Heat-entering blood group otitis media [Chinese medicine terminology examination and approval Committee. Terminology of traditional Chinese medicine (20 13)]
3 The definition of typhoid yellow ear syndrome (cold attacking suppurative ears and heat entering the blood in the camp) refers to heat entering the blood in the camp, purulent discharge in the ear, foul smell, sudden decrease of pus, severe earache, splitting headache, strong pharynx, vomiting, aversion to cold and high fever, restless mood, but still conscious, red tongue with little or no fur, and pulse.
4 Symptoms of Yellow Ear Typhoid Enters the Blood Syndrome Patients with Yellow Ear Typhoid Enters the Blood Syndrome have persistent purulent discharge in their ears, or purulent discharge has a foul smell and black rot, pus drops suddenly, earache is severe, aversion to cold and intense heat, headache is like splitting, stiff neck, vomiting, and restlessness, but their mind is still clear, their tongue is crimson, with little or no fur, and their pulse rate is [2].
Syndrome analysis: heat toxin invades, pus flows in, so ear pus drops sharply, heat toxin is abundant, and evil is fighting against each other, so cold is strong and heat is strong; The evil heat is trapped inside, so the headache is splitting and the neck is strong; Heat is in the blood, so I feel uneasy and vomit; The color of the tongue is crimson, and the pulse is thin without coating, which is yin deficiency and heat injury [2].
6. Treatment of Yellow Ear Typhoid fever entering the blood. 6. 1 Prescription treatment 6. 1. 1 Treatment method: clearing the blood, clearing away heat and toxic materials [2].
6. 1.2 Prescription can be Qingying Decoction [Remarks] Qingying Decoction (treatment for febrile diseases): rhinoceros horn, radix rehmanniae, radix scrophulariae, bamboo leaves, Ophiopogon japonicus, salvia miltiorrhiza, coptis chinensis, honeysuckle and forsythia suspensa; The heat toxicity of rhinoceros horn and coptis root in the prescription, and the cooling blood and detoxification of Radix Rehmanniae, Radix Scrophulariae, Radix Ophiopogonis and Radix Salviae Miltiorrhizae are nourishing and strengthening.
Or use Qingwenbaidu Powder [Remarks] Qingwenbaidu Powder (epidemic eruption I): gypsum, radix rehmanniae, rhinoceros horn, coptis chinensis, gardenia, platycodon grandiflorum, scutellaria baicalensis, Anemarrhena asphodeloides, radix Paeoniae Rubra, Scrophularia, forsythia suspensa, licorice, moutan bark and lophatherum gracile, and take the heat of clearing qi and blood to detoxify and eliminate evil [2].
6.2 External treatment 1) Purulent liquid in ear canal can be wiped clean with sterile cotton swab. If the pus is sticky, it can be washed with dilute white vinegar or 3% hydrogen peroxide first. Clearing the pus in the ear canal is beneficial to the outflow of pus and the use of drugs. [3]
2) Ear drops: Use liquid medicine with the functions of clearing away heat and toxic materials, relieving swelling and pain, and removing dampness and pus, such as Huanglian eardrop, or use fresh Saxifraga or ground Ardisia root vinegar, 5-6 times a day. [3]
"Golden Mirror of Doctor, Essentials of Surgical Mind and Ear Furuncle": "Natural oil drops for tomato sauce for external use. Once the pus is clean, change the ear oil and drop it from time to time, and the swelling will disappear and the muscles will heal themselves. Drop ear oil, grind walnut kernel, screw oil to remove residue, and get one yuan oil and two parts borneol. Drop a little into your ear each time. "
3) Blowing medicine: Blowing ears with medicine with the functions of clearing away heat and toxic materials, removing dampness and discharging pus, such as rotten ear powder and cotton wool powder. Before blowing medicine, the pus and residual medicine in the ear canal should be cleaned up, and it is not advisable to blow too much powder each time to avoid the accumulation of powder in the ear canal, which will hinder the discharge of pus and cause adverse effects. [3]
Clinical guidelines: "external use of keel, gallnut, frankincense, alum, carbonized blood, etc." Divide powder, roll and blow. "
7 Nursing care of patients with yellow-ear typhoid fever, whose condition changes rapidly and is critical, should pay special attention to close observation in nursing, record the changes of the condition in detail, and assign special personnel to guard it when necessary, so as to deal with it in time [2].
If the patient is unconscious, he can urgently acupuncture points such as Renzhong, Xuan Shi and Yongquan [2].
If the patient vomits or has sputum, the vomit and sputum should be removed to keep the respiratory tract unobstructed [2].
8 Prevention of yellow ear typhoid fever Prevention of pus ear as soon as possible is the key to prevent yellow ear typhoid fever. Patients with purulent ears have headache, vomiting and changes in consciousness. You should receive treatment as soon as possible to avoid the deterioration of your condition.
The key to prevent empyema is to improve the disease resistance [3]. After children suffer from measles, epidemic laryngitis and other diseases, their resistance decreases and they are prone to this disease. More attention should be paid to prevention, finding ear symptoms, timely diagnosis and treatment, and avoiding pus [3].
Improper breast-feeding is also easy to cause this disease, so it is necessary to quit the habit of lying down to feed and avoid this disease caused by too much breast milk entering the ear [3].
In addition, prevent sewage from entering the ears. When water enters the ear, it should be wiped clean as soon as possible to keep the ear canal clean and hygienic [3].
Those with early ear pus should be treated thoroughly as soon as possible to avoid chronic or other syndromes [3].
Due to poor eyelid closure and white eyes, dust-proof glasses or gauze piece can be worn to prevent dust from entering the eyes and causing poisoning [4].
9. Daily health care of patients with empyema In the care of empyema, attention should be paid to the frequent removal of pus in the ear and the correct use of ear drops and ear-blowing drugs. Purulent and accumulated powder should be removed before ear dripping and ear blowing. When earlobe, lie on your side, with the affected ear facing up. After dropping the liquid medicine, gently press the tragus several times with your fingers to make the liquid medicine reach the affected area and stay for a long time. Ear-blowing medicine should be ground into very fine powder, and don't blow too much at a time to avoid blocking the ear canal and obstructing drainage. In addition, close observation of the disease should pay special attention to the changes of pus, headache, fever, consciousness and other symptoms, so as to prevent or find the otitis media syndrome in time. [3]
Eat less eggs, soy products and other foods that cause evil [3].
Those with ear purulent discharge and unhealed eardrum perforation should avoid swimming, so as to avoid water entering the ear and aggravating the condition [3].
About 10, cold caused by typhoid fever is the name of the disease [5]. Out of the Chishui Zhu Xuan of Sun Mingyikui. Also known as yellow ear typhoid fever [2]. It refers to suppurative auricular degeneration syndrome characterized by purulent discharge in the ear, high fever, splitting headache, stiff neck, inverted horn arch and unconsciousness [1]. This is a serious symptom of incurable pyogenic ear change syndrome [2]. It is caused by pus-ear pathogen poisoning into the blood, disturbing the mind or causing liver wind [2]. If not treated in time, it will endanger life, so we should pay close attention to the development of the disease and rescue it in time [2].
The description of the etiology and symptoms of yellow ear typhoid fever in Volume 29 of the Theory of Staging Diseases of Sui Fang shows: "Anyone who suffers from earache is caused by wind entering the kidney meridian. If not treated, his spine will suddenly be strong and his back will be straight, resulting in convulsions." If the carbuncle and furuncle are swollen and painful, and the purulent pathogen rests, there is no spasm. Therefore, foot yin deficiency is the meridians of the kidney, and the meridians converge and the qi passes through the ears. There is wind evil in the upper jiao, which enters the brain and enters the ear, colliding with qi, so the ear hurts, the ear is kidney, and its qi is connected. Kidney waiting for the back, bone marrow, evil into the kidney, strong spine straight back. "
Yellow ear typhoid fever is equivalent to the critical period of intracranial complications of suppurative otitis media in western medicine [2].
Yellow ear typhoid fever is similar to suppurative otitis media and otogenic intracranial infection [5].