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TREATMENT_4

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TREATMENT_4

    TREATMENT

    WorldJ.Acup-Mox.Vo1.11,No.3,September,2001?53? ;TREATMENTOF30CASESOFINFANTILEHIGHFEVER ;WITHERJIAN.PoINTBLOODLETTINGMETHOD

    ;LiSailing(李赛玲)ZhuJun(朱军)

    ;BeijingCapitalIronPlantHospital,Beijing100041,China ;Highfeverisreferredtothatthebodytern

    ;peratureexceeds39?.Duetoaplasiaofthe

    ;cerebralnervesystemduringinfantilestage, ;continuoushighfevermayinducetemporary ;functionaldisturbanceofthebrain,manifesting ;assuddenandtransientlossofc0nsciousnessand ;localorgeneralmuscularspasmthatistermedas ;infantileconvulsion.Theauthorsfindinclinical ;practicethatsometimes,administrationofan

    ;tipyretiesascompoundaspirin(APC),corn

    ;poundaminopyrine,etc.hasnoeffectoninfan

    ;tilehighfever,iftreatedwithErjian(MAH6)

    ;bleedingmethod,thebodytemperaturemaybe ;decreasedby0.51.0?.Hereisthereport.

;1GENERALDATA

    ;Inthispaper,allthe30casesofhighfever ;childrenwerefromtheemergencydepartmentof ;ourhospitalandhadsufferedfromhighfever ;continuouslyfor24hours.Theyweretreated ;withoraladministrationofAPC,etc.andmus

    ;cularinjectionofcompoundaminopyrinebuthad ;noapparenteffect.Ofthe30cases,17were ;boysand13girls.Amongthem,theoldestwas ;9yearsandtheyoungest7months.11casessuf

    ;feredfromepidemicinfluenza,5fromacuteton

    ;sillitis,5frombronchopneumonia,5fromacute ;enteritis.

    ;and4hadunknownpathogeniccauses.

    ;2TREATMENTMETHoDS

    ;OtopointErjian(MAH6)wasusedfor

    ;bloodletting.

    ;Operationmethods:Afterroutinesteriliza

    ;tionofthelocalotopointarea.fixedthe ;patient’sheadfirst,heldasterilizedinjection

    ;needle(forsingleuse)toprickbilateralErjian ;(MAH6)toletabout510dropsofblood

;out.Thenusedadrycottonballtoclearthe

    ;prickedarea.20minutesaftertreatment,the ;bodytemperaturewasdetectedagain,ifithad ;noapparentchanges,theotopointprickingpro

    ;cedurewasrepeatedonceagain.Ifthebody ;temperatureloweredtemporarilyandthenrose ;again,theprickingbloodtreatmentwasalsogiv

    ;enonceagainfollowinganintervalof5hours.If ;twotreatmentsdidnotwork,othermethods ;wereusedinstead.Duringtreatment,thepa

    ;tientwasaskedtoavoidtakinganymedicines. ;Criteriaforevaluatingthetherapeuticef

    ;fect:20minaftertreatment,ifthebodytern

    ;peratureloweredabove0.5”Cfollowingone

    ;treatment,itwasconsideredasexcellence.If ;thetemperatureloweredabove0.5?aftertwo

    ;treatments,itwasconsideredasbeinggood.If ;thebodytemperatureloweredbelow0.5”Cafter

    ;twiceoftreatment,itwasconsideredasbeing ;poor.

    ;3RESULTS

    ;Afteronetreatment,thebodytemperature

    ;loweredabove0.5?in24cases(thetherapeutic ;effectbeingexcellent).Amongthem,thetam

    ;peratureroseagain2hoursaftertreatment.5

     ;hourslater.thebloodlettingmethodwasper

    ;formedonceagain.20minuteslater,thebody ;temperatureofthe3casesdecreasedbelow ;

    ;?

    ;54?WormJ.Acup-Mox.Vo1.11,No.3,September,2001 ;38.5?.Intherest6cases.theirbodytempera

    ;tureloweredabove0.5?after2treatments(the

    ;therapeuticeffectbeinggood).Inallthese30 ;highfeverchildren,theirbodytemperaturekept ;about37?12hoursafterbloodlettingofErjian ;(MAH6).

    ;4TYPICALCASE

    ;WenXX,girl,aged6years.Herfirstvisit ;wasonJanuary6,1999.Thisgirlhadgota ;commoncoldwithhighfever(beingabove39?

    ;continuously)andsorethroatfor3days.OraI ;administrationofAPCandintramuscularinjec

    ;tionofcompoundAminopyrinehadnoapparent

;effectonherbodvtemperature.Physicalexami

    ;nationshowedthatthebodytemperaturewas ;39.3”C,respiratoryratewasslightlyrapid,

    ;heartrate100beats/min,respiratorysoundof ;thebilaterallungnormal,bilateraltonsilswere ;swellingII.buthadnopusspots,whiteblood ;cellswere14×10/L.andneutrophilicgranulo

    ;cytesaccountedfor78%.Itwasdiagnosedasa

    ;cutetonsillitisandtreatedwithbloodlettingof ;Erjian(MAH6).20minafterprickingErjian ;(MAH6),herbodytemperatureloweredto ;38.4?.Onthefollowingdaymorning.thepa

    ;tient’smotherreportedthathergirl’sbody

    ;temperaturereturnedtonorma1.Shewastreated ;continuouslywithoraladministrationofAmoxi

    ;cillin,”Shuanghuanglian”(RhizomaCoptidis

    ;andRadixScutellariae)oralliquid.Threedays ;later,shewascured.

    ;5CoMMENTS

    ;Infantilehighfeverisacommonsymptom ;thatmayresultsfrommultiplediseasesincluding ;bacteriaorvirusinflammationinducedcommon

    ;cold.Inpartialpatientchildren,Western ;medicinedidnotworkwellforreducingfever. ;therefore,sometimes,reducingfeverisarather ;troublesomeprobleminclinic.Theauthorso{ ;thepresentpaperadoptedErjian(MAH6)oto

    ;pointbloodlettingmethodandachievedsatisfied ;results.

    ;AccordingtothetheoryoftraditionalChi

    ;nesemedicine,theinfantenjoyspureyangcon

    ;stitution,andtheyang-qiisoftensurplus. ;Whenattackingtheinfant’sbody,the”six

    ;pathogenicfactors”aresusceptibletoinvadethe

    ;interiorandtotransfoFnlintoheat,beingfaster ;inchangesandmoreinsyndromepatterns. ;Therefore,inclinicalpractice,thepathogenic ;factorsshouldbedrivenoutasfasteraspossible ;forsuppressingthestateoffeverandpreserving ;thevitalenergy,weoftenadoptedErjian(MA

    ;H6)pointbloodlettingmethodinclinicalprac

    ;tice.Modernresearchhasdemonstratedthatthis ;therapyhasobviousantiinflammatoryandan

    ;tipyreticeffect,particularlyinreducingfever

    ;causedbyupperrespiratorytractinfection, ;whichhasfewer”reboundphenomena”.Thean—

    ;tipyreticeffectofbloodlettingmayberelatedto

    ;itsresultantneurohumoralcomprehensiveregula

    ;tioninduceddilationofcapillariesandenhance

    ;mentofthesecretionofthesweatglands. ;Prickingbloodtherapyoriginatesfromthe ;recordintheliteratureoftraditionalChinese ;medicinethat”forreducingfever,blood—letting

    ;therapyisoftenused”.Theauthorsofthepre—

    ;sentpaperobservedthatthefeverreducingeffect

    ;appearedfrequentlyabout5minafterpricking ;Erjian(MAH6),when,thechildpatientex

    ;periencedslightsweatinginthewholebodyand ;turnedbetterimmediatelyinspirit.Tillabout20 ;minafterbleeding,thefeveIreductioneffect ;wasevenmoreapparently.In6childrenofthe ;presentpaper,thefirstsessionoftreatmentdid ;notworkwell,probablyowingtoshallowprick

    ;ingandlessamountofbloodout.Whenthe ;bloodlettingtreatmentwasgiventothepatients ;onceagainfollowing1hour’sinterval,their

;

    ;WorldJ.Acup-Mox.Vo!.11,No.3,September,2001?55? ;bodytemperatureloweredevidently.Therefore, ;Erjian(MAH6)bloodlettingtherapyisofap

    ;parentantipyreticactionandcanbeusedasone ;oftheemergencytreatmentmeasuresforinfan ;tilehigherfever.

    ;NewsReport

    ;AcademicSymposiumon”GuidanceforClinicalResearchMethods ;ofAcupunctureandMoxibustion”WasHeldinBeijing

    ;FromAugust18to19of2001,anAcademicSymposiumonGuidanceforClini

    calResearch

    ;MethodsofAcupunctureandMoxibustionwasheldintheInstituteofAcupun

    ctureandMoxibustionof

    ;ChinaAcademyofTOMinBeijing.FangShuting(房书

    ),associatepresidentofChineseState

    ;AdministrationofTCM,Dr.ChenKen(

    ),seniorofficialofWHOWesternPacificRegion.Pro.

    ;fessorLiuBaoyan(刘保

    ),associatepresidentofChinaAcademyofTOM.ProfessorDeng ;Liangyue(邓良

    ),ChairmanofWorldFederationofAcupunctureMoxibustionSocieties,e

tal,

    ;about100participantsattendedthismeeting.DrChenKenmadeaspeechonthe”developmentand

    ;significanceofstudiesonclinicalevaluatingmethodsofinternationaltraditionalmedicine”.Profes—

    ;sorLiuBaoyandeliveredaspeechon”basicideasanddevelopmentofclinical

    evaluatingapproach

    ;esontraditionalChinesemedicineandMateriaMedica”.ProfessorShiXuemin(石学敏),academi-

    ;cianofChineseEngineeringAcademy,reviewedtheirclinicalresearchresultsontreatmentof

    ;apoplexywith”XingnaoKaiqiao”(醒脑开

    )(restoringconsciousnessandcausingresuscitation)

    ;needlingmethod.ProfessorZhangBoli(张伯

    ,fromTianjinCollegeofTOM)narratedprogresses

    ;ofresearchonsyndromecomplexofTOM.ProfessorXieYikuan(谢益

    ,fromInstituteofBasic

    ;MedicalSciencesofChineseAcademyofMedicalSciences)gaveaspeechon”experimentalstudy

    ;onDeqiofacupunctureandneedlinginducedsensationsspreadingalongtherunningofmeridians”.

    ;ProfessorZhuangDing(

    ,fromInstituteofAcupunctureofChinaAcademyofTOM)narratedhis ;personalunderstandingsonstudyingWHO”GuidanceforClinicalResearchMethods”.Onthesecond

    ;dayofthismeeting,participantswhoweredividedinto4groupshadanenthusiasticdiscussionon:

    ;?standardizationofacumoxiandresearchonancientmethodology;?

    experimentalandclinical

    ;researchonregularitiesofacupointfunctions,?

    researchonevaluationofthetherapeuticeffectof

    ;acupunctureandclinicalresearchmethods,and(applicationofacumoxitohealthcareinbasicu

    ;nitsandruralareaandclinicalstudy.Specialistsputforwardmanyproposalsonpopularizingand

    ;perfectingtheaforementioned”Guidance”

    ;(ReportedbyLiuJunling刘俊岭)

    ;

    ;

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