Acupuncture Therapy ; Adult ; Female ; Fever ; complications ; Humans ; Neuralgia ; etiology ; therapy

In , had used Qimen (LR 14) for the most times compared with other acupoints among the limited numbers of acupuncture prescriptions. Qimen (LR 14) is the front- point of the liver meridian, acting on smoothing liver and regulating activity. It is commonly used to treat the disorders caused by retarded circulation of and blood, such as distension and pain of the hypochondriac region and masses. Based on the opening-closing-pivot theory of the six meridians, the specificity of the running course of the meridian and the property of Qimen (LR 14), the mechanisms of Qimen (LR 14) were analyzed on the treatment of febrile diseases, aiming to enhance the considerations and application of this points in clinical practice and contribute to the further understanding of ' s academic thoughts on the syndrome differentiation in the treatment of diseases.
Acupuncture Points ; Acupuncture Therapy ; Fever ; therapy ; Humans ; Meridians ; Pain

Hemorrhagic Fever, Ebola ; diagnosis ; drug therapy ; epidemiology ; prevention & control ; Humans

Lethal catatonia is a life-threatening febrile neuropsychiatric syndrome, mainly consist of bizzare behavior, mounting fever, extreme hyperactivity, stuporous exhaustion and evenlual death. Although the entity has been reported in the literaure for over 160 years, the rarity of the illness makes prompt recognition being very difficult tasks, particularly in young children. We experienced a typical case of lethal catatonia in 7-year-old boy who previously had no organic illness. Electroconvulsive therapy (ECT) was the most successful mode of treatment among many therapies attempted. We feel that this could be the youngest case in the literature of lethal catatonia.
Catatonia* ; Child* ; Electroconvulsive Therapy ; Fever ; Humans ; Male ; Stupor

OBJECTIVETo explore an effective therapy for treatment of infantile febrile convulsion.

METHODSSeventy infants of febrile convulsion were randomly divided into two groups, a combined acupuncture and drug group (n = 36) were treated with Xingnao Kaiqiao needling method with Shuigou (GV 26) selected as main combined with intramuscular injection of luminal and intravenous perfusion of diazepam; and a drug group (n = 34) treated with simple intramuscular injection of luminal and intravenous perfusion of diazepam. Their therapeutic effects, the time of inducing the stopping convulsion, and the recurrence rate were investigated.

RESULTSThe total effective rate was 86.1% in the combined acupuncture and drug group, better than 79.4% in the drug group (P<0.05), and the time of inducing the stopping convulsion in the combined acupuncture and drug group was shorter than that in the drug group (P<0.01), and the recurrence rate in the combined group was lower than that in the drug group (P<0.05).

CONCLUSIONAcupuncture combined with intramuscular injection of luminal and intravenous perfusion of diazepam is an effective and safe method for febrile convulsion.

Acupuncture Points ; Acupuncture Therapy ; Fever ; Humans ; Seizures ; Seizures, Febrile

The penetrating technique of acupuncture from Yemen (TE 2) to Zhongzhu (TE 3) acts on the extraordinary effect of promoting Shaoyang meridian qi. The technique is specially good for heat pattern/syndrome of the triple energizer and it is commonly used in the treatment of common cold, high fever, anhidrosis in heat pattern/syndrome, migraine, redness, swelling and pain of the eye, tinnitus, ear pain, swelling and pain of the teeth, ulcers in the mouth and tongue, sore throat, neck rigidity, etc. In the manipulation, the needle is inserted from Yemen (TE 2), going obliquely upward along the metacarpal interspace to Zhongzhu (TE 3). With this technique, the Ying-spring and Shu-stream acupoints can be stimulated simultaneously with one needle. This method is characterized as less acupoints, exquisite needling, strong sensation, easy and safe manipulation, remarkable immediate effect and high curative rate of single treatment. Hence, it is worthy of application in clinical practice.
Acupuncture Points ; Acupuncture Therapy ; instrumentation ; methods ; Fever ; therapy ; Humans ; Migraine Disorders ; therapy

Blood Coagulation Disorders ; therapy ; Fever ; complications ; therapy ; Humans ; Lung Injury ; therapy ; Multiple Organ Failure ; therapy ; Sepsis ; complications ; mortality ; therapy ; Syndrome

PURPOSE: To determine the activity and the toxicity associated with a low dose regimen of leucovorin (LV) plus 5-fluorouracil (5-FU) combined with oxaliplatin every two weeks (modified FOLFOX 4) as a salvage therapy for advanced gastric cancer patients. MATERIALS AND METHODS: Between December 2003 and December 2004, 33 patients were enrolled in this study. The patients were treated with oxaliplatin 85 mg/m2 as a 2-hour infusion on the first day plus LV 20 mg/m2 over 10 minutes. Subsequently, the patients were given a 5-FU bolus 400 mg/m2 followed by a 22-hour continuous infusion of 600 mg/m2 on days 1~2. The treatment was repeated at 2 week intervals. RESULTS: The median age of the patients was 50 years (range: 31~74), 82% (27/33) had the Eastern Cooperative Oncology Group performance status was 0 and 1. Of the 30 patients who could be evaluated for their tumor response, 8 achieved a partial response, with an overall response rate of 26.7% (95% confidence interval (CI): 20.5~32.7%). Fifteen patients (50%) showed stable disease and 7 patients (23.3%) progressed during the course of treatment. The median time from the start of chemotherapy to progression was 3.5 months (95% CI: 2.6~4.4 months) and the median overall survival time was 7.9 months (95% CI: 5.9~9.9 months). The major grade 3/4 hematological toxicity encountered included neutropenia (45.4%) and thrombocytopenia (3.0%). Neutropenic fever occurred during only 2 of the 178 cycles. The most common non-hematological toxicity encountered was grade 1/2 nausea/vomiting, which occurred in 18.2% of patients, diarrhea in 12.1% and neuropathy in 15.2%. There were no treatment related deaths. CONCLUSIONS: The modified FOLFOX 4 regimen appears to be a safe and effective salvage therapy for advanced gastric cancer patients.
Diarrhea ; Drug Therapy ; Fever ; Fluorouracil* ; Humans ; Leucovorin* ; Neutropenia ; Salvage Therapy* ; Stomach Neoplasms* ; Thrombocytopenia

OBJECTIVETo identify the experiences and lessons learned on 'fever clinics' during the severe acute respiratory syndrome (SARS) epidemic in Beijing and to propose a better model in monitoring SARS to fit the 'fever clinics' into current situation.

METHODSBoth qualitative and quantitative methods were used in data collection and analyses. Quantitative surveys would include 1. The setting, functions and administration of current 63 'fever clinics' in Beijing; 2. Survey on patients with fever who had visited 'fever clinics' and randomly selected from the 63 fever clinics; 3. Survey on physicians working in the 'fever clinics'. Qualitative studies would include discussion or interview with administrators, physicians working in the 'fever clinics' and field studies on 23 randomly selected 'fever clinics' as well as telephone interview to the staff working in the hospitals that did not have the 'fever clinics'.

RESULTSA couple of significant problems raised during the study including: 1. Low coverage of current surveillance system. 89% of the hospitals were not covered by the surveillance system which reflecting the misjudgment on the patients with fever that they would only attend 'fever clinics' to seek for medical help. The fact was that most of the hospitals where 'fever clinics' had not been set also received patients with fever. 2. Information related to patients with fever needs to improve regarding its completeness and accuracy. 3. Significant unbalance in daily cost and effectiveness in most of the 'fever clinics' was noticed.

CONCLUSION'Fever clinics' needs to be adjusted to meet the possible SARS epidemic in coming winter and spring. Short-term and long-term suggestions were proposed regarding SARS monitoring through the functions of 'fever clinics' in Beijing.

China ; Fever ; diagnosis ; therapy ; Humans ; Quality of Health Care ; Severe Acute Respiratory Syndrome ; diagnosis ; therapy ; Surveys and Questionnaires

Acupuncture Points ; Acupuncture Therapy ; Female ; Humans ; Middle Aged ; Typhoid Fever ; diagnosis ; therapy