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Yidu Lì

  Yidu Lì, also known as epidemic dysentery or epidemic febrile dysentery, has a strong infectious nature. It often occurs during the summer and autumn seasons, affecting mostly children aged 2 to 7 years old. The clinical symptoms include acute onset, high fever, convulsions, and coma. It is equivalent to toxic dysentery in Western medicine.

Table of Contents

What are the causes of Yidu Lì (epidemic dysentery)?
What complications can Yidu Lì (epidemic dysentery) easily lead to?
What are the typical symptoms of Yidu Lì (epidemic dysentery)?
How should Yidu Lì (epidemic dysentery) be prevented?
What laboratory tests are needed for Yidu Lì (epidemic dysentery)?
6. Dietary taboos for patients with epidemic dysentery
7. The conventional method of Western medicine for treating epidemic dysentery

1. What are the causes of epidemic dysentery

  This disease is mainly caused by unclean objects contaminated with epidemic toxicity entering the abdomen from the mouth, accumulating in the gastrointestinal tract. Catching a cold, fatigue, hunger, and other diseases that weaken the body after recovery can be predisposing factors. During the summer and autumn, dampness and heat are internal, and the spleen and stomach are constrained. Children have fragile spleen and stomach, and pathogenic factors are most prone to invasion. When the toxic substances gather in the intestines, if the body's healthy Qi is strong and fights against the pathogen, the dampness transforms into heat due to the heat, and the heat transforms into fire, infiltrating the protective layer, pressing on the Jueyin and Shaoyin meridians, leading to severe fever, confusion, and convulsions due to the internal closure of pathogenic factors; if the healthy Qi cannot resist the pathogen, or if collapse occurs at the same time, it can also be accompanied by a deficiency syndrome due to the body's Qi not supporting itself.

2. What complications can epidemic dysentery lead to

  When children with epidemic dysentery have severe vomiting and diarrhea, they may develop water and electrolyte imbalances (dehydration, acidosis, hypokalemia, hyponatremia, hypocalcemia, etc.). Chronic epidemic dysentery has more complications, mainly due to malnutrition and low immune function. The most common are malnutrition and edema due to malnutrition, deficiencies of various vitamins and trace elements, manifested as dry eye disease, malnutrition anemia, rickets, and in severe cases, beriberi and scurvy. The latter is rarely seen in China. Deep ulcers in the intestines can lead to massive intestinal bleeding, frequent diarrhea can lead to rectal prolapse, and long-term use of antibiotics can lead to intestinal flora imbalance or fungal infections. In some severe cases of malnutrition, where intestinal ulcers fail to heal for a long time, intestinal perforation may occur.

3. What are the typical symptoms of epidemic dysentery

  The onset is acute, with severe abdominal pain, frequent tenesmus, bright purple purulent blood in stools, frequent vomiting, chills, high fever, headache, irritability, and extreme fatigue. In some cases, the limbs may become cold, consciousness may be confused, or there may be confusion, convulsions, unequal pupils, a red tongue with a dry coating, and a wiry and rapid or extremely fine pulse. In clinical cases, there may also be mild diarrhea but severe systemic symptoms, with sudden onset of high fever, confusion, delirium, vomiting, dyspnea, cold limbs, a red tongue with a dry coating, and a wiry and rapid or extremely fine pulse.

4. How to prevent epidemic dysentery

  The pathogen of damp-heat epidemic toxicity often forms during the summer and autumn seasons. Adding to this, the weather is hot at this time, and people tend to crave cold foods, which is particularly prone to pathogens entering through the mouth, accumulating in the gastrointestinal tract, disrupting the flow of Qi, and burning the Qi and blood, leading to illness. The main lesions are in the Qi and gastrointestinal tract, which can internally invade the heart's protective layer, and in severe cases, can lead to internal closure and external collapse. The congestion of damp-heat epidemic toxicity in the intestines, burning the Qi and blood, is the main pathogenesis of epidemic dysentery. The nature of the epidemic toxicity is ferocious, causing harm to humans rapidly, hence the onset is acute. With the heat toxicity raging, Qi and blood stasis, abdominal pain is severe, and tenesmus is frequent; the heat toxicity burns and consumes the Qi and blood, clumping together and transforming into purulent blood stools, or sudden and forceful diarrhea; with the heat raging in the Yangming, it burns the body fluid, leading to high fever and thirst; heat disturbs the upper part, attacking the spleen and stomach, causing headache, irritability, abdominal fullness, loss of appetite, nausea, and vomiting; a red tongue with greasy coating and a slippery and rapid pulse are signs of severe heat toxicity. If the epidemic toxicity obscures the spirit, stirring up the liver wind, then there may be confusion, convulsions; if the heat toxicity is raging, stagnating in the intestines and bowels, disrupting the flow of Qi, it can lead to sudden diarrhea causing collapse. The general treatment principle for epidemic dysentery is to clear heat and detoxify, promote Qi and nourish the blood. Based on different symptoms, it can be supplemented with methods such as removing accumulation and guiding retention, cooling the blood and calming the liver, or reversing collapse and consolidating the essence, etc.

5. What laboratory tests are needed for epidemic dysentery

  One, blood routine examination

  In acute cases, the total white blood cell count and neutrophils increase, and there is often mild anemia in chronic cases.

  Two, feces examination

  1. Feces routine

  外观黏液便及脓血便,镜下见较多红、白细胞,以及吞噬细胞。

  2. Feces culture

  More than 70% can be cultured to produce pathogenic bacteria. The pus and blood part of the feces should be cultured before the application of antibiotics. The specimen should be fresh. The positive ones should be tested for drug sensitivity.

  3. Feces bacterial antigen detection

  Using fluorescence antibody staining method, immunofluorescence bacterial ball method, latex agglutination test, synergistic agglutination test, PCR direct detection method, etc., it is a rapid, sensitive, and simple diagnostic method.

6. Dietary taboos for patients with epidemic dysentery

  1. Purslane porridge

  500 grams of purslane, 100 grams of glutinous rice. Wash the purslane, crush it and filter the juice, cook it with glutinous rice to make a thin porridge, eat in several servings, mainly used for damp-heat dysentery.

  2. Purslane and mung bean soup

  200 grams of purslane (dried 50 grams), 100 grams of mung beans, wash and boil together, take at once, take for 3-4 days. It is mainly used for damp-heat dysentery.

  3. White hair root drink

  50 grams of white hair root, 30 grams of lonicera japonica, 30 grams of hibiscus syriacus, 30 grams of sugar. Boil the first three drugs in water, take 200 milliliters of concentrated juice, add sugar and take it warm, three times a day. It is mainly used for damp-heat dysentery and epidemic poison dysentery.

7. The conventional method of Western medicine for treating epidemic dysentery

  One, external treatment

  1. Use an appropriate amount of rhubarb, grind it into fine powder, sieve it, mix it with vinegar to make a paste, wrap it in gauze, and apply it to the Shenque point. Change once a day until the disease is cured.

  2. Use an appropriate amount of Sophora flavescens, dry and grind it into fine powder, sieve it. Take 6-8 grams each time, mix it with boiling water to make a paste, wrap it in gauze, and apply it to the Shenque point. Change once a day until the disease is cured.

  Two, acupuncture therapy

  For those with high fever and convulsions, needle Renzhong, Baihui, Neiguan, Fengchi points, moderate strong stimulation. If there is a sign of exogenous syndrome, needle Renzhong, Zhongchong points, adopt intermittent stimulation method, twist the needle every 4-5 minutes after needle insertion, and can also apply moxibustion to Qihai and Baihui at the same time. For those with irregular breathing, frequent needle insertion at the Huiyin point can be performed.

  Three, massage therapy

  Push the large intestine, divide Yin and Yang, push up for three days, retreat the six bowels, knead the turtle's tail, push down the seven joints, push up the seven joints.

  Four, dietary therapy

  1. Purslane porridge

  500 grams of purslane, 100 grams of glutinous rice. Wash the purslane, crush it and filter the juice, cook it with glutinous rice to make a thin porridge, eat in several servings, mainly used for damp-heat dysentery.

  2. Purslane and mung bean soup

  200 grams of purslane (dried 50 grams), 100 grams of mung beans, wash and boil together, take at once, take for 3-4 days. It is mainly used for damp-heat dysentery.

  3. White hair root drink

  50 grams of white hair root, 30 grams of lonicera japonica, 30 grams of hibiscus syriacus, 30 grams of sugar. Boil the first three drugs in water, take 200 milliliters of concentrated juice, add sugar and take it warm, three times a day. It is mainly used for damp-heat dysentery and epidemic poison dysentery.

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