Clinical Observation Of Exogenous Fever (wind - Heat Type) In Children With

Exopathic fever in children, which belongs to the category of modern medicine on acute respiratory tract infection, is one of the most common pediatric diseases i n clinic, and it’s usually caused by viruses, bacteria, mycoplasma or other pathogeni c microorganisms. Decreased immunity easily leads to disease. The main clinical sy mptoms are fever, chills, stuffy nose, runny nose, sneezing and coughing, and it feat ures of rapid onset, disease status changes quickly, short course, also it’s a year-roun d disease. Wind cold and wind heat syndrome are the most common TCM Syndrom es of infantile fever. Early treatment is needed when systemic symptom either heavy or light. Otherwise, it will easily lead to high fever convulsions, convulsions, pneu monia and other complications. Symptomatic treatment, anti-virus, anti infection treat ment are the main treatment at present, but there are many problems, such as tempe rature reiteration, irrational use of antibiotics, more adverse reactions and so on. The advantages of using Chinese medicine treatment of pediatric exogenous fever are i mproving accompanying symptoms and shorten the period of fever. According to the tutor’s experience in the clinical treatment of the disease, According to the tutor’s e xperience in the clinical treatment of the disease, use Shanggan No.2 as the basic prescription through dialectical clinical process and observe its clinical curative effec t. The thesis mainly includes three parts-literature reviews and clinical research.Literature reviews:This part introduces the research situation of exogenous fever of child from TCM and Western medicine respectively.Clinical study:Purpose:By observing the clinical curative effect of the Shanggan NO.2, discussing the dialectical thinking and formula application, to provide a safe and effective solution for the clinical treatment of the disease.Method:The 50 cases children who met the inclusion criteria are theated with Shanggan NO.2 which add and subtract with the evidence. Dosage will changes appropriately according to the age of children. Frequency of taking drug per day is two to four. Record the changes of temperature and TCM syndrome score before and after treatment, and evaluate therapeutic efficacy. Composition of Shanggan NO.2:honeysuckle, forsythia, Radix Scutellariae, fried bitter almond, Chinese bellflower, hydrated gypsum, rhizoma anemarrhenae, fig wort, Mint, caulis bambusae, medicated leaven, fritillariae thunbergii, Bupleurum sinenses DC、radices paeoniae alba and glycyrrhiza uralensis. Record, collect and sort the date from first-visit, return-visit or telephone follow-up, and discuss the statistical results to observe the antipyretic effect and TCM symptoms changes. At last, Analysis and summarize the clinical curative effect of Shanggan NO.2.Result:5Cases were clinically cured (10%),31(62%) markedly effective,12cases (20 %) effective, the total effective rate being 96%, and no obvious adverse reactions were observed. According to the statistical results, the research illustrates a stark difference on TCM syndrome integral between before and after treatment. There are significant effect in the improvement of fever symptoms, and no temperature reiteration after temperature returned to normal. It proof that Shanggan NO.2 has a definite therapeutic effect on wind-heat type exogenous fever of child.Conclusion:Shanggan NO.2 can relieve fever effectively, improve accompanying symptoms with non-toxic natural, and has definite clinical effect. Shanggan NO.2 is medicinal preparation, and is worth promoting.