Fulminant encephalitis in children is contagious, but it is not absolutely contagious.
If it is epidemic encephalitis, it is highly contagious and is a viral or bacterial infection. However, if encephalitis is caused by autoimmune problems or other reasons, it is not contagious.
Of course, this is the explanation of Western medicine, and it is also the explanation of Western medicine for fulminant encephalitis in children.
In the eyes of traditional Chinese medicine, there are actually no concrete diseases!
Therefore, it is impossible for Chinese medicine to have a disease name such as encephalitis. However, after integrating Chinese and Western medicine for so many years, it began to apply it mechanically, combining some syndromes of Chinese medicine and disease names of Western medicine, so that things that are specious have become more difficult to understand.
Speculation.
Jiang Fei walked up to the child and touched his forehead with his hand. He found that his forehead was very hot, but there was no sweat. His head was as hot as a boiling hot pot.
However, high fever must be accompanied by chills, which is one of the inevitable signs.
Although the child is now opisthotonic, it has not delayed his frequent twitches, chills, and abnormally cold limbs.
Jiang Fei turned his head and took a closer look at the child's back, and found that there were petechiae on the child's back.
Based on these circumstances, Jiang Fei was sure that the child's body was already in an extremely hot state.
Only in extreme heat will cold limbs, extremely high body temperature, frequent convulsions and opisthotonus occur, which indicates that there is not only heat but also wind evil.
And where does this wind evil come from? If it is not an external factor, it is an internal factor, that is, internal wind.
Extreme heat generates wind, heat stirs up internal wind, and restlessness causes wind.
Jiang Fei stretched out three fingers, gently pressed on the child's Cunkou pulse area, and felt several pulses.
This is also one of the best pulse conditions to detect. Both floating and sinking pulses can be detected by ordinary people. Even apprentices with a little experience in counting pulses can also detect them.
What is really difficult to detect is that there are many specious and very similar pulses, which are difficult to detect. For example, the Xian pulse, the solid pulse, and the tight pulse all have similar characteristics, so you need to feel for different characteristics in order to distinguish them.
After a few more minutes, Jiang Fei released his hand. He had found the answer he wanted from the child's pulse.
The pulse was slippery, which was due to phlegm-heat in the body. Combined with the child's trismus, Jiang Fei was unable to observe the tongue coating.
Finally, Jiang Fei was able to come to a conclusion. Western medicine concluded that it was fulminant encephalitis in children.
The syndrome differentiation of traditional Chinese medicine is that the heat and poison are blazing, the qi and blood are burning, the heat is deep and even deep, and when it enters the camp and activates the blood, it will cause the heat to bind the Yangming, induce internal wind, and cause severe pericardial obstruction due to evil.
To make it clearer, or so that ordinary people can understand it, the general meaning is that the heat poison in the child's body is too strong, and the heat hurts the qi and blood, and the heat penetrates deep into the body, entering the camp and guarding, hurting the blood, and finally causing the whole body to have heat.
It condenses on the Yangming Meridian, causing liver wind and injuring the pericardium. This is a serious disease in traditional Chinese medicine.
If I could explain it more clearly, it would be just plain language. The heat in the body was so extreme that wind was generated in the body, and this wind hurt the pericardium.
This is the simplest vernacular. If you still don’t understand, there is no need to explain it to the patient’s family so much.
There are two types of people who practice Chinese medicine, and there is no third type.
Or you can explain the profound TCM syndrome differentiation theory to the patient's family in an easy-to-understand way, so that the patient can understand it.
Or you can just keep a straight face and don't ask any questions. As long as the medicine you prescribe is effective, you are the authority!
Never prescribe medicine and explain at the same time, and then the disease is not improved. In that case, it will only say that you are not good, or even insult Chinese medicine.
"I will give the child first aid first, and then send him to Anzhen Health Center. After all, the conditions in the hospital are much better than those at your home."
Jiang Fei made a decision in a short time to give Zhou Bangxin's child first aid to save his life and not let him faint from the heat to the point of death.
This is very dangerous, especially if the heat burns out the pericardium and brain.
After Jiang Fei said this, he immediately opened the first aid box and took out the silver needle bag from inside.
When the Zhou family members saw Jiang Fei preparing for first aid, all of them had doubts on their faces, with a hint of suspicion.
The more familiar someone is, the more likely they are to be suspected.
On the contrary, it is a stranger, and many people will not suspect it.
This is the relationship between understanding and not understanding. Being in close proximity will give people the illusion that he is actually just that, very simple and nothing extraordinary.
Everything about Jiang Fei in Dawa Village is familiar to the Zhou family.
Suddenly Jiang Fei became the director of internal medicine at Jiang County People's Hospital. For everyone in the Zhou family, it was like a dream and it was hard to believe.
So under this situation, people in their family doubted that Jiang Fei's medical skills were normal.
Among them, the child's grandmother, Zhou Bangxin's mother, Aunt Zhou, was suspicious of Jiang Fei.
Aunt Zhou was a child-minded person, and Jiang Fei used to eat a lot of her food when he was little.
Every time, Zhou Bangxin brought Jiang Fei over to eat and drink. Aunt Zhou didn't say anything on the surface, but secretly she scolded Lao Jiang's family for the black smoke coming out of their ancestral graves.
So even though Jiang Fei has grown up now, he is still not pleasing to Zhou Bangxin's mother.
Just because she ate too much when she was a child, she felt that the old Zhou family was at a huge disadvantage.
Now that their grandson has been diagnosed, the old Zhou family still has to pay Jiang Fei a medical fee, which is an even bigger loss.
Aunt Zhou's face was ugly, and she sat by the kang in depression, thinking about this matter.
Jiang Fei had no time to pay attention to these trivial matters. Even if Aunt Zhou's expression was revealed for him to see, Jiang Fei would not stop what he was doing at this time.
Jiang Fei opened the silver needle bag and selected a sterilized filiform needle, which is a three-edged needle.
He sat on the kang with a filiform needle, and his buttocks that had just landed on the kang felt as if they had been roasted by fire.
This kang is very hot...
Jiang Fei endured the discomfort and pricked the child's ten fingertips with filiform needles, which is the position of the ten fingers, in order to avoid bleeding.
After pricking the Shixuan, Jiang Fei pricked the Twelve Wells and Shizhi toe, as well as the Baihui and Dazhui points above the Du Meridian.
The Twelve Wells are the acupuncture points at the ends of the limbs, that is, acupuncture points such as Shaochong and Shaoshang. They are mainly used for bleeding when punctured. They should not be too heavy or too deep.
The decapod is even simpler, which is literally the tip of the ten toes.
Jiang Fei used purgative methods to expel blood instead of tonic methods.
Tonic and purgative methods should not be used indiscriminately. If you continue to use tonic methods on extremely hot patients, will you be willing to make the patient explode?
Therefore, specific operations should be carried out according to the specific situation.
In addition, Jiang Fei used a needle to prick the middle seam of his hands and squeezed out mucus and black blood, which also proved that the child's body was extremely hot.
Finally, the needle is inserted into the Yongquan point using the sparrow pecking technique, and the pulling and twisting technique of the purgative method is used, and it is pulled out immediately after the Qi is obtained.
"The third child of the Jiang family, what's the use of stabbing me back and forth like this?"
"You can't treat my grandson as an object to practice with."
After watching it for a long time, Aunt Zhou couldn't bear it anymore. She quickly came to Jiang Fei and spoke in an unpleasant tone.
What she said was actually doubting Jiang Fei's sincerity and intention in coming to rescue him. This almost made Jiang Fei an unlearned liar.
"After the acupuncture, within two minutes, the child will be sweating all over the body, and will be accompanied by vomiting."
"Go and prepare a basin, just in case."
Jiang Fei ignored this old lady in her sixties, an old lady who didn't even know how to read.
Not everyone is as reasonable as his mother Xu Saifeng, and it is an honor for him to meet her.
"In less than two minutes? Are you kidding me?"
Aunt Zhou was muttering to the side with a look of displeasure on her face. The more she looked at him, the more she felt that Jiang Fei was a quack.
Sure enough, the Lao Jiang family lied. The third child in his family is not an expert in the county at all...
Zhou Dali and Zhou Bangxin also had doubts and disbelief on their faces.
Sweating in two minutes? Can Jiang Fei still care about this? Just let the child sweat? Why is he so good?
"Wake up, oh, the child is awake..."
However, not long after Jiang Fei spoke, under the suspicion of several Zhou family members, Zhou Bangxin's daughter-in-law and mother of the child exclaimed, her eyes filled with joy.
At this time, everyone looked at the child lying on the kang.
The child, who had previously fainted and was in extremely painful posture, slowly opened his eyes at this moment.
The child's face was very red, but he sweated a lot. This sweat can no longer be described as excessive. This is simply parallel import...
But sweating like this made Jiang Fei smile. The reason why he used emergency acupuncture and pricking so many acupuncture points was to let the child's heat and poison penetrate the outside and be excreted from the body in the form of sweat.
If you compare a person to a water stove, how can you lower the internal temperature of the kettle while keeping the amount of firewood and water constant?
Naturally, you need to poke a few more holes in the pot lid to let the heat inside come out, so it won't be too hot inside.
Although the reason is very simple, who can have Jiang Fei's first aid skills?
Moreover, it is extremely remarkable to be willing to take risks and perform acupuncture in high fever conditions.
"If you're sweating, it'll be easier."
"Brother Bai, start the car and take the child to the town health center!"