Wind wet heat

Rheumatic fever is a hemolytic streptococcus infection related to systemic connective tissue of non-suppurative inflammation. The most significant involvement of the heart, joints and skin, and even lesions of the central nervous system can occur. Recurrent rheumatic fever, which may eventually damage the heart, and the formation of rheumatic heart disease. Rheumatic fever predilection in the cold and wet climate regions, multiple violations of children and adolescents, the onset of the winter cold season string higher. The disease is a medicine “Arthralgia" category.

Clinical manifestations

    1. The fever: Changcheng moderate irregular fever, often accompanied by heavy sweating.
    2. Arthritis: Typical were migratory the symmetry arthritis, often involving the shoulder, elbow, wrist, hip, knee, ankle, etc.. Joint redness, swelling, heat, pain and dysfunction. Joints are not left behind but the inflammation subsided permanent deformity.
    3. Carditis: including meningitis endocarditis, myocarditis and heart. Patients with precordial discomfort, tachycardia, cardiac enlargement, the first heart sound weakened, and in serious cases can be associated with diastolic gallop and effort debilitating.
    4. The subcutaneous Summary: was the size of a pea nodules, hard, no pain.
    5. Annular erythema: rheumatism invaded the results of the skin, more common in the of limbs inside and torso.
    6, chorea: performance aimless and uncoordinated limbs involuntary actions, indicate that the rheumatoid inflammation involving the central nervous system.

[Diagnosis]

    1. Blood: leukocytes and neutral classification can be increased.
    2. The ESR: Most significantly faster.
    3. c-reactive protein, mostly positive.
    4, anti-streptolysin “O", and more higher.
   Polyarthritis, carditis, subcutaneous nodules, annular erythema, chorea is the main performance, and fever, joint pain, leukocytosis, elevated ESR, C-reactive protein positive secondary performance. There are two main performance, if any, evidence of streptococcal infection, or a major performance and two minor manifestations, can be diagnosed.

[Treatment]

  1. Western medical treatment
  (1) anti-streptococcal infection: 80 million units of penicillin, intramuscular injection, 2 times a day, 10 days for a course of treatment. Those who are allergic to switch to erythromycin, each o. 258, 4 times a day. (2) anti-rheumatic therapy: aspirin daily. O-5.0e, orally 3 times. Gradually reduced to maintain symptom control, the amount of shared 6-12 weeks. You can also use sodium salicylate, indomethacin, ibuprofen.
    (3) corticosteroids: prednisone daily 30-40mg, 3 oral. The gradual reduction in the disease control to BU 10 knock-maintenance dose, the total course of 2-3 months.
  2, Chinese medicine treatment
  (1) hot and humid plug stagnation: joint swelling and pain, fever, not Young, thirst, sweating, stretching, such as wrap, greasy yellow tongue coating, pulse moisten dressing.
  Governing Law: dampness heat.
  Recipe: Hui rice, mulberry, 30 grams, Menispermaceae, forsythia 15 grams, 10 grams each the Anemarrhena, Cork, Poria, Atractylodes, 6 grams of raw licorice.
    (2) heat evil flaming: joint pain, swelling, fever, aversion to wind, boredom anxiety, sweat more oliguria, moss yellow and dry, pulse a few.
    Governing law: heat Shufeng dehumidification.
    Recipe: 40 grams of gypsum the Anemarrhena, Treats, rice, each with 12 grams, Gardenia, skullcap, Gentiana, grams of Ophiopogon lo, mulberry, honeysuckle mushroom 15 grams, Guizhi, licorice 5 grams each.
    (3) alpine stagnate: joint swelling, pain, Yuhan intensified, fever or no fever, prolonged illness, looking not China, pale tongue white, pulse Pan Chi. Governing Law: cold and dampness.
    Recipe: Millettia sea breeze rattan, mulberry, 30 grams of Rhizoma, independent living, angelica, red peony 10 grams, Gentiana, Guizhi, 8 grams Chuanxiong.
    (4) Qiyinliangxu: joint pain faint, slight swelling, shortness of breath, palpitations, chest discomfort, insomnia spontaneous tongue fat quality red, white coating, rapid pulse.
    Governing Law: Yiqiyangyin dampness meridians.
    Recipe: Salvia, barley, dangshen Menispermaceae each 15 grams, 10 grams of Ophiopogon, Schisandra, Atractylodes, wooden dish, Gentiana, Angelica, Clematis, 6 grams of raw licorice.

[Prevention and nursed back to health

    1, strengthening exercises to increase disease prevention capacity. To prevent respiratory tract infection, avoid exposure to cold cold.
2. Acute streptococcal infection diseases, such as tonsillitis, pharyngitis, otitis media, lymph nodes go far shall promptly
Definitive treatment. Who has been suffering from rheumatic fever, should prevent re-infection of Streptococcus available long-acting penicillin 1.2 million units, a monthly intramuscular injection of 1 for five consecutive years.
    3. Acute exacerbation of absolute bed rest until the symptoms completely disappeared.
    4. Should eat nutritious, easily digestible food, fever should drink more water, but heart disease should control the salt intake.