The acute suppurative infection which the acute mastitis is the bacterial infection causes the mammary gland which organizes, the overwhelming majority occurs in the post-natal 1 month nursing woman, You Yichu the parturient woman for many. The disease germ either the direct invasion mammary gland tube, or chap the breakage place invasion from the nipple, fat, the Fiber structure along the lymph vessel spread to the mammary gland leaf’s, causes the suppurative infection, subsequently the development is an abscess. The milk stasis product is the morbidity primary cause, the milk stasis accumulates is advantageous to bacterium’s growth reproduction. The mild infected person milk excretion is impeded, the breast presents the painfully swollen tumour, has touches a sore spot. The serious infected person general symptom is obvious, the high fever, partial red, swells, the heat, the pain to be obvious, the armpit lymph node is tumescent and abscess forms. The shallow table abscess obvious skin is inflamed, has the wave person or household who refuses to move and bargains for unreasonably high compensation when the land is requisitioned for a construction project; Depth portion abscess partial inflamed is not obvious, but the trouble place hardens, has the deep tenderness. Prevents this sickness should later period to maintain in the pregnancy the nipple is clean, uses the lukewarm water soapy water or the ethyl alcohol frequently washes and rubs the nipple, the areola, strengthens skin’s tenacity. In the nipple falling, should pull outward pulls, causes it to be prominent. The breast-feeding period needs fixed time to nurse, cannot attract completely when should push the completely milk. The nipple has chaps or breakage appropriate to the occasion stop nursing, and uses the breast pump aspiration milk, chaps place with the antibiotic ointment, after waiting the wound to heal, nurses again. This sickness is equal to the traditional Chinese medicine “the mastitis”, “the stalactite” category. Because its sickness is the vital energy of the liver does not extend, the stomach hot yun stagnates, the duplicate feeling external injuries influences, the channels and collaterals hinder, so that the milk does not pass, vitality being out of balance result. The clinical common card has:
1. liver strongly fragrant stagnation of flow of vital energy: The card sees the breast to have the induration, the ache, inflamed not really obvious, the milk does not pass, the fear cold uncle is cold, is accompanied by wan the stuffy warm air, to have a poor appetite, the mood to be despondent, tongue coating thin yellow, arteries string number.
2. the stomach obstructs Sheng Xing hotly: The card sees thinks of the young tumour to increase, fills the air inflamed, the ache is fierce, the chill gives off heat, or alternate spells of fever and chills, tongue coating yellow greasy, arteries slippery number.
3. is mad the cloudy injuries suffered by both sides: After the card sees the burst and emit pus, mostly is swollen and painful
Reduces hastens recovers, the poison along with the pus solution, the heat draws back the body to be cool, swells disappears yong reduces, has the injured area remnantly, the physique is weak, redness of the tongue, liver moss thin white, the weak pulse is thin.
First, may select western medicine
1st, termination milk secretion medicine:
(1) ethylene female phenol; Each time 1-22mg, on first takes orally 3 times, is used together on 3rd
(2) benzoic acid estradiol: Each time 2mg, on first 1 time, the intramuscular injection, to receives up to the breast.
2. antibiotic: Selects the effective anti-business control infection.
3. partial medication: Available 25% magnesium sulfate solution, wet hot compress Yu Huanchu.
Second, may select traditional Chinese medicine
1. liver strongly fragrant stagnation of flow of vital energy:
(1) blood circulation disintoxicating pill: Each time 3g, on first 2 times, delivers the clothing with the warm yellow wine or the warm boiling water.
(2) young sore pill: Each time 9g, on first 2-3 times, the warm boiling water delivers the clothing.
(3) dandelion piece (powder): The tablet each time 3-5 pieces, on first 4 times, the warm boiling water delivers the clothing. Powder each time 15g, on first 3 times, the boiling water flushes the clothing. Critically ill may use judgment to enlarge with the dose.
(4) pleasant golden yellow disperses: The external use, with the green tea, the ester, the vegetable oil or the honey accent spreads the trouble trouble place.
(5) bezoar solution opium pill: Each time 1 pill, on first 2 times, the warm boiling water delivers the clothing.
(6) silver curls upwards the solution opium pill: Each time 1 pill, on first 2 times, the warm boiling water delivers the clothing.
(7) bupleurum chinensis sparse liver pill: Each time 6-9g, on first 3 times, the empty stomach warm boiling water delivers the clothing.
(8) four counter disperse; Each time 4.5-9g, on first 2 times, the warm boiling water delivers the clothing.
2. the stomach obstructs Sheng Xing hotly:
(1) lives the myo- rubine paste: Externally applies the trouble place, after using in the pus only.
(2) weeping forsythia defeat opium pill: Each time 1 pill, on first 2 times, the warm boiling water delivers the clothing.
(3) clear stomach Chinese goldthread rhizome pill: Each time 9g, on first l one 2 times, the warm boiling water delivers the clothing.
3. is mad the cloudy injuries suffered by both sides:
(1) four wonderful pills; Each time 6g, on first 1-2 times, the warm boiling water delivers the clothing.
(2) eight treasure pill (makes up juice, powder): Big honey pill each time 1 pill, or Shui Miwan each time 6g, on first 2 times; Or the concentration pill each time 8 pills, on first 2-3 times, the warm boiling water delivers the clothing. Fries the medicinal extract each time to take orally 15-20g, on first 2 times. The powder each time 1 bag, on first 2 times, the boiling water flushes the clothing.
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April 9th, 2008 at 3:07 am