order to facilitate the absorption of drugs.
2. The enema tube will be connected to the rubber tube (on the attached switch clamp), glass receiver and rubber anal tube. If you use a hard rubber tube head can not take over the glass, and the hard rubber tube head directly connected to the rubber tube can be. Rubber anal tube and hard rubber tube head should be sterilized by boiling.
3. Twist the switch clamp and pour the liquid into the enema tube.
4. The patient is placed in the left lateral position or prone position, with both knees flexed. The buttocks are padded with a raincoat and a therapeutic towel, exposing the anus. The buttocks may be slightly elevated to facilitate retention of the medication.
5. Apply lubricant to the head of the anal tube, then twist and release the switching clamp to release the cooler fluid from the tube and remove the air from the tube. With the wrist touch the enema tube, such as feel slightly warm (to 39 ~ 42 ℃ is appropriate), you can pinch the anal tube, gently inserted into the anus about 10 ~ 15 cm. funnel rhyme height to be flush with the buttocks and slightly higher, so that the liquid slowly into the intestines.
6. Immediately after the liquid is finished flowing, pinch the catheter tightly, remove the funnel, and then slowly withdraw the tube from the anus and wrap it with paper.
7. Ask the patient to keep the liquid, do not immediately discharge. If necessary, you can use handkerchiefs to press the anus for a few minutes to help the patient retain the liquid. Each time the retention time should be more than 30 minutes.
8. The amount of medicine should be appropriate for each person. Adults 200-300ml; pediatrics according to age discretionary, 15-30ml within 1 year old, 1-3 years old with 30-60ml, more than 3 years old with 60-lOOml. 2-3 times a day, generally 7-10 days for a course of treatment, such as the condition of the need to rest for 3 days in the middle of the course of treatment, and then carry out the next course of treatment. In the case of acute and critical illnesses, it is flexible. Also known as anal drip method, it is a method of injecting the decoction of traditional Chinese medicine or liquid preparation of proprietary Chinese medicines (including pills, powders, creams, dans and solutions prepared with water) into the rectum from the anus in a manner similar to drip infusion. In fact, it is a kind of improved usage of Chinese medicine retention enema method. It is less uncomfortable than the general retention of the enema method, the amount of liquid injected into the large, easy to retain and absorb, the efficacy of more accurate, the operation method is not complicated, so it is worth promoting the application.
1. The equipment is the same as that of general intravenous infusion, except that the needle is replaced by a catheter.
2. Drug preparation according to the requirements of diagnosis and treatment or according to the needs of the disease, the selected drugs (herbs, pCms) made of therapeutic liquid. Herbs decocted 2 times, gauze filtered mixed into 2 parts (i.e., 2 dosages); pills, bulk, paste, Dan and other ready-made medicines with boiling water to take the juice, gauze filtered; ready-made medicines enema liquid for warming, loaded into the dropper bottle (open drip bottle or glucose bottles), adjusting the temperature of the medication to less than 40 ℃.
3. The patient is instructed to evacuate the stool or use water enema.
4. The patient to take the lateral position, can also be supine, prone, cushioning the buttocks lOcm.
5. Discharge the air in the infusion tube, selection of 12 ~ 16 catheter, and in the front end coated with lubricant (glycerin or liquid paraffin), inserted into the anus (adults 10 ~ 20cm, pediatric 5 ~ 15cm), tape fixed, start the drip.
6. Adjust the drip rate according to the condition of patients with high fever and Tsu injury, the drip rate should be fast, 80 to 110 drops / minute; qi and blood deficiency and other chronic patients, the drip rate should be slow, 30 to 70 drops / minute is appropriate; patients with exopathogens use of antidepressants, if you have already seen a little sweat and heat, you can terminate the drip, which is a disease in the intention of the end of the day.
7. Adjust the medicine according to the condition The purpose is to stimulate intestinal peristalsis through diarrhea, so that feces, intestinal accumulation of gas, evil poisons and other real evils are discharged from the body, to help diagnosis and treatment of the dual role. Operation method steps are as follows:
1. Preparation with the retention of the enema method 2 to 4.
2. Lubricating oil in the head of the anal tube, and then twisted to loosen the closure clamp, release the lower temperature of the liquid tube and discharge the air inside the tube. Adjust the temperature of the medicine between 37 and 39 ℃, insert the anal tube slowly into the anus about 6 to 10 cm, adjust the bottom of the tube about 45 cm above the bed surface, so that the medicine flows slowly into the intestine.
3. When the medicine finished flowing, clamp the rubber tube, and quickly remove the anal tube, and at the same time, use the handkerchief against the anus, to help the patient retain the medicine for 5 to 10 minutes.
4. Ask the patient to lie on his side, and give him a bedpan to defecate. Those who can walk can go to the toilet to defecate.
5. Pay attention to check the amount, color, taste of feces, there is no mucus, pus and blood and foreign matter, if necessary, leave a specimen for laboratory tests.
6. The amount of medicine to be instilled each time should be different from person to person, adult 800～1200ml; pediatric discretionary reduction, 50～lOOml within 1 year old, 1～3 years old, 100～300ml, more than 3 years old, 300～600ml. the specific use, the course of treatment when depending on the needs of the condition to be flexibly mastered.