Pediatric+Tonsillitis

=Swollen glands (Tonsillitis)=

Acute Tonsillitis - exterior pathogenic invasion of throat blocking the jing lo. In Western Medicine, Tonsillitis is an acute inflammation of the palatine tonsils usually due to the streptococcal bacterium or sometimes viral infection. It is characterized by a sore throat, throat pain aggravated when swallowing and refers to the ears, high fever, tiredness, headache, vomiting

Wind Heat - fever, aversion to cold, aversion to wind, painful swallowing, dry throat, dry mouth, headache, local area redness and swelling with local lymph node inflammation.

Scarlatina: Also called scarlet fever, a disease caused by infection with group A streptococcal bacteria that occurs in a small proportion of people with strep throat. The incubation period between contracting strep and the onset of scarlet fever is short, typically 72 hours but may range from 1 to 7 days. Illness usually begins with a fever and sore throat and may be accompanied by chills, vomiting, abdominal pain and malaise.

Treatment with penicillin? Best choice? Red rash that looks like a sunburn and feels like sandpaper Red lines (Pastia's lines) in folds of skin around the groin, armpits, elbows, knees and neck Strawberry red and bumpy appearance of the tongue, often covered with a white coating early in the disease Flushed face with paleness around the mouth Fever of 101 F (38.3 C) or higher, often with chills Very sore and red throat, sometimes with white or yellowish patches Difficulty swallowing Enlarged glands in the neck (lymph nodes) that are tender to the touch Nausea or vomiting Headache

Rheumatic fever. Rheumatic fever is an inflammatory disease that can affect the heart, joints, skin and nervous system. Long-term effects may include damage to heart valves; other heart disorders; and a syndrome called Sydenham's chorea, which causes emotional instability, muscle weakness and jerky movements of the hands, feet and face. Appropriate treatment of strep bacteria infection greatly reduces the risk of rheumatic fever.

Poststreptococcal glomerulonephritis is inflammation of the kidneys that results from certain byproducts of strep bacteria infection. This disorder may cause long-term kidney disease. Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS). In children who have neuropsychiatric disorders, such as obsessive-compulsive disorder and Tourette syndrome, some researchers believe strep bacteria infection may cause or are associated with an autoimmune disorder that significantly exacerbates psychiatric symptoms.

Baical in Huang Qin reduced post strep complications of scarlet fever in healthy individuals – Chen p139 Also potentiates antibiotics, stopping antibiotic resistance

The strep bacteria produces a toxin that causes a rash that appears 1 to 2 days after the onset of illness. The rash initially appears on the neck and chest, then spreads over the body. Typically the rash begins as small red macules which gradually become elevated. The redness fades over a few days and the patient is left with a rough "sandpaper" feeling rash. While the rash is still red the patient may develop what are called Pastia's lines, bright red coloration of the creases under the arm and in the groin. The rash usually lasts for 3 days. As the rash fades, desquamation (peeling) may occur around the finger tips, toes, and groin area.

Yin Qiao San With toxic heat - Da Qing Ye, Pu gong Ying With constipation - Gua Lou Ren, Tian Hua Fen With wind cold transforming into wind heat - Jing Jie, Fang Feng Accumulated Lung and Stomach Heat - excess fever, severe pain, swelling in throat, red tonsils with white yellow discharge, exterior symptoms are mild or non-existent, local lymph swelling, constipation Wu Wei Xiao Du Yin Lu11, Li1, GV14, Li4, St44, Chronic Lu7, K6, stasis -Sp10

Chronic Tonsillitis - residual pathogenic factors remaining from acute infection or wei Qi is deficient allowing recurrent infections to occur. Halitosis, dry throat, difficult to expectorate sputum Zhi Bai Ba Wei Wan Jia Jian: Sheng Di, Shan Zhu, Shan Yao, Fu Ling, Dan Pi – Moutan, Zhi Mu - Anemarrhena, Huang Bai –Phellodendron, Qing Guo -Fructus Canerii, Jie Gen, Lu E Me - Mume or Yang Ying Qing Fei Tang With halitosis - Shi Gao With dry throat - Zhi Mu, Shi Hu, Yu Zhu


 * Herbs that kill strep:** Ban Lan Gen, Huang Lian, Huang Qin, Yu Xing Cao (Hedyotis), Ma Bo, Pu Gong Ying, Lian Qiao, Yin Hua

Stomach Fire Flares Up – Severe sore throat, difficult to swallow, fever, thirst, constipation, swollen glands even with pus. T: red with yellow coat P: slippery and rapid Qing Yan Li Ge Tang: Jin Yin Hua, Lian Qiao, Zhi Zi, Huang Qin, Niu Bang Zi, Jing Jie, Fang Feng, Xuan Shen, Bo He, Da Huang, Mang Xiao; -Or: Pu Ji Xiao Du Yin Or: Liu Shen Wan Li4, St44, Lu11, Cv22, Li11 Fever: Li1, GV14

Lung and Kidney Yin deficiency – Slight sore throat, dry throat, dry cough with scanty phlegm, five heat sensation, malar flush, throat slightly red and swollen Zhi Bai Ba Wei Wan Plus: Sheng Di, Shan Zhu Yu -cornus, Shan Yao – Diosc, Fu Ling, Dan Pi, Zhi Mu – Anam., Huang Bai -Phel, Qing Guo –Fruit Canarii, Jie Geng, Lu E Mei - Mume Bl11, 12, Bai Lao, Bl18, Li11, St36