Bacillary dysentery incidence of acute onset are often afraid of the cold fever, malaise, do not want to eat, abdominal pain, diarrhea, stool several times a day to dozens of times for the mucous pus and blood will be, tenesmus, these are the characteristics of this disease. Because Shigella containing the toxin, a small number of patients (mostly 2-7 years old, well-nourished children) in the absence of symptoms prior to defecation are high fever, convulsions, coma, decreased blood pressure and other symptoms, which is toxic bacillary dysentery, their illness is extremely dangerous.

Do not pull the diarrhea is more dangerous to the baby

Dysentery patient’s diet should be easy to digest, less stimulation, replenish moisture and nutrition.

For acute patients to the liquid food to eat every 2-3 hours, once, should choose rice soup, lotus root starch, water chestnut flour, a bowl of soup, soup, and contain a high level of vitamin C, fresh fruit juice and other food. Diarrhea are more severe or sweating, could drink some salt water or salt water, drink soda (salt and soda ratio of 2:1), or Jiadian Tang, ready to drink, to complement the loss of water and electrolytes. If the condition is serious or severe vomiting should be given appropriate intravenous rehydration. It is noteworthy that, milk, raw-vegetable, eggs, etc. more difficult to digest food do not advisable.

To a better period, stool frequency decreased stool is no longer in sepsis, can use less oil and residue-free semi-liquid diet rich in nutrients, such as large gruel, thin noodles and so on, baked bread, buns, cakes, fried rice soup paste, thin broth and tea, etc. there is convergence on the role of diarrhea. Sour milk is not only nutritious, and its containing lactic acid, can inhibit the growth of harmful bacteria gut and convergence of the wound, it edible. At this point, sweets, beans or bean products, milk, soft drinks should avoid eating.

Convalescent patients, stool frequency and nature of close to normal diet should use less oil residue less soft food, such as eggs, tender meat, noodles, Rouyu and vegetables contain little cellulose, also Yichi Health applesauce , because Apple contains pectin, with detoxification, sterilization, and hemostatic effect.

Dysentery can be used in patients with the following therapeutic side:

1, Portulaca oleracea porridge: purslane 100-120 grams, 50-100 grams of rice, salt a little. Purslane first washed, cut into small pieces, add rice porridge, when serving add a little seasoning salt. Purslane has antibacterial action.

2, green tea drink: Adult 25-45 grams of green tea a day can be fried (soaked) water, divided into 3 sub-drinking; children were reduced to 10-15 grams. Of tea leaves to inhibit the Shigella spp.

3, hawthorn tea: Take Hawthorn 30 grams, 6 grams of tea, with Shuijianbi.

This is absolutely not alarmist.

I once encountered one cases of bacillary dysentery patients, for several days due to their own oral intake of poppy shell arising from toxic intestinal paralysis, paralytic ileus and then evolve into the final because of abdominal pain unbearable, with the consent themselves and their families agreed with the laparotomy . Surgery was found in colon segmental necrosis, perforation of multiple miliary combined diffuse suppurative peritonitis. Is invalid due to multi-post to save and end up dead.

Su shell that is dry poppy husk and shell common name meters. GONG Ting-Yin Ming physicians have used it to comment on four lines: “Su-shell nature of Shibuya, Xie Li cough confidence, Qubing like a god, murder, such as the sword.” There are a lot of people out of context, the second sentence of its theoretical basis as a treatment for dysentery, while ignoring its toxic side effects, lead to serious adverse consequences.

Su Xing Suanse shell, with solid-intestine stopped the leaks of the effectiveness of the “Deficiency detachment of Diarrhea”, namely the so-called modern medicine, chronic colitis, persistent diarrhea long unhealed, or even prolapse and so on, with other related drugs, as a kinds of aids to vote with the appropriate, indeed be good effect. However, not suitable for the treatment of acute dysentery Su shell.

Chinese medicine, the cause of bacillary dysentery is the plot for the damp-heat vent, treatment should be humid Kiyotoshi, line vent guide plot mainly non-income astringent. In the remaining cases, the use of exogenous evils millet shell, it will result in a “behind closed doors to stay Bandits” problem. This is the GONG Ting-yin, our seniors, have warned that the “murder, such as Sword” truth.

With modern medical analysis, Su did not kill the shell of the dysentery bacilli or inhibition.

Su Shell remnants of about 0.2% of morphine per 10 grams of poppy shell is equivalent to 20 mg of morphine, while the majority of non-government drug habit has more than 10 grams, far exceeding the amount of morphine used (each 5 to 10 mg ).

Because of its very strong narcotic effect, really can temporarily alleviate the symptoms of abdominal pain, and make bowel movements significantly decreased, stool frequency is also a reduction of Dayton. Temporary relief of symptoms, giving a false impression in order to heal, conceal the truth about the further deterioration of the internal condition and thus give up or relax on the etiology of treatment.

At a time when bacteria and their toxins, together with the intestine tissue necrosis things can not be discharged stranded at the gut and then absorbed through the intestinal mucosa into the blood circulation, increase the sera symptoms, which occur over the stomach, abdominal distension, defecation to stop a series of toxic flatulence performance. In severe cases, if the lack of timely treatment can be developed for toxic intestinal paralysis, intestinal necrosis, and even life-threatening.

Moreover, Shigella can also be further potential in the deep tissues of the intestinal wall easily cleared, resulting in protracted course of disease, recurrent.

Su-shell treatment of dysentery caused by defects should we attach great importance, especially in acute and toxic bacillary dysentery incidence in the early stages of the shell should be the use of corn as an absolute taboo.

I remember also the fall, I was still young. I do not know what to eat dirt, or at night to sleep with a cold, diarrhea linked to weeks not see a good, green day, my mother Duanliao Yi Hu Hu’s porridge bowl I drink. Mom put a little porridge where some salt, sesame oil, and accompanied by fresh vegetable flavor, very attractive. It’s that, after another drink two or three days, my stomach does not even pull, and they romp around wildly in places. Later, I heard my mother gave me drink is the “nine lion porridge,” I only vaguely know that it is a kind of wild plants.

Until the time of adulthood, I learned my hometown called “nine lion” and wild, that is purslane. Such Yeh, stems red, flowers yellow, white root, sub-black, soft cloth to stem the wild, river north and south can be seen everywhere. Hometown people like to dig some purslane, summer salad to eat, or washed and dried vegetables in winter when less food is used to roast meat or Ban Cheng bags child to eat, its taste delicious, it is a long time aftertaste. Life long road along the way, I have always had a good impression on the purslane.

According to the book, Portulaca oleracea of Pickle, cold, with heat-clearing and detoxifying, cooling blood anti-malaria, bleeding effect. For bacillary dysentery, acute and chronic enteritis, urinary tract infection, sore, carbuncle, furuncle swelling, women, uterine bleeding and other diseases. Modern pharmacological studies confirmed that purslane Escherichia coli, Shigella, Salmonella typhi and other showed a significant antibacterial effect. At the same time, there is diuretic effect. Therefore, more useful people for minor illnesses purslane treatment Xiaomao Jane side. Zhai must take those who are introduced to you:

Governance hematuria, blood in the stool of fresh purslane juice, Ouzhi equal, each blending Beverage Service half full, or with rice soup served with a better effect.

Treatment for Herpes Zoster a fresh purslane, wash Daocheng paste, with borneol a little, and topical affected area and wrap it half an hour after the pain that is significantly reduced dressing was changed every day, qd for 3 days Jiyu.

Governance urticaria to take the whole plant of 250 grams of fresh purslane about 500 ml of water plus 1 Jianfei concentrated to 1 000 milliliters or so, take 100 ml of oral administration (pediatric reduce it), add the remaining liquid water amount, Jian Fei abandoned after the fishing herbs, soup liquid until slightly warm, you can scrub frequently affected area, on the 1st 2 times.

Treatment of pertussis to take 50 grams of purslane, simmered them in water two times, condensed into 100 ~ 150 ml, two times daily to oral, 5 day a course of treatment, excellent results.

The Beijing Municipal Health Bureau staff to remind the public, whether in Beijing or travel, must pay attention to food hygiene, and guard against “sick from the mouth.” Drinking water should pay attention to sanitation, it is best to drink water. Do not eat spoiled food or flies that have been contaminated food; try to eat cold dishes, raw and cooked separately. They wash their hands before meals, logistics, raw fruits and a good idea to peel. Utensils is best disinfected on a regular basis to boil. In addition, the elderly, children less contact with the patient, to avoid being infected.

One, pay attention to household sanitation, loading screens, the fight against flies, cockroaches, and a clean environment.

Second, to avoid the band of children to public places.

Third, avoid eating raw and cold unclean things.

Fourth, children’s tableware attention to safe and clean.

5, isolation of patients and careful with their droppings.

6, hygiene and health education, especially with children who have to frequently wash their hands to the children that is, to wash their hands after changing diapers; in contact with children should also wash their hands after secreted in order to avoid bacteria being transmitted to children.

Children should be bed rest. Abdominal pain when the abdomen can put hot-water bottle. Infant stool with tenesmus, they can make the stool in the diaper on the solution, not required to sit in the spittoon where solution will be, so to prevent anal rectal prolapse. Wash with warm water after each bowel movement buttocks, and with 5% tannic acid ointment Apply to the skin around the anus. If rectal prolapse, the gauze or soft toilet paper can be coated with petroleum jelly, try to jack up prolapse of the anus, one side gently massage the one hand, push up, you can reset.

Frequent vomiting, it can short-term fasting, or giving intravenous rehydration. Then give sugar salt, less oily liquid, such as lotus root starch, soybean milk and so on. Wait for his condition improved, which should eat as soon as possible. At this time can give a small residue, digestible semi-liquid, such as porridge, Egg, boiled noodles, milk easily cause diarrhea flatulence, should be limited until the stool may be increased after forming. There should be more to add moisture. In the late recovery, should seek to lead children’s appetite, you can also eat in the first half an hour before serving digestive enzymes and substances such as pepsin, etc., and in the diet to increase nutrition and protein, can begin Eat small meals often, and gradually increasing, anti-indigestion.

Children with chronic dysentery enema when required to deal with children do a good job to explain, in pursuit of children with co-ordination does not result in liquid outflow anus, while before the first enema toilet emptying.

Stool specimens taken for bacterial culture, the pus and blood and mucus to be elected more places to stay, after a good specimen should be immediately sent to inspection in order to improve accuracy. If 3 consecutive times to send inspection were negative, can lift the quarantine. Pay close attention to changes and bowel disease in children with nature, frequency, such as children with high fever, pale, cold extremities or drowsiness, delirium, irritability, they should immediately go to hospital.

(1) sudden onset, fever above 39 ℃, irritability, delirium, use of sedatives is invalid, or lethargy, malaise.

(2) Early respiratory failure. Respiratory rhythm is not sharp, suffocation, suspension. Repeated Jing Ji, convulsions, shock just after the general situation worse. Limbs sustained muscle tension, lower extremity adduction, upper limb internal rotation, high blood pressure. Pediatric normal blood pressure for age (years) × 2 10 80 mm Hg (10.7 kPa), more than the normal 20 mm Hg (2.67 Pa dry) shall be high.

(3) Early circulatory failure. Acral cyanosis, skin Flooding; pulse pressure is small (less than 2.67 Pa dry, which is 20 mm Hg); heart rate fast, for more than 90 times per minute for adults, newborn 150 times more than 120 times over two years of age, 3 — 7-year-old more than 110 ,7-14-year-old 100 times above; urine less urine volume 25m1 per hour under adult, infant of less than 10ml, children less than 20m1.

(4) The early signs of respiratory distress syndrome. A small number of toxic dysentery, there may be respiratory distress syndrome, mortality is highest, rescue very difficult, but if early detection, mortality can be reduced to below 20%. Mainly manifested as acute, progressive, inspiratory dyspnea, respiratory effort without airway obstruction and difficult to alleviate the hypoxemia, bilateral pulmonary auscultation, no obvious abnormalities, symptoms and signs clearly disproportionate, x ray shows the transparency of the lung decreased mesh can be seen followed by a shadow, last seen “white lung.” Blood gas analysis is characterized by partial pressure of oxygen “dry 8 kPa (60 mm Hg), carbon dioxide partial pressure” 4.67 kPa (35 mm Hg), pH value is increased (later reduced).

(1) specimens from samples to the inoculation of time: This time, the shorter the higher the positive rate, as more than four hours before inoculation into the medium were the positive rate decreased significantly.

(2) treatment: striving to serve antimicrobial agents before specimens from specimens by an effective antimicrobial drug treatment, an average of two days of fecal bacteria disappeared.

(3) stool: stool sepsis part of the positive rate is highest, followed by some mucus, non-exudation part of the positive rate of the lowest.

(4) The course of the disease: the sooner the higher the positive rate, duration of less than 3 days total positive rate of up to 80%, to the first 10 days, down to about 15%.

(5) culture Views: stool culture and cultivation of the number of cumulative positive rate is proportional to.

(6) the degree of pollution: Prevention of pollution of urine samples and other chemical substances. The positive rate of serious pollution in the lower.

(1) a history of exposure: patients with bacillary dysentery within 7 days prior history of exposure to contaminated food or pay.

(2) Clinical manifestations: sudden onset, fever, abdominal pain, diarrhea, abdominal pain, lower left main, it plays frequently, tenesmus, to fall, the left lower abdomen with tenderness, stool or mucus for sepsis would be, microscopic examination can be seen more red, white blood cells.

(3) stool culture positive for Shigella.

As with (1), (2), the clinical diagnosis of bacillary dysentery can be, and if confirmed, need to stool culture positive

Commonly used anti-dysentery drugs on the fetus or the pregnant woman can not use a larger toxicity, treatment is more difficult. In early pregnancy, to avoid the use of drugs that prevent embryonic development, such as TMP (TMP), the drug can cause fetal malformations, gestational age of smaller, more intense on the bone marrow suppression, so pregnant women, disabled. Late pregnancy, more prone to kidney damage, caution gentamicin and amikacin, whether early or late pregnancy, caution norfloxacin and other quinolones. Animal experiments found that the class medicine right is the embryo limb bud growth and central nervous system damage, clinical toxicity for the fetus may be more than children and adults.

For pregnant women safe and effective anti-dysentery drugs berberine, lactobacillus, and furazolidone can be used for light cases. If a serious condition may make use of hydrogen section of penicillin, cefotaxime, Yi Bao Shi-Ling.