According to media reports, since the beginning of summer, thousands of people have died due to hot weather in areas of the country and abroad where high temperatures persist. These tragic situations and deaths belong to the category of heat stroke and heat syncope in Chinese medicine. Our ancestors had a deeper understanding of them and have accumulated more experience over the generations. Therefore, we are happy to report that
Heat stroke is a seasonal disease that occurs in the summer heat (after the summer solstice) or in a high temperature environment caused by feeling the heat evil. The main symptoms, early or mild; weakness. Dizziness and fever, thirst, and sweating are called heat stroke. In the middle and late stages of hyperthermia, sudden fainting, cold limbs is called “summer syncope”.
I. Etiology and pathogenesis
Causes
Caused by summer heat. The Su Wen – angry Tong Tian Lun: “because of the heat, sweating, annoyed, then panting and drinking, quiet then talk a lot, the body is like burnt charcoal” is the description of the image of the disease caused by heat. Qing. Ye Tianshi: proposed: “summer months by the mantle to be far from even stumble @, this maple holmium province < angular] plug hole [due to ''. Summer is one of the six gases . Natural wind, cold, heat, humidity, dryness and fire are indispensable conditions for human life and production, and people rely on their own regulatory functions in daily life to adapt to the changes of spring, summer, autumn, winter cold, heat, warmth and cool, to achieve harmony and unity between man and nature. For example, in the cold winter, the body takes the initiative to take measures to keep warm and mobilize the warming function of Yang Qi. Adapt to the cold winter;. In the hot summer; the body will take the initiative to take cooling measures, to activate the opening and closing function of the Wei Qi, to sweat and other ways, before the heat is released, to adapt to the environment.
This is called the harmonious unity of man and nature, called “the unity of heaven and man”, if this relative stability and balance is disrupted, the six qi will become evil qi, called the ”six perversions”. It becomes a pathogenic factor. This is how the evil of heat is formed.
Under what circumstances will the “unity of heaven and man” be disrupted?
1, the weather changes dramatically, beyond the limits of the body’s control, such as temperatures greater than > 35 – the recent heat wave in Bachistan even > 45 degrees. Greatly exceeded the body’s ability to regulate.
2, the body itself is weak. Lose the ability to resist the evil: such as: the elderly and weak. People suffering from various diseases such as diabetes, hypertension, hyperlipidemia, obesity, various heart diseases,, blood diseases, kidney disease, scleroderma, etc. Pregnant women, children, those who are overly tired from physical work
Disease Mechanism
Heatstroke enters through the skin, hair, pores, and meridians, and heatstroke stagnates in the interior and cannot be excreted outside. (heat stroke) accumulates into high fever, causing dysfunction of heart, brain, lung and kidney. This is the basic pathogenesis of the disease. The pathological damage caused by heatstroke is mainly through the following channels;
External disturbance: (meridians) – dysregulation of Wei Qi – orifices and hairs – open but not fit: excessive sweating and fluid depletion; or closed but not open (body temperature > 40C without sweating); hyperthermia congestion (heat stroke)_
Internal invasion (internal organs:) into – blood – heart – brain – lung – kidney – (heat stroke)
Blood vessel dysfunction – Qi stagnation and blood stasis – Yang Qi cannot be distributed – cold extremities
Brain: heat close to the mind – coma or delirium
Lungs – dysfunction of the propagation, blockage of Qi – difficulty in breathing
Kidney – due to loss of fluid and fluid – kidney opening and closing disorders – oliguria or anuria
Evidence and symptoms Diagnosis:
Symptoms
The early symptoms of heatstroke can be seen in the lighter cases, such as body heat, red face, thirst, dizziness, headache, fatigue, etc.; in severe cases, high fever, sudden fainting, confusion, delirium, red and dry tongue, and flooded pulse. Or cold extremities. Blood pressure drop belongs to heat syncope.
Analysis of the evidence: summer walking or high temperature work, feeling the summer heat, summer heat within the closed, blocking the clear orifices, then suddenly fainted; disturbing the mind, then confusion, delirium, summer heat attack, heat depression, so see dizziness and headache; summer heat within the steam, then sweating, red face, body heat. The tongue is red and dry, and the pulse is torrential. If the heat is internal, the veins, skin and hair are blocked, and the Qi and blood cannot be distributed, the limbs are cold.
Diagnosis
1.Onset in summer, sudden onset
2.People who work and live in a hot environment
3.Or with aura symptoms
4.Sudden onset of high fever, fainting, excluding other factors
5.The diagnosis can be made if the symptoms of heat stroke and heat syncope are met.
Third, the treatment rules and methods
Clear the heat and lower the fever, open the orifices and awaken the mind, cultivate the fluid and benefit the qi.
First aid treatment
1.First of all, remove the patient from the scene of high temperature, quickly transfer to a cool and ventilated place.
2.Reducing high temperature
Heat stroke, high heat, injury to fluid, damage to brain cells, disturbing the mind, can be inverted and syncope. When decisive treatment. It is advisable to detect sweating and non-sweating when the evidence is available.
It is advisable to clear the summer heat and benefit the qi when there is sweating, and the cold compress method can be used. It is true that <
No sweat belongs to the table real. It is appropriate to sweat through the table to remove heat, avoid cold compresses. As the ancient saying goes, “If the body is burnt, sweat out and goblet”. The treatment is often used in combination of Elsholtzholtzholtzholtz and Ma Heng Shi Gan Tang with Chai Hu and Ge Gen.
3.Acupuncture treatment
Acupuncture points: Hegu, Renzhong, Shenmen, Neiguan, all using the diarrhea method, puncturing the ten Xuan points (the tip of the ten fingers) to bleed a little. The foot three miles, Quchi, Baihui, with the tonic method.
4.Scraping
The actual fact is that you can find a lot of people who are not able to get a lot of money from the internet. To the extent that the local skin, now red and purple phenomenon
5.Tui Na
Push up the Yin Tang and then left and right to the solar plexus, knead and press several circles and then go around the ear and push down to the two shoulders, and repeatedly grasp and knead the shoulder muscle keys, deltoid and pectoralis major. Chest from the Tanzhong points on both sides around the breast to the waist, while repeatedly pinch up the Tanzhong points and both sides of the external oblique abdominal muscles, pinch up where the purple-red rash is visible that stop. Then grasp and pinch the two arms, and thumbs pinch the Hegu point, respectively, the point.
6.Chinese medicine
Suitable for people with high fever and dizziness. Can use.
(1) Angong Niuhuang Pill (Clinical Manual of Practical Drugs). Specification: honey pill weighs 3g per pill, 1.5g/, 3g. bulk 1.6g per bottle, usage and dosage: oral: honey pill 1 pill once, 2-3 times a day, bulk 1 bottle each time, 1-3 times a day
(2) Zixue Dan is taken orally, 1.5-3g each time, 2 times a day.
(3) Awakening Brain Jing Injection 2mL/stem. Intramuscular injection: 2-4mL/time, 1-2 times/day
7.Single prescription
(1) Oral intake of watermelon juice and decoction of raw gypsum and slippery stone, etc.
(2) Decoction of patchouli, pelargonium, etc.
8.Other treatment
Oxygen absorption, infusion, and other measures.
Four, prevention
1.Enhance physical fitness, improve heat resistance and regulation ability. Such as regular exercise, pay attention to rest, maintain a good state of mind, prevention of various diseases, etc.
2.Reasonable arrangement of work and outdoor activities. Avoid strong labor activities during high temperature periods, when going out, take sun protection measures, such as applying sunscreen, wearing sunglasses, playing umbrella, wearing a hat can slow down the speed of heat absorption of the head and neck, wear light-colored, pure cotton clothes are the most breathable, do not play bare shoulders,.
3, pay attention to nutrition and diet hygiene. Should be light, cool, fresh, rich in vitamins, protein, vegetables, fruits, soy products, etc.. It is not advisable to drink alcohol, coffee, smoking, should not eat spicy, should not be heavy oil, should not overeat.
4, pay attention to replenish water and salt. Especially in the case of sweating to drink more water. Suitable for watermelon juice, ginger salt soup, herbal tea, green bean soup, etc. Suitable vegetables and fruits: such as lotus root, lotus seeds, lily, cucumber, watermelon, bitter melon, tomato fungus, lentils, green beans, celery and tofu (containing gypsum).
5, early detection of heatstroke aura, take measures to timely treatment, to prevent syncope off the evidence. The heatstroke will be contained in the bud.