Abscess clinical manifestation of lung and treating _'s general knowledge

Abscess clinical manifestation of lung and treating _'s general knowledge
Lung abscess
Lung abscess is that the limitation that is organized by lung necrosis and produces has cavities of liquid of suppuration. Inflammation organized with the lung around at the same time. Organize necrosis as the main content with the lung in pathologic course. If infect lung abscess initiated with the anaerobe, is shown as the corruption phlegm of stench, and infect lung abscess initiated with the aerobic fungus and show as it is not the frustrating phlegm liquid of chest. But always by spitting a large amount of suppuration liquid phlegm as the characteristic. Disease this occur frequently on between twenty and fifty, and men exceed women.
[Clinical manifestation ]
1. Get up disease to be mostly worried and sudden, discomfort all over the body, fear the cold, shiver with cold, the hyperpyrexia can reach over 39 , cough and take the phlegm, spirit is dispirited, lose the appetite, there can be chests to ache.
2. Onset last one about week, begin, spit a large amount of suppuration phlegm, daily the intersection of end and the intersection of phlegm and quantity can up to several hundred. The body temperature drops.
3. Unless pathological change such as developing into it is chronic consuming, it is cough to still have, suppuration phlegm,there are getting less sometimes much and sometimes in quantity on phlegm, and spitting blood repeatedly and abnormality generates heat, become thin etc., very person present anaemia.
[Diagnose ]
1. Typical clinical manifestation
2. The blood is like the inspection: Do acute leucocytes count 20-30XlO? /L, neutral cells obviously increase. The chronic patient can not obviously change.
3. Patient's phlegm liquid stench, is due to anaerobe. If without obvious foul smell, it is due to aerobic fungus.
4. The pathological change range is relatively small, and the deeper one of position, there can not be unusual physical sign. Pathological change range relatively loud, at with a large number of inflammation, the percussion presents voiced sound or flatness. Can hear the respiration to lower in auscultation, or there are wet rales.
5. X-ray examination: Shade that the early density large stretch of in shape increases. Become the suppuration one, it is obvious the round single cavity, there are levels of liquid inside. Routed suppuration one, the cavity wall becomes thick. Can be seen vertical diaphragm to suffer from side, shift convalescence, it is thick for pleura to increase.
6. The phlegm slide, phlegm are trained and checked, contribute to confirming pathogens and choosing the medicine.
7. Distinguish in conformity with diseases such as note boiling and bacterial pneumonia, cavity pulmonary tuberculosis, bronchus lung cancer,etc..
[Treat ]
1. Medicine treatment of Western medicine
(1)Resist and grow the treatment of Beijing: First-selected penicillin, 2 million for every day - 10 million units, the vein is instilled. Getting insensitive to penicillin, select very mould and plain forest for use and Klim mould and plain, 600 milligrams each time, 3 times a day, the vein is instilled. After lung pathological change of X-ray examination totally disappears, can stop using antibiotic.
(2)Treatment to the ill
It is humoral to supplement, the hyperpyrexia person gives, brings down a fever medicines.
Arrange the phlegm: Use, eliminate the phlegm medicine: Bathe in 30 milligrams of easy phlegm, 3 times a day. Or must cough 30 milligrams definitely, 3 times a day; Adopt the atomization of medicine to suck people or wash and suck the phlegm with the fibrous bronchus mirror; Adopt the body posture to guide. Promote the phlegm liquid to discharge. 2~3 times a day.
(3)Surgical treatment: Suitable for abscess prolongedly to manages and does not heal, the suppuration does not contract yet, can't control to infect, person who doesn't have operation taboo disease.
2. Traditional Chinese medicine treatment
(1)(warm to attack the lung while being evil) in initial stage : Unless it generate heat it is proud evil cold, cough, ache chest, spit white to stick by phlegm,there are very thirsty on mouth, tongue tongues red is thin and yellow, pulse floats and counts slipping.
Manage the law: Expell wind, clear away heat, should the lung reduce phlegm.
Square medicine: 30 grams of honeysuckle, 20 grams of forsythia, 10 of burdock, 10 of the root of large-flowered skullcap, of 10 gram in Radix Platycodonis growing 10 of licorice root, ZiYe Su 10, melon wither 30, 30 of Herba Houttuyniae, henon bamboo leaf 10 respectively
Chinese medicine: Antelope clean the breath pill.
(2)Become carbuncle issue (hot to stop up the lung while being evil) : Unless retreat hyperpyrexia, unless it cough out of breath, increase expectoration quantity, spit by suppuration phlegms thicks yellow,there are stench on smell, chest ache, mouth do, swallow dry, have the fidgets, tongue rainbow tongue yellow and thick and oily, pulse slips and counts.
Manage the law: Clear away heat and detoxify, melt silt subdue carbuncle.
Square medicine: 60 grams of reed rhizome, the core of Job's tears is 30 grams, 10 grams of peach kernels, 30 grams of wax gourd son, 10 grams of root bark of tree peony, 30 grams of Herba Houttuyniae, bulb of fritillary of Sichuan is 10 grams, honeysuckle is 30 grams, 10 grams of Radix Platycodonis, plaster of stone is 30 grams , 20 grams of forsythia.
Chinese medicine: Clear to make oral liquid of fairy.
(3)Routed suppuration issue (hot to injure the lung, succeed carbuncle and routed suppuration while being malicious) : Unless it is gradually been hot for tendency retreat, it is spit by a large amount of suppuration phlegm liquids turbids thick not to cough,or like congee, but phlegm blood looks and concurrently, unusually stench, the chest aches at the time of the asthma of coughing, vexed one is red, the mouth is very thirsty, the tongue is red and deep red, the tongue is thick and yellow and oily, pulse slips and counts.
Manage the law; Clear away heat and detoxify, arrange suppuration.
Square medicine: 10 grams of Radix Platycodonis, 60 grams of reed rhizome, 15 grams of peach kernels, 40 grams of wax gourd core, 10 grams of the roots of large-flowered skullcap, 30 grams of Herba Houttuyniae, 30 grams of dandelions, 30 grams of honeysuckle, 10 grams of Rhizoma Bletillae, 10 grams of bulb of fritillary of Sichuan, melon
Chinese medicine: Yellow pill of rhinoceros.
(4)(empty to yearn for, not angry to two imitate while being overcast while being evil) in convalescence Body hot to retreat gradually, cough, lighten, suppuration phlegm reduce day by day, the intersection of chest and secret anguish, lose heart, exchange sweat produce, the intersection of spirit and tired strength, night sweat, it is dry for mouth to swallow, the intersection of tongue and rainbow lean towards bee be and the tongue is yellow, pulse is counted accurately.
Manage the law: It is raised overcastly that benefit is angry, it is evil to drive me out.
Square medicine: 30 grams of SHASHEN(sic), three 10 grams of crown prince, 10 grams of wheat winter. 15 of lily, the intersection of Job's tears and 30 of benevolence, winter the intersection of ware and 20 of son, 10 of licorice root, 10 of Radix Platycodonis, the intersection of jade and 15 of bamboo, grow 20 of Radix Astragali, 15 of Caulis Spatholobi, splendid achnatherum 10 since
Chinese medicine: Raise overcast to clean the breath lotion.
(1)Needle roast meat treatment
Initial stage: Fetch and shut the valley, song pool, one chi of pool, large vertebra cave.
Become carbuncle and routed suppuration one: Issues of the intersection of door,etc. and cave fetch, shut valley, the intersection of song and pool, chies of pool, imprison, big vertebra, the intersection of lung and Yu inside, have a strong smell, use, rush down law is clear to purge the lung of pathogenic hot promoting, arranging suppuration.
Convalescence: Fetch very much small stream, reply slip away, chies of pool, profound door, the intersection of lung and the intersection of Yu, angry sea,etc. and cave, with mend flat tactics of rushing down while being flat, impel angry overcast recovery.
[Prevent and recuperate ]
1. The weak usually one, pay attention to avoiding catching cold, avoid tobacco and wine and spicy diet.
2. Cooperate and treat actively, treat completely.
3. It is light to pay attention to and is imbued with nutritive diet after being ill.

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