1. Correctly grasp the combination of syndrome differentiation and disease differentiation
Promptly administer drugs that clear heat and detoxify, cool blood and dispel wind, and promote bowel movements. Based on the characteristics of wind toxicity and fire toxicity, and combined with the condition of organ damage, make adjustments according to syndrome differentiation. For example, if snake venom enters the bloodstream, it will inevitably affect the heart and liver organs. Therefore, it is recommended to choose the modified Xiao Ji Yin Zi to clear heat and detoxify, cool blood and stop bleeding, and promote diuresis and diuresis. Combined with volume expansion and the use of diuretics, it is beneficial for restoring kidney function. For patients with myocardial damage, add products that benefit qi, promote pulse growth, or detoxify and protect the heart.
2. Adhere to the use of traditional Chinese and Western medicine detoxification methods
After being bitten by a pit viper, the venom usually becomes toxic through the lymphatic circulation, which is slower than directly entering the bloodstream. Due to the action of enzymes in snake venom, it causes disorders in blood and lymphatic circulation, extravasation of blood and plasma, retention of lymphatic fluid, leading to local swelling and stagnation of snake venom. Therefore, expanding the wound, puncturing, rinsing and sucking, massaging and squeezing can directly remove snake venom, reduce and improve the degree of poisoning. During external treatment for detoxification, attention should be paid to defecation, diuresis, and detoxification. If conditions permit, anti snake venom serum can be selected early.
3. Pay attention to maintaining a stable internal environment
After being bitten by a pit viper, there is often an early clinical manifestation of elevated blood pressure due to hemolysis and damage. Due to anorexia, vomiting, sweating, or increased urine output caused by the use of diuretics, patients are prone to experiencing insufficient blood volume; It also causes acidosis and hyperkalemia, water and electrolyte disorders and acid-base imbalance due to renal function damage or failure accompanied by oliguria, water and sodium retention. Therefore, in the process of adhering to detoxification and detoxification therapy, individuals with low blood potassium, sodium, chloride, and calcium should be appropriately supplemented.
4. Pay attention to the prevention and treatment of complications
The blood toxicity of pit vipers can cause more severe damage to the kidneys and liver, and can easily lead to damage to multiple organs such as the liver, kidneys, and heart. Neurotoxicity can cause paralysis of the peripheral striated muscle (respiratory muscle), leading to respiratory paralysis. Therefore, early emergency treatment and detoxification should be taken into consideration. Firstly, protect and improve kidney function. Once patients show signs of respiratory muscle paralysis, timely tracheotomy and artificial respiration assistance should be given.
