Pediatric acute bronchitis fever case

  Li XX, male, four and a half years old, my wife’s colleague’s son, often hospitalized for infusion treatment of fever and cough, once or twice a month, this child is very obedient and well-behaved, is his mother’s “lifeblood”, his mother is also a graduate of Chinese medicine school, once opened a clinic, a little knowledge of Chinese medicine, complained that the child was still in good health more than a year ago, then due to fever infusion After treatment, he began to have recurrent upper respiratory and bronchial infections, fever and cough, and his face gradually became darker and his appetite became poorer, so he did not want to receive regular treatment from Western medicine. Although they had known me for six months and knew that I liked the way of Chinese medicine, they did not treat their children with me because I was young.  In early December, I received a phone call from her when I was out visiting friends, saying that her child had a cold, sore throat and cough for three or four days, and that she had taken Chinese herbal medicine to clear the heat and detoxify the body and antibiotics to treat it. She started to have a fever of 38.7℃, and after taking Nimesulide 50mg, her temperature dropped to 37.3℃. I asked the child if he was afraid of cold, and he answered no. Does his throat hurt, and he answered no. Does he sweat, and he sweated a lot after taking antipyretic medicine. Since I could not see him face to face, I prescribed Xiao Chai Hu plus Ma Heng Shi Gan Tang according to my experience and advised to feed him with millet porridge and vegetarian dishes.  The next day, her mother brought the child to me for a face-to-face consultation, saying that she had a very strong cough last night, could not lie down, and could hear phlegm on her lungs. He was considered to have acute bronchopneumonia (I have worked in the emergency department and ICU for many years) because of his dark complexion, white and greasy tongue, weak pulse, occasional cough, and sputum sound in the lungs. I would not take such patients in the outpatient clinic, and I was also worried that if there was a mistake, pediatric pneumonia with heart failure would be life-threatening. This time, his mother had great hopes for TCM, and I decided to give it a try.  Because of his face and pulse, and the common use of antibiotics, the addition of four reverse soup, the specific prescription is as follows: Chai Hu 20 grams of Qingxia 10 grams of Radix Codonopsis 10 grams of Scutellaria 10 grams of Ephedra 10 grams of almonds 10 grams of raw gypsum 30 grams of the preparation of the sapodilla 10 grams (with decoction) 10 grams of dry ginger 10 grams of roasted licorice 10 grams of ginger 10 grams of jujube 6, two payments. He was told to boil the two medicines together, once every three hours until the fever subsides, and to take three doses a day instead, without taking antibiotics or antipyretic and analgesic drugs.  At 6:00 p.m., I received a phone call while I was sitting in the clinic, saying that his body temperature started to rise at 3:00 p.m. Now his body temperature is 38.9℃ and he is not in good spirits. At 9:00 pm, I received a phone call saying that the child was sweating and now his body temperature was 37 degrees, his cough had subsided, he was sleeping peacefully, and he wanted to be given medicine again. I told him not to wake the child up, as he would wake up at night between 12:00 and 4:00 with a cough, so it was not too late to give him the medicine again. The next day, the child’s temperature was normal, he was no longer asthmatic, and his cough had subsided significantly. He had already taken the medicine five times and had one more at noon.  In a four-year-old child, 20 grams of Ephedra and 20 grams of Radix et Rhizoma were administered within 24 hours, indicating that the dose of emergency medicine should not be confined to the pharmacopoeia. On the third day, the child was seen again, and his grandmother praised me for being so predictable, saying that the fever would go down at the right time and the cough would go up at the right time, and that she trusted me. This all comes from the six meridians of typhoid fever and the twelve meridians of the flow of water, so if you are interested, you can look into it. Later, I prescribed Xiao Chai Hu with ginseng, jujube, ginger and Wu Wei Zi dry ginger soup to remove the cold from the lung, and Radix Rehmanniae to rebuild the middle qi, and asked him not to eat meat for dinner, but to eat before 7:00 pm and not to be too full. Since then, the child’s health has improved and he has not caught a cold or fever again until today.  Later note: cold and fever is one of the functions of the body’s own evil, not just infected with viruses and bacteria so simple, we often hear that the old do not have a cold and fever easy to get tumors, this is not without reason. Western medicine antibiotics are mostly bitter and cold in nature, and antipyretic and analgesic drugs mostly dissipate the vital energy gathered by the human body to discharge the evil, so the fever will fever again after the fever subsides, while Chinese medicine can mobilize the vital energy of the human body to discharge the evil through the meridians, so the treatment of Western medicine often interrupts the process of the human body’s self-exhaustion of evil, resulting in the accumulation and depth of evil, and people with good constitution can still adjust themselves, but people with weak constitution will have more trouble. In addition, all those who take antipyretic drugs sweat, I must ask them to drink millet porridge to replenish the body’s fluids to fill the source of sweat. You do not see drinking hot water when the whole body does not sweat, millet porridge can make the whole body sweat slightly.