By I. Gorok. Michigan Jewish Institute.
From Using Lu Qi Zhi Yi Tang (Deer Horn & Astragalus Stop Night [Urination] Decoction) to Treat 38 Cases of Pediatric Enuresis by Huang Wu-guang 40mg lasix with amex, Guang Xi Zhong Yi Yao (Guangxi Chinese Medicine & Medicinals) purchase lasix 100mg with mastercard, 1993, #5, p. Eighteen of these cases were 2-3 years old, 12 were 6-10 years old, and eight were 11-14 years old. The course of disease in these children was as short as one half year and as long as six years. In most cases, this enuresis was accompanied by lassitude of essence spirit, emaciation, a bright white facial complexion, fatigue, lack of strength, a cold body and chilled limbs, torpid intake, a pale tongue with white fur, and a moderate (i. If there was torpid intake, 10-15 grams of Ji Nei Jin (Endothelium Corneum Gigeriae Galli) were added. If there were sloppy stools, 10-15 grams of Cang Zhu (Rhizoma Atractylodis) were added. One packet of these medici- nals were decocted in water and administered per day in two divided doses, and five days equaled one course of treatment. Study outcomes: All 38 cases were cured using the above treatment method. Of these, 25 were cured with one course of treatment, and 13 were cured after two courses of treatment. Wu Wei Zi contrains the upper lung qi and secures and astringes the lower origin, boosts the qi and settles the spirit. The doctor states that, when these objectives are achieved, the enuresis is cured. From Clinical Observations on the Treatment of 25 Cases of Enuresis with Suo Niao San (Reduce Urination Powder) by Wang Xiao-yan & Wang Bao-liang, He Nan Zhong Yi Yao Xue Kan (Henan Chinese Medicine & Medicinals Academic Periodical), 1996, #1, p. Nineteen cases were between 3-10 years old and six cases were more than 10 years old.

Every seven days 100mg lasix otc, the child was reassessed buy 40 mg lasix overnight delivery, and four assessments equaled one course of treatment. Study outcomes: After four weeks of treatment, two cases were cured, 93 cases had improved, and 14 cases had not improved. One month after stop- ping treatment, four cases were cured, 77 cases had improved, and 28 cases had not improved, for a total amelioration rate at that time of 74. Six or more months after stopping treatment, 17 cases were cured, 61 cases had improved, and 31 cases had not improved. This medicinal enters the kidney channel and has the functions of supplementing the kidneys and invigorating yang. These last two medicinals enter the lung and bladder channels and have the functions of scattering cold and dispelling wind and dampness. Because they descend water downward to the bladder, they are considered the upper source of water. The kidneys are in the lower burner, they govern water, are responsible for urination and excretion, and are the lower source of water in the body. Thus the kidney qi is sufficient and can do its duty of securing and containing. Therefore, an appropriate amount of Fang Feng, Gao Ben, and Fu Ping Zi are used in order to diffuse and emit the lung qi. It strengthens the diffusing, emitting, and warming functions of this formula. External treatments In Chinese medicine, enuresis is categorized as an internal dis- ease. Therefore, the articles in this section are based on the TCM theory [for] internal disease, [use] an external treatment. Navel therapy or herbal medicine applied to the navel is a special treatment modality commonly used in TCM pediatrics. The medicinals are applied to the center of the navel at Shen Que (CV 8) because the navel is a thin and weak part on the abdominal wall.

It contains the and body cells vocal cords and forms the upper end of the trachea lasix 100mg sale. It closes 694 CHAPTER 46 PHYSIOLOGY OF THE RESPIRATORY SYSTEM 695 on swallowing to prevent aspiration of food and fluids into rubber band) to expel air discount lasix 100 mg amex. It is a cartilaginous tube lined with cili- In addition to exchanging O2 and CO2, the lungs synthesize, ated epithelium and mucous-secreting cells. Cilia and mucus store, release, remove, metabolize, or inactivate a variety of help to protect and defend the lungs. These substances, which may be locally released or carried in blood or tissue fluids, partici- pate in both physiologic and pathologic processes. Specific sub- Lungs stances that may be released from the lungs include biogenic amines (eg, catecholamines, histamine, serotonin), arachi- The lungs begin where the trachea divides into the right and donic acid metabolites (eg, prostaglandins, leukotrienes), left mainstem bronchi and contain the remaining respiratory angiotensin-converting enzyme, and heparin. They are divided into five lobes, each with a sec- important in regulating smooth muscle tone (ie, constriction ondary bronchus. The lobes are further subdivided into bron- or dilation) in the airways and blood vessels. Heparin helps to dissolve blood clots, especially in the a venule, and a lymphatic vessel. The lungs also through a pulmonary artery and exits through a pulmonary process peptides, lipids, hormones, and drugs and inactivate vein. Lymphatic structures surround the lobule and aid in the removal of plasma proteins and other particles from interstitial bradykinin. The mainstem bronchi branch into smaller bronchi, then Lung Circulation into bronchioles. Bronchioles are approximately the size of a pencil lead and do not contain cartilage or mucus-secreting The pulmonary circulatory system transports O and CO. The walls of the bronchioles contain smooth mus- After oxygen enters the bloodstream across the alveolar– cle, which is controlled by the autonomic nervous system.

