The story of Zou Xu diagnosis room | The cold and the inside is constant, and the cold temperature is retired with a high fever

Author:Guangdong Provincial Hospital Time:2022.09.23

Open column: [Zou Xu Diagnosis Room Story] The column is a special issue column led by Professor Zou Xu, director of the Department of Critical Medicine, the Department of Critical Medicine, Guangdong Province, and will focus on the real cases of Zou Xu's diagnosis room. Guidance, there is a professional medical analysis, while introducing some daily conditional tricks with accurate effects, operability, and simple and honest, to achieve the role of nourishing spirit, cultivating righteousness, and improving resistance. Bleak

Diagnosis

Ms. Deng, 51, was treated with "aortic valve narrowing and incomplete closure of incompleteness", and then he was treated with "aortic valve mechanical valve replacement" treatment. Repeated high fever occurred after surgery, and the hot peak could reach 39.8 ° C. During the hospitalization period, various examinations have been improved, and there are no clear infection lesions. After various antibiotics are treated, the fever has not been alleviated. Later, in order to seek Chinese medicine treatment, Professor Zou was invited to consult.

See the first diagnosis: The patient is clear, tired, fatigue, continuous fever, mainly fever with palms, cool lower limbs, sweaty, irritable and embarrassing, dry mouth and bitter, do not like to drink water. Poor, sleeping, easy to wake up and dreams, short urine, stool 2-3 days/time during fever, dry quality. The tongue is dull and fat, the moss is white and greasy, the pulse floats tightly, and the right inch moves out. Previous history: history of chronic gastritis, which is prone to abdominal distension and abdominal pain; history of hypertension, long -term antihypertensive drug control, blood pressure control ideal; in 1995, routine; 1996 bioplapora ligation; 2009 left ovarian resection. Professor Zou combined with the patient's symptoms and medical history, and the main contradictions of the patient's recurrent fever. The diagnosis of the patient was a cold, and the diagnosis of the six classics and cold heat syndromes was qualitatively positioned. Treatment is based on cold heat and used as a rule. The treatment of the law is the solution to the cold, clearing the cold, and the heat of clearing the diarrhea. Followed and subtracted, add 0.3g of Glated Horne Fans. A total of 7 doses.

The second diagnosis: After the patient complains the above 2 doses, the body temperature can be retreated to the normal range. After that, there are occasional fever, but the hot peak decreases than before, and the fluctuations are below 38 ° C. Each time it is heated, sweat, sweaty, can be heated after sweating. At present, the spirit is improved, the stomach is not good, the abdominal distension is easy, the tongue is tender, the fur is yellow and greasy, and the water is slippery. The pulse is slippery. Professor Zou considers the patient's cold at this time, combined with the tongue veins, the syndrome is the wet depression three cokes, the rule of the law is Wenyang, dampness, and moisture and humidity. A total of 7 doses.

Three diagnosis: The patient's complaint has not seen fever recently. The overall state has improved significantly. A little abdominal distension is still discomfort, tender tongue, and yellow and greasy. Slim the pulse. Before the syndrome differentiation and treatment method, the medication is used to add chicken gold and malt to enhance the power of eliminating the qi, and the prince will participate in the qi and the spleen.

note

Patients with continuous fever are the main symptoms, and traditional Chinese medicine can belong to the category of "fever". To treat fever, we must first distinguish the fever and internal injury fever. Patients have fever after surgery, surgical trauma causes qi, yin, and yang wounds. The ability to resist external evils decreases, and it is susceptible to evil and fever. At the same time, the patients are heavier, and the pulse is floating. When considering the fever of the external sensation, it is a virtual person. Professor Zou pointed out that the patient was irritable and irritable but did not sweat. It had both the performance of the "outer cold beam" and the symptoms of "internal heat disturbance". This is "cold bag fire". Syndrome and treatment should also be used in combination with cold and heat. After clarifying the cold and heat coexistence, the disease is also required. Patients have no sweat. This is the outer cold on the surface, the cold master is introduced, and the muscle surface is puzzled, so the cold evil does not go. According to the patient's right inch pulse movement, it is prompted that Yangming's fever, evil heat turned to Yangming, fighting with the dips in the intestine, and the heat evil is blocked inside, so "fire". The heat of the lower coke on the large intestine is passed on the bladder and the urination is short.

Patients have a history of repeated surgery in the past, damage the cell palace, coupled with long -term hypertension, chronic gastritis, damage to the spleen and kidney, insufficient kidney yang, spleen and yang failure, plus this surgical blow Water fluid is stopped in the inside, so it can be seen that you do n’t want to drink water, nathered abdominal bloating, tongue coating, etc. The fur muscles are the master of Taiyin and the spleen, and the patient's lung and spleen qi are damaged and weak. There are wet evil stagnation inside, and the two evils are combined with each other.

After clarifying the disease position, use hemps apricot stone soup to relieve the cold and clear the heat, mulberry and glyphosate soup to relieve dampness, Xiaochengqi Tangtong Xienu heat, Liuyi Decoction clearing the heat Sini Decoction uses Shaohuo to give birth to yang, nourishing the kidney and spleen. Add antelope horns to increase the power of clearing heat to prevent the heat from further internal passage. After the second diagnosis, the third diagnosis will focus on the conditioning Taiyin spleen soil, so that the wetness and the soup are used to dampness, and the spleen is promoted. This is because after the evil criminals, the three yangs will help Sanyin in time, which can prevent the evil spirits from continuing to spread to the yin and prevent damage to the five internal organs.

Cold and heat and treat the fever with distinguished outside

The fever of the external sensation mainly refers to the general term of the six prostitution (wind, cold, summer, summer, wet, dry, fire) or qi of the epidemic, which causes the general term and its changes in fever and its changes. "Treatment of Febrile Diseases" and "Warm Theory" and "Differential Terms" have important guiding significance for traditional Chinese medicine dialectic discrimination with external sensation. It may be due to the different periods of the book, the differences in climate and specific environment at that time, the main records in "Treatment of Febrile Diseases" are mainly "cold evil disease", and "Warm theory" and "Warm Disease Different" records are " "Fever disease" is the main opposite, but typhoid fever and fever are also exogenous diseases. There are common points in the cause of pathogenic diseases, and both have a process of transmission from the table and inside. The two theories should not be separated. As Professor Deng Tietao, a master of Chinese medicine, said that "typhoid fever has giving birth to warm disease, and fever develops typhoid fever." Essence Professor Zou pointed out that the fever of traditional Chinese medicine includes the "Sanyang Certificate" of typhoid fever and the "stages of the blood camp blood" and the "three -focus disease certificate" of the "health and gas camp blood". The so -called "cold heat and use" is the combination of "six classics", "defense gas camping blood" and "three -focus syndrome", and comprehensively analyze the heating pathogenic machine. The disease position, according to the qualitative positioning results, the right medicine can make the evil spirits of different diseases get the way. Prevention and treatment of autumn and winter cold tricks

Now that it has entered the autumn, the heat is reduced and the autumn is getting cold, it is not as good as warm, and it is easy to feel cold outside. Moreover, it is mainly dry in autumn and winter. It is easy to cause a cold in autumn and winter. In this regard, Professor Zou gave the following suggestions.

1. Keep your body warm, your head and face are cold

In the autumn and winter seasons, the temperature is gradually falling, and it is necessary to keep clothes warm in time, but we cannot protect it too much. Proper contact with coolness is conducive to the body's adaptation to climate change. Professor Zou suggested that you can scrub with warm water every morning. On the premise of keeping the torso, you can go out in the morning to let the head and face feel the cool wind. Traditional Chinese medicine believes that "the head and face is the meeting of Zhuyang", and the head and face are not easy to receive cold, but it is conducive to the body's adjustment of the cold environment.

2. The diet is light, eat less spicy

Autumn dryness is likely to cause discomfort such as dry lips and dry throat. If you eat barbecue, fried and other dry products at this time, it will easily lead to the combination of two evils in the outside and dryness of the outside, and the disease will cause disease. Therefore, during the autumn and winter seasons, the diet should be light or moisturized, nourishing, and the foods of lotus seeds, lilies, jade bamboo, and Sydney can be consumed.

3. Traditional Chinese Medicine Mu Foot Healthcare

In addition to the conditioning of living habits, Professor Zou suggested that patients who are prone to cold and cold can use cinnamon branches and ginger to boil water soaking their feet. The specific method is 20 grams of Guizhi, 50 grams of ginger (sliced), 1 liter of boiled water, and warm water, once every 1-2 days.

Zou Xu, professor, chief physician, doctoral supervisor, director of the Department of Critical Medicine, Department of Critical Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine. Professor Deng Tietao, a master of Chinese medicine, the heir, the seventh batch of academic experience inheritance of academic experience in the academic experience of old traditional Chinese medicine experts, the third batch of national outstanding Chinese medicine clinical talents, the second national outstanding youth traditional Chinese medicine, Guangdong Province famous Chinese medicine, the Chinese Academy of Traditional Chinese Medical Sciences Name Chinese medicine. He is good at treating cardiovascular diseases, urgency and critical illness, infectious diseases, and suspicious diseases in the treatment of cardiovascular disease.

He served as the leader of the Guangdong team leader in Hubei ’s fourth Chinese medicine medical team and the head of the C6 ward of the Leishan Hospital in Wuhan. The title of "Model of Times" of the Central Propaganda Department.

Later, as a member of the State Council ’s joint prevention and control mechanism and a member group of the New Crown Pneumonia Epidemic Extraction of the State Administration of Traditional Chinese Medicine, he assisted Hebei Xingtai, Guangzhou Eighth People's Hospital, Yunnan Ruili, Fujian Xiamen, Shaanxi and other places. In 2022, as a member of the Central Expert of the Central Division of the Central Affairs of the Central Affairs of the Central Committee, they all achieved good results and were recognized by patients and Chinese and Western medicine.

Won the Central Civilization Office, the National Health and Health Commission "China Good Doctor", the Guangdong Provincial Party Committee and Provincial Government "Guangdong Provincial Advanced Personal Personal Personal Personal Personal Extraordinary Personal", the Provincial Health Commission of the Propaganda Department of the Guangdong Provincial Party Committee, "Guangdong Good Doctor" The title of "the most beautiful retrograde of the new crown virus COVID-19" and the "People's Good Doctor-Medical People Special Contributors" and other titles.

Supply: Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital Lingnan Deng's Nei Keliu Panging Studio