Acute mastitis related knowledge

Acute mastitis acute mastitis in early maternal styles. Occur in the postpartum lactation milk stasis, or nipple aspiration baby was broken, invasive ductal pathogens, the breast tissue caused acute purulent infection. Bacteria mainly golden staphylococcus or streptococcus. If the lack of timely treatment of inflammatory control, easily breast abscess. The disease is Chinese "Mastitis" areas for more emotion not SHU, liver depression due to stomach heat. [Clinical] 1. Stasis caused by the milk, breast swelling pain, and unclear lines of debris and poor milk discharge, skin color or red or white, Chilliness accompanied by fever, torpid intake diet, weak appetite. 2. Infiltrative period : breast, swelling pain, local touch hot, hard flu, tenderness. Ipsilateral axillary lymph node swelling, pain, accompanied by high fever, chills and other symptoms of poisoning. 3. Abscess period : breast swelling Department was continuing pain-pecked, if superficial abscess, surrounded fluctuations flu. But the deep abscess or more mast breasts, and often difficult to sense fluctuations in the apartment to visit local anesthesia before attending any puncture abscess formation. Accompanied by high fever retire appetite. [Diagnosis], based on typical clinical symptoms and signs can be diagnosed. 2. Blood screening : leukocytes and neutrophils were significantly higher. 3. Exploration of mass, should be held under local anesthesia puncture help abscess diagnosed. 4. Ultrasound examination confirmed to abscess. [Treatment] 1. Western medical treatment (1) Early ipsilateral breast should stop breastfeeding, in addition to the use of suction aspiration gS milk. Picked up bra with breast. (2) to milk thistle : Oral diethylstiibestrol 1-2mg, three times a day, or bromocriptine 2.5 mg 2-3 times a day. Also intramuscular acid diol, a daily meeting, each 2nmg. (3) hot compress, or fish Danzhi topical ointment. (4) treatment of antibiotics : penicillin given adequate C. (5) abscess formation : puncture puss, puss pumping after injection of antibiotics. Or Incision and drainage should fully. If more than vomica, the interval should be separated from Vomica, if necessary, to take over the incision drainage. (6) symptomatic treatment : give antipyretic analgesics. 1. Chinese medicine treatment (1) Treatment of Liver depression and stomach heat ① (initial) : Chilliness fever, swollen breasts and so hard that milk is bad, thirst hard, When a hiccup, were not satisfied that Hong, listlessness, moss thin yellow or yellow greasy Wiry few. Treatment : Shugan Qingwei, through milk lose weight. Recipe : Bupleurum 10 grams, 10 grams baicalin, Banxia 10 grams, 10 grams Arctiin, Forsythia 15 grams, 10 grams Hill gardenia, Prunella 15 grams, 15 grams of Guanajuato avaricious, honeysuckle 30 grams, 15 grams of trichosanthin, Angelica 15 grams, 10 grams Loulu. Wang Emplanting 10 grams. Encouraged chest tightness, Jia-chuan pillars to 10 grams, 10 grams Poncirus trifoliata. LOCHIORRHEA not tried, in addition to Hill gardenia, Prunella, plus Motherwort 30 grams, 10 grams Chuanxiong. Coke to increase milk Hawthorn 10 grams, 30 grams of malt speculation. Breast pain worse, plus the frankincense myrrh 'grams, 15 grams Chishao. ② Reduqing stagnation (as pus); Mass increased, the pain increased breast ingestion, skin color set off red, strong thermal retire, and are shivering, thirsty - drink, Components moss yellow greasy Wiry few. If local touch fluctuated sense of pus has formed. Treatment : Qingrejiedu, Tori through puss. Recipe : honeysuckle m grams, 15 grams Forsythia, dandelion 30 grams to 20 grams of the small, Angelica Mei 10 grams, 20 grams of Health astragalus, Chuanxiong 10 grams, artillery A unit 10 grams, 20 grams of Salvia, PLASTER STONE (on first) 20 grams, herb Ten grams, Bupleurum 10 grams. ③ qi and blood deficiency, I did not evil net (crushed puss phase) : rupture of pus that bizhongxiao reduce pain, heat gradually retreat, asthenia, have low heat, loss of appetite, fat tongue paler, or less Toi Toi white, pulse counting. If puss out sluggish, reduced pain, heat potential to retire, but still running into a treatment rule of law. Also see bizhongxiao slow, or crushed septic weakness, the one's who heal. Treatment : recipe camp, I drive out evil. Prescriptions; Astragalus 20 grams, 10 grams Angelica, the party's 15 grams, the Health Baizhu 10 grams, the TGP at 10 grams, Health Xiangfu 10 grams, 10 grams of licorice, honeysuckle and India grams, 15 grams Hongteng, Chuanxiong 10 grams, 20 grams of Salvia. Differentiation between Degelatinated Deerhorn (on first) 30 grams, 10 grams Bupleurum, Zhiqiao 6 grams. (2) The initial lift ① Act : to use gentle massage with hot compress breasts and lactation promotion. External Application cactus (been smashed) or mirabilite hot wet dressing, or topical golden powder or Helinyulu scattered, and it can smash topical Liushen pill. Acupuncture Therapy : from shoulder Well, trespassing, Zusanli, strong stimulation needle retention throwing 15-minutes daily. ② into septic period : Table 1R abscess crude Acupuncture can be used up pus, deep abscess to incision and drainage must be made, and drainage must be made into drugs after twisting drainage. ③ crushed later : Dan inserted September 1 or August 2 twist metal drainage, and topical ointment golden. Puss net after use Shengji Yuhong Shengji paste or powder. [Prevention and recover] 1. Prenatal used towels, soap polished nipple, and with thumb and index finger pinch Rafah nipple, skin becomes tenacious. 2, breastfeeding should be kept clean nipple each Weiwan milk should make milk emptying. If absorption is not empty milk or bulging flu, Forehand application or breast pump for emptying. 3. Citrus lactation period with 30 grams of Xiaoyousan services to prevent milk stasis. 4. If nipple sucking break. . Timely treatment. 5. Illness to stop breastfeeding, a light diet, ease of mind.