What are the methods of traditional Chinese medicine to prevent and treat hand, foot and mouth disease?

In recent years, hand, foot and mouth disease has been rampant, starting in late spring and early summer every year and lasting until July and August. Hand, foot and mouth disease is a common infectious disease caused by a variety of enteroviruses, and most of the patients are young children. Due to the influence of the greenhouse effect in recent years, the temperature has risen rapidly in spring, and the number of cases of hand, foot and mouth disease has increased. Traditional Chinese medicine has also accumulated certain experience in treatment practice. Let us now look at how Traditional Chinese Medicine prevents and treats hand, foot and mouth disease? What are the methods?

1. Hand, foot and mouth disease treatment plan

Hand, Foot and Mouth Disease

The disease belongs to the category of "febrile disease" in traditional Chinese medicine. The initial symptoms are fever, sore throat and other external symptoms, followed by the appearance of herpes and internal heat signs such as persistent fever, irritability and thirst. In a few cases, there may even be palpitations, shortness of breath, chest tightness, or high fever, coma, convulsions and other critical signs. The recovery period is characterized by a series of symptoms of qi and yin deficiency, as well as residual evil, such as the gradual disappearance of herpes, the gradual reduction of fever, dry lips, etc. Therefore, the treatment should be based on syndrome differentiation and medication according to the different stages of the disease.

1. Early stage of the disease: clearing away heat and dampness

Symptoms: fever, headache, cough, nasal congestion and runny nose, or poor appetite, nausea, vomiting, diarrhea, about 1 to 2 days, or herpes may appear on the oropharynx, hands and feet at the same time.

Prescription: Ganlu Xiaodu Dan with modifications.

Main drugs: honeysuckle 10g, forsythia suspensa 10g, scutellaria baicalensis 6g, mint 6g, white cardamom seed 6g, patchouli 10g, calamus 10g, talc 10g, wormwood 10g, isatis root 10g, belamcanda 6g

Additions and subtractions: If there are multiple herpes, add Cimicifuga and Pueraria root; if the skin itching is severe, add cicada shell and duckweed to relieve the muscles and clear the surface.

2. Rash stage: detoxification, dehumidification, clearing qi and cooling the body

① Ordinary children

The main clinical manifestations are: fever, scattered herpes on the oral mucosa, maculopapular rashes and herpes on the hands, feet and buttocks, with redness around the herpes, accompanied by sore throat, drooling, fatigue, poor appetite, constipation, pale red or red tongue, greasy tongue coating, rapid pulse, and red and purple fingerprints.

Treatment method: Clear away heat, detoxify, eliminate dampness and expel evil.

Reference prescription: honeysuckle, wild chrysanthemum, coptis root, gypsum (first), anemarrhena, lithospermum officinale, Imperata root, Artemisia annua, Patchouli, and raw licorice. The dosage of the medicine should be determined according to the age, weight, and condition of the child.

Usage: decoct in water and take orally in 3-4 doses, or by enema or rectal drip.

Addition and subtraction:

1. For high fever, shaking, and easy fright, take antelope horn powder;

2. For constipation, add raw rhubarb;

3. For sore throat, add Radix Glycyrrhizae and Radix Isatidis;

4. For cough, add almonds and roasted loquat leaves.

Chinese patent medicine: Lanqin oral liquid, Xiaoer Chiqiao granules, Qingkailing oral liquid, Huangzhihua oral liquid, Jinlian effervescent tablets. You can also use Yanhuning injection, Tanreqing injection, etc.

② Severely ill children

1) The main clinical manifestations are: persistent high fever, little sweating, poor rash, drowsiness and easy startle, vomiting, muscle twitching, or limb weakness and weakness, or even drowsiness, etc., red tongue, thick and greasy tongue coating, weak and rapid pulse, and dark purple fingerprints.

Treatment method: Clear away heat and dispel wind.

Reference prescription: raw gypsum, raw rhubarb, gardenia, talc (wrapped and decocted), cold water stone, cinnamon twig, raw dragon bone, raw oyster, red ochre, earthworm, scorpion, antelope horn powder (taken with water). The dosage of the medicine should be determined according to the age, weight, and condition of the child.

Usage: decoction in water and take orally in 3 to 4 doses, or by enema or rectal drip.

Chinese patent medicine: Zixuedan or Xinxuedan, etc., Yanhuning injection, Tanreqing injection, etc. can also be used.

2) The main clinical manifestations are: fever, shortness of breath, pale and dull complexion, cyanotic lips, cold limbs, cold sweats, or vomiting white, pink or bloody foamy fluid (sputum) from the mouth, dark purple tongue, thin or slow pulse, or weak pulse.

Treatment: Restoring Yang and Rescuing the Counterattack

Reference prescription: ginseng, cooked aconite, cornus fruit, calcined dragon bone, calcined oyster. The dosage of the medicine is determined according to the child's age, weight, condition, etc.

Usage: concentrated decoction for nasogastric feeding or rectal drip.

Severely ill children develop the disease rapidly and the disease is transmitted quickly. We should closely observe changes in the condition and strengthen the combined treatment of Chinese and Western medicine in a targeted manner.

3. Recovery phase: replenishing qi and nourishing yin

Symptoms: fever subsides, fatigue, thirst, poor appetite, herpes on the skin of hands, feet and oropharynx subsides or remains subsided.

Prescription: Adenophora and Ophiopogon japonicus decoction with modifications.

Main drugs: Adenophora 10g, Ophiopogon 10g, Polygonatum 10g, Morus alba 10g, Licorice 6g, Radix Trichosanthis 10g, White Lentil 10g, Radix Rehmanniae 10g, Radix Pseudostellariae 15g, Poria 15g

Chinese patent medicine can be used, such as Shengmai Yin oral liquid.

2. Prevention plan for hand, foot and mouth disease with Chinese medicine

During the epidemic period, infants and young children should wash their hands frequently and avoid going to public places where people gather. Their homes should be well ventilated and their clothes and quilts should be dried frequently. Parents should also pay attention to personal hygiene.

The following prescriptions can be used:

1. 6g white chrysanthemum, 3g raw licorice, 10g raw hawthorn

Soak in 200 ml of boiling water, add appropriate amount of rock sugar and drink frequently. Suitable for children with internal heat.

2. 10g raw coix seed 10g lentil

Add appropriate amount of rock sugar and cook the porridge. Suitable for children with weak spleen and stomach.

The above are the methods of traditional Chinese medicine for preventing and treating hand, foot and mouth disease. Since infants and young children are susceptible to hand, foot and mouth disease, parents will have too much worries. During the peak period of hand, foot and mouth disease, every clinic was crowded with parents bringing their children to see a doctor. Some parents have a certain understanding of hand, foot and mouth disease, and their understanding is relatively scientific. However, some parents lack scientific knowledge of hand, foot and mouth disease. Some take it too lightly and some take it too seriously. This disease has caused panic among many people. Therefore, we must have a scientific understanding of hand, foot and mouth disease in order to treat this disease more effectively.