Talking about treatment ideas for fever in tumor patients

Clinically, fever in tumor patients is divided into infectious fever, central fever, and unexplained fever. Western medicine is the most headache is central fever, central fever diagnosis by exclusion. In the treatment, mainly with antibiotics, antibiotics are also divided into cold and hot, erythromycin, azithromycin hot, other antibiotics are generally cold. Because of the cold nature of their drugs, they damage the stomach qi, and usually do not want to eat after applying these antibiotics. In clinical practice, I realize that high fever is easy to go down, but low fever is hard to go down, so I often use acupuncture on Daxi or Xuanxuan, or use Angong Niu Huang Wan to reduce high fever. Originally, Angong Niuhuang Wan was used to treat high fever, but in the case of persistent high fever, even if it is not accompanied by fainting, Angong Niuhuang Wan can be used as long as the pulse is strong, and the effect of fever reduction is very good. For persistent high fever, I have an antipyretic formula that works well and has been tried and tested time and again. Of course, the most important feature of Chinese medicine is the identification of the evidence, the following is the outline of the identification of the real and the imaginary, I will talk about the clinical treatment of fever in oncology a few common formula. First, the solid heat evidence treatment fever is solid, I in the clinical use of small chaihu soup, gardenia black bean soup, elevation of scattered formula plus and subtract. Xiao Chaihu Tang is a famous formula to reduce fever, no matter what the cause of fever, can be considered to use. However, Xiao Chai Hu Tang is not so perfect in treating fever and has its defects. Xiao Chaihu Tang is an antidote to Shaoyang, but if it is used to reduce fever, it needs to take these points into consideration. 1, fever for the evil and positive a situation, to get rid of the evil, ginger pharmacy is not prepared, decoction is easy to miss to add, at this time at least should be added to the pungent warm penetration of the surface of the medicine, to give the evil to the way out, so that the evil to the outside. Then, with what external penetration of the medicine? Regardless of whether the external wind-cold or wind-heat, should be added to the pungent penetration of the product, warm disease Yin Qiao San formula added warm medicine Jing mustard and tempeh, why? Warm disease in the warm evil from the mouth and nose, thus affecting the lungs, the lungs do not propagate and fever, the use of pungent and warm products can increase the power of its pungent dispersal and penetration of the surface, the evil outside the penetration of the sweat, the heat since the subsidence of fever. Wind-cold external sensation plus pungent and warm translucent products need not be said. Through this reasoning, I screened out in the clinical Su Ye this flavor of medicine, and the stomach and penetrate the surface, more close to ginger than Jing Wei, tempeh, better to use. Both headache, drowsiness, lingering condition, is more often clamped wet, add qiangwu, ephedra; generalized joint pain, mostly cold, available large doses of cold medicine, such as ephedra soup. 2, small chaihu soup clear head and throat medication is not enough, but some people say that the table evidence can not be overuse of bitter cold medicine, which is very reasonable, bitter cold medicine to hurt the stomach gas, stomach gas injury is easy to attract the evil into the interior, but can be added to the cold and cool antidepressants, such as bluebells, silver flowers, gypsum. 3, will be warm and typhoid together, wind cold wind temperature are injured lung Wei, easy to appear or light or heavy cough, in the small chaihu soup based on the addition of some regulating lung medicine, such as tangerine root in order to promote the lung gas. In this way, on the basis of Xiao Chaihu Tang, add sweating medicine, pungent and cool medicine, lung-expanding medicine, for the treatment of fever, the formula is more rigorous, and the consideration is more thorough, so it can get very good effect. Gardenia black bean soup, treats heat depletion chest segregation evidence, ” typhoid fever ” 77 articles ” annoying heat chest in the suffocation, gardenia black bean soup main “, which ” suffocation ” the person, plugs also, that is, in the chest plugs the feeling of discomfort, 78 articles ” the body heat does not go, in the heart Junction pain, gardenia black bean soup main “, by above two scriptures can know, gardenia black bean soup clinical use indication, namely fever with diaphragm or sword protruding pain refuses to press. The whole formula on two medicine, gardenia both clear gas part heat also clear blood part heat, with light black bean light clear outside penetration, the whole formula is short and concise, but as long as grasped the use of the indications, will get the unexpected therapeutic effect. Raises and lowers the scattered, by the rhubarb, the turmeric, the stiff silkworm, the cicadas metamorphosis four medicines composition, the main treatment evil heat fills the inside and outside, blocks the qi, the clear yang doesn’t rise, the turbid yin doesn’t descend the fever, I in the treatment of the fever uses this formula the indication mainly to look at the pulse, the pulse to see the agitation powerful person all can use. Usually, gardenia black bean soup and elevating and dispersing are combined together to regulate the elevation of the qi, which is more effective than using it alone. An Gong Niu Huang Wan for central fever or unknown cause of fever, as long as the pulse presses the strong with all effective. Second, the treatment of deficiency fever certificate deficiency fever is mostly manifested as low fever, the cause of the disease is more, not good treatment, can be used to tonify the middle and benefit the qi soup and loose loose powder. Tonify Zhong Yi Qi Tang is a famous formula for removing heat with sweet warmth, which is mainly used for treating the syndrome of dampness and turbidity infiltration in spleen deficiency, and there are three clinical indications for its use: firstly, the pulse is soft and feeble, secondly, the appetite is reduced, and thirdly, the abdominal distension is caused by dampness and turbidity infiltration. The so-called sweet and warm to remove heat, that is, for the spleen deficiency of dampness and turbidity downstream injection of the disease mechanism, sweet taste to tonify the spleen, warm to transform the dampness, the middle state of the earth transport is healthy, then the biochemical infinite, the disease evil since the retreat. It can be used in tonifying the middle and benefiting the qi, adding dibi, artemisia, or adding subtractions of Shengyang Yiqi Tang. Isn’t it possible to use Tonifying Zhong Yi Qi Tang for the most common cancerous fever in advanced stage of tumor patients? Yes, why? Cancer fever usually starts at 2 or 3 p.m. According to the Nei Jing, yang qi rises in the middle of the day, and yang qi is most abundant at noon, which causes fever when it competes with evil qi. Therefore, tonifying zhong yi qi tang and adding cinnamon sticks can be used to support yang qi in the case of cancer fever. However, it is prudent to use Qiangwu and Suye to induce sweating. Remember that, when advanced patients suffer from systemic failure, they should not use sweating medicines, and they should not use cold and flu medicines. A sweating patient is likely to vomit blood, hemoptysis and death. Why? Systemic failure or shock patients, would have been insufficient yang qi, false yang on the over, if the sweat again hurt yang, and ultimately can only be yang Qi storm off and died. If the Yang deficiency is mixed with dampness, can be used to add flavor to the epiphyllum soup. Clinical must be clear. Easy San, we all know that it is a representative of the method of liver and spleen, so what type of fever is it used for? According to the mechanism of the disease Free San main treatment of liver depression and blood deficiency spleen deficiency certificate, this is right, spleen deficiency Jian Yun dereliction of duty, qi and blood biochemistry lack of source, blood deficiency liver loss of nourishment, less than the evacuation, depression and heat, so this heat is mostly for low fever. In addition to low fever, the fever of the main treatment of the free powder has two characteristics, one is the fever is low fever, but the heart rate is fast, panic obviously, why? Because the blood is weak, not to nourish the heart ah. Here to emphasize is not fever heart rate are fast. Secondly, this kind of fever, the more activities the higher the heat, why? The Nei Jing says, “Yang Qi, the boredom is open”, exercise damage to Yang Qi, Yang deficiency is hot. Clearly the above indications for use, in the specific clinical evidence, can also be added to the ground bone skin, Artemisia Qingtongue clear through the deficiency heat. There is also a high fever, can not find the cause, can be used as follows: raw gypsum 30~60g, raw yam 15g, maitake 30g, pollen 30g, raw land 20g, XuanShen 15g, sasanqua 15g, mint 10g, PeiLan 15g, dongGuaRen 15g, DaQingYi 20~30g, plate blue root 20~30g, one dose per day, decocted water service. If the high fever still does not subside, add 0.5g of antelope horn powder or 10g of buffalo horn powder on the top, or add An Brain Pill or Angong Niuhuang Pill.