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(Clinical thinking
process of successfully weaning in chronic respiratory failure patients by
integration of Traditional and Western Medicine)

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2010-03-30

Abstract
The issue of weaning from a ventilator plays an important role in the
consultation of Chinese Medical division at hospital. We report this patient who
was persistent tuberculosis with chronic respiratory failure. With combination of
Western medicine and Traditional Chinese medicine, patients discomforts are
more relieved during respiratory training course and have more successful
weaning chance. We present a case with both manifestative syndromes of
phlegm-heat obstructing lung and qi stagnation with blood stasis, and root cause
of both qi and yin deficiency. We use dispersing lung qi with dissipating phlegm
and clearing heat-toxin for symptomatic treatment in acute condition, and also
benefiting qi with nourishing yin through the whole treating course. Befor
removing the endotracheal tube, drugs with benefits of clearing heat for
detumescence from throat and removing blood stasis and resolving static blood
are added, such as Sanchi (Panax pseudoginseng), Eearthworm (Perichaeta
communissma G. and H.), She gan(Belamcanda chinensis), Taiwan wishbone
flower(Torenia concolor Lindley var. formosana Yamazaki, and daige powder.
Finally, he weans successfully after two months hospitalization and recovery very
well after discharged.

http://www.tccma.org.tw/modules/teacher/index.php?indexop=show&teatid=962

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2015/7/1

: 1326
: (02)2507-0603 : (02)2503-2877
E-mail:tccma100@ms81.hinet.net

http://www.tccma.org.tw/modules/teacher/index.php?indexop=show&teatid=962

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