1. Definition Umbilical wind is a disease caused by improper handling of umbilical cord rupture and contact with unclean objects. Clinically, it is characterized by blue lips, clenched teeth, wry smile, and even limb twitching and angular arch inversion. Also known as "four or six winds", "seven-day winds" and "silent winds".

2. Incidence rate

① Age of onset: It is more common in newborns 4-7 days after birth. Due to the nationwide promotion of this new mode of delivery, the incidence of this disease has dropped significantly.

② Prognosis: The earlier onset, the more frequent convulsions and the worse prognosis. The mortality rate of this disease is very high, so we must establish the idea that prevention is more important than treatment and do a good job in prevention.

[Etiology and pathogenesis]

1. Etiology

(1) Umbilical cord is not handled properly, and wind-cold and turbid pathogens invade.

② The umbilical protection is not in place, and the pathogenic wind-cold toxin invades.

2. Pathogenesis

Wind-cold, water-dampness, * toxin entering the umbilicus, evil toxin blocking the collaterals, causing liver wind to move internally; Pathogenic toxin is dirty, and liver and wood multiply spleen.

[Clinical manifestations]

When the mind is still awake, there will be teeth traction at the beginning and it will be difficult to suck milk. Gradually, the mouth will pinch, the forehead will frown, the face will be crooked, the limbs will be stiff, and the angle will be reversed. Seizures occur from time to time with slight stimulation (such as sound, light, drinking water, acupuncture or light touch, etc.). ) can cause seizures.

[Diagnostic Points]

(1) has a history of umbilical cord impurities. The onset time was 3-0/4 days after birth.

② Typical symptoms, such as wry smile, clenched teeth, paroxysmal convulsion, stiff limbs, etc.

(3) Cultured umbilical secretion can find tetanus bacillus.

[syndrome differentiation]

Fetal shock

Also known as "fetal shock", it is a syndrome of infantile convulsion. Symptoms include febrile convulsion, clenched teeth, excessive phlegm and saliva. It is different from umbilical wind, with tight lips, clenched teeth, wry smile, and even limb twitching, the angle of the arch is reversed, the fever is not very good, and the mind is still awake.

Wind epilepsy

A disease characterized by paroxysmal insanity. Clinically, you may suddenly faint, spit at your mouth, look straight at your eyes, twitch your limbs or make abnormal sounds in your mouth, and wake up immediately after the attack, just like ordinary people. Umbilical wind: manifested as blue lips, clenched teeth, wry smile, even limb twitching, angular arch inversion and so on. But when the umbilical wind attacks, he is more awake.

【 Syndrome Differentiation and Treatment 】

1. Key points of syndrome differentiation

(1) Distinguish between light and heavy.

Mild symptoms include late onset, late seizure and short time; Severe syndrome has early onset, rapid onset of convulsions, frequent attacks and even suffocation.

② Distinguish between reality and excess.

At first, it was empirical, with frequent convulsions, inverted horn arch, constipation and stiff abdomen; For several days, pale face, limb twitching, weak breathing and soft trunk are all symptoms of deficiency syndrome.

2. Treatment principle: dredging meridians, expelling wind and relieving spasm, clearing heat and purging liver and detoxifying.

3. Classification and treatment

① Meridian obstruction

Symptoms: sneezing, tearing, fidgeting and crying, unsmooth mouth opening, loose sucking mouth, wry smile, stiff neck or limb twitching.

Chu, reddish tongue, thin moss, purple fingerprint.

Treatment: expelling wind and dredging collaterals.

Prescription: Yuzhen Powder

② Pathogenic toxin with viscera.

Symptoms: no crying, no lactation, blue face and purple lips, stiff neck, upturned horn arch, frequent convulsions of limbs, abdominal distension and tightness, difficulty in defecation, body heat, excessive sweating, expectoration and shortness of breath, dark red tongue, thin fur and blue fingerprints.

Treatment: external and internal solutions.

Prescription: Integrated Linglingdan addition and subtraction.

[Prevention and Care]

prevent

Actively promote and popularize new delivery methods, strictly implement aseptic operation, pay attention to umbilical cleaning and nursing, and prevent umbilical infection.

For pregnant women who are close to the expected date of delivery, Qin Ying will visit them to prevent the umbilical cord from breaking after delivery.

If there is an emergency, the umbilical cord should be broken by itself, and then broken again according to the disinfection rules, and 3000 units of tetanus antitoxin should be injected.

nurse

Keep the ward quiet, the light should be dark, the air should be circulated, and try to avoid contact with children. Children must be protected from sound, strong light, touch or injection.

It is not advisable to take medicine and breastfeed when convulsing.

In order to ensure food supply, nasal feeding can be used when teeth are closed.