By Y. Grubuz. University of California, Santa Barbara. 2017.

Treatment method: Seven pieces of fresh Cong Bai (Bulbus Allii Fistulosi) were washed voltaren xr 100mg free shipping, cleaned purchase voltaren xr 100 mg with visa, and pounded with a pestle until they were like mud in consistency. This paste was applied to Shen Que (CV 8) each night before sleep after cleaning the area with 75% alcohol. A piece of gauze was placed over the area to secure the paste in the navel. Chinese Research on the Treatment of Pediatric Enuresis 111 Study outcomes: All 132 cases obtained a complete cure in 2-4 days, and there was no reoccurrence of enuresis in any of the cases two years after treatment. From Clinical Observations of Using Yi Shen San (Boost the Kidneys Powder) Externally to Treat 60 Cases of Pediatric Enuresis by Lin Jie, Hu Bei Zhong Yi Za Zhi (Hubei Journal of Chinese Medicine), 2002, #9, p. The course of diseases in these children was as short as two months and as long as nine years. The course of diseases in these children was as short as three months and as long as 8. Therefore, there was no significant statistical difference in the data of both groups. Treatment method: All members of the treatment group were treated with Yi Shen San (Boost the Kidneys Powder) which consisted of equal amounts of: Rou Gui (Cortex Cinnamomi) Fu Pen Zi (Fructus Rubi) Yi Zhi Ren (Fructus Alpiniae Oxyphyllae) Qian Shi (Semen Euryalis) Wu Wei Zi (Fructus Schisandrae) mix-fried Gui Ban (Plastrum Testudinis) Ding Xiang (Flos Caryophylli) Thirty grams of this powder was applied externally before sleep to 112 Treating Pediatric Bed-wetting with Acupuncture & Chinese Medicine Shen Que (CV 8) and Ming Men (GV 4), secured in place with a piece of gauze one time each night, and then replaced the follow- ing evening. In both groups, eight weeks equaled one course of treatment and, during the course of treatment, all other methods of treat- ment were stopped. The patients were advised not to have any water or other fluids to drink two hours before bed and to also uri- nate before going to bed. During the day, they were encouraged to drink a lot of water and other fluids. They were asked to try and increase the length of the intervals between urinations in order to strengthen the function of the bladder. Study outcomes: In the treatment group 34 cases registered obvious improve- ment, meaning that the main symptoms were reduced by more than or equal to 50%.

For example 100mg voltaren xr visa, nasal decongestants more normal blood glucose levels and decreases long- (alone or in cold remedies) and asthma medications may term complications of diabetes buy cheap voltaren xr 100 mg on-line. In addition, liquid cold remedies to take a medication, notify a health care provider. To and cough syrups may contain sugar and raise blood glu- control blood sugar most effectively, medications are bal- cose levels. If you take insulin, you need ✔ If you wish to take any kind of herbal or dietary supple- to know what type(s) you are taking, how to obtain more, ment, you should discuss this with the health care and how to store it. Regular and NPH insulins and mix- provider who is managing your diabetes. There has been tures (eg, Humulin) are available over-the-counter; Hu- little study of these preparations in relation to diabetes; malog, NovoLog, and Lantus require a prescription. If you start a supplement, you need to allow for weather or other conditions that might prevent replacement of insulin or other supplies when needed. Testing should be done more often glycemia may indicate a need to change some aspect of when medication dosages are changed or when you are ill. Specific recommendations should (hypoglycemia): sweating, nervousness, hunger, weak- be individualized and worked out with health care providers ness, tremors, and mental confusion. Although each person needs individualized instruc- are alert and able to swallow, take 4 oz of fruit juice, 4 to tions, some general guidelines include the following: 6 oz of a sugar-containing soft drink, a piece of fruit or ✔ Continue your antidiabetic medications unless in- 1⁄ cup of raisins, two to three glucose tablets (5 grams structed otherwise. Additional insulin also may be 3 each), a tube of glucose gel, 1 cup of skim milk, tea or cof- needed, especially if ketosis develops. Ketones (ace- fee with 2 teaspoons of sugar, or eight Lifesaver candies. Insulin is absorbed test urine for ketones when the blood glucose level fastest from the abdomen. If unable within 2 inches of the belly button or into any skin to test urine, have someone else do it. About 15 g of carbohydrate every dosage of both insulins unless measured very care- 1 to 2 hours is usually enough and can be provided fully. Commercial mixtures are also available for some by 1⁄ cup of apple juice, applesauce, cola, cranberry 2 combinations.

When aspirin is ab- largely because of adverse effects on the gastrointestinal CHAPTER 7 ANALGESIC–ANTIPYRETIC–ANTI-INFLAMMATORY AND RELATED DRUGS 103 Cell activated by physical order voltaren xr 100mg overnight delivery, chemical order 100mg voltaren xr amex, or hormonal stimuli Arachidonic acid Traditional NSAIDs block COX-1 and COX-2 enzymes COX-2 inhibitor NSAIDs block COX-2 enzyme Cyclooxygenase-1 (COX-1) Cyclooxygenase-2 (COX-2) Physiologic prostaglandins Pathologic prostaglandins Figure 7–1 Physiologic and patho- logic (ie, inflammatory) prostaglan- GI protection (↓ gastric acid, Inflammation dins: Actions of antiprostaglandin ↑ mucus production, Vasodilation drugs. Prostaglandins play important maintain blood flow to ↑ Capillary permeability roles in normal body functions as well mucosa) Edema as inflammatory processes. Inhibition Renal protection (help Pain of both COX-1 and COX-2 by traditional maintain blood flow and Leukocytosis NSAIDs produces adverse effects on function) Activate white blood cells to the stomach (eg, irritation, ulceration, Regulate smooth muscle tone release inflammatory bleeding) as well as anti-inflammatory in blood vessels cytokines effects. Selective inhibition of COX-2 (eg, vasodilation) and lungs produces anti-inflammatory effects (eg, bronchodilation) while maintaining protective effects Regulate blood clotting on the stomach. At the same time, low- for pain and fever, but it lacks anti-inflammatory and anti- dose aspirin is increasingly prescribed for clients at risk of platelet effects. This indi- cation stems from its antiplatelet activity and resultant ef- fects on blood coagulation (ie, decreased clot formation). CONTRAINDICATIONS TO USE Some NSAIDs such as ibuprofen (Motrin) and related drugs are widely used as anti-inflammatory agents and analgesics; Contraindications to aspirin and nonselective NSAIDs include ketorolac (Toradol), which can be given orally and parenter- peptic ulcer disease, gastrointestinal (GI) or other bleeding ally, is used only as an analgesic. Most of the other NSAIDs disorders, history of hypersensitivity reactions, and impaired are too toxic to use as analgesics and antipyretics. In people who are allergic to aspirin, nonaspirin used primarily in rheumatoid arthritis and other muscu- NSAIDs also are contraindicated because hypersensitivity re- loskeletal disorders that do not respond to safer drugs. Cele- actions may occur with any drugs that inhibit prostaglandin coxib (Celebrex) is also used to treat familial adenomatous synthesis. In children and adolescents, aspirin is contraindi- polyposis, in which the drug reduces the number of polyps cated in the presence of viral infections such as influenza or and may decrease risks of colon cancer. In addi- and other NSAIDs, is commonly used as an aspirin substitute tion, celecoxib and valdecoxib are contraindicated in clients 104 SECTION 2 DRUGS AFFECTING THE CENTRAL NERVOUS SYSTEM who are allergic to sulfonamides and ketorolac is contraindi- and osteoarthritis. Compared with aspirin, it has less anti- cated in clients at risk of excessive bleeding. Thus, ketorolac pyretic effect, causes less gastric irritation, and has a longer should not be administered during labor and delivery; before duration of action. NSAIDs Over-the-counter (OTC) products containing these drugs are contraindicated for chronic alcohol abusers because of Propionic acid derivatives include fenoprofen (Nalfon), possible liver damage (with acetaminophen) or stomach bleed- flurbiprofen (Ansaid), ibuprofen (Motrin, Advil), ketoprofen ing (with aspirin, ibuprofen, ketoprofen, or naproxen). In Food and Drug Administration (FDA) requires an alcohol addition to their use as anti-inflammatory agents, some are warning on the labels of all OTC pain relievers and fever used as analgesics and antipyretics.

If the spleen qi fails to upbear these fluids buy voltaren xr 100mg with visa, they tend to pour downward to the lower burner where they overflow from the bladder purchase 100 mg voltaren xr fast delivery. If, for any reason, one or more of these viscera become vacuous and insufficient or their function is inhibited by the presence of evil qi, their control of water fluids may be impaired and enuresis may result. Further, if water fluids collect and transform into dampness, these damp evils may seep downward to become depressed in the lower burner where they inhibit the free flow of the yang qi. If the yang qi, which is inher- ently warm, also becomes depressed and dampness unites with this depressed yang qi, it will give rise to damp heat. Because the liver channel surrounds the genitourinary tract, liver channel damp heat may be the result, and this may also cause enuresis. In Chinese medicine, children are considered both physically and physiologically immature. Chao Yuan-fang, in his book Zhu Bing Yuan Hou Lun (Treatise on the Origins & Symptoms of Various Diseases) stated, The five viscera and six bowels are made but 40 Treating Pediatric Bed-wetting with Acupuncture & Chinese Medicine not complete,. This is why babies and young children tend to present so many signs and symptoms of dampness, phlegm, and turbidity, i. In particular, the spleen is not fortified or mature until around six years of age, and the kidneys do not become exuberant until puberty. In addition, it is said in Chinese medicine that, The spleen is the root of phlegm engenderment; the lungs are [merely] the place where phlegm is stored. It is the inherent immatu- rity of the lungs, spleen, and kidneys which make enuresis mostly a pediatric complaint. However, anything that damages and causes detriment to these three viscus can also cause formerly mature organs to become vacuous and insufficient. Things which can damage the lungs include excessive grief and sorrow and the chronic presence of evil qi, including wind evils, phlegm, and dampness.