Emergency Treatment Methods for Xue Shan Yi Zhi Hao: A Guide to Managing Toxicity

February 5, 2024

  Xue Shan Yi Zhi Hao, also known as Fu Zi Jing, is the rhizome of the Ranunculaceae plant, Aconitum gymnandrum. It is mainly distributed in the Qinghai-Tibet Plateau region of China and is a highly toxic medicinal material widely used in Tibetan medicine.
 

Xue Shan Yi Zhi Hao
Image of Xue Shan Yi Zhi Hao
 

  [Common Emergency Treatment Methods for Xue Shan Yi Zhi Hao]

  1. Induce vomiting manually.

  2. Perform gastric lavage with a 1:5000 potassium permanganate solution.

  3. Administer 50ml of 50% sodium sulfate solution orally as a laxative.

  4. For severe vomiting and diarrhea, no laxatives are needed after gastric lavage. Instead, administer 10g of magnesium oxide, 10g of tannic acid, and 20g of medicinal charcoal mixed with warm water as a paste for oral intake. If constipation occurs, use a 2% saline solution for high-level enema laxatives.

  5. Use a high dose of atropine to counteract the stimulation of the vagus nerve. The specific dosage depends on the severity of poisoning. For mild cases, administer subcutaneously or intramuscularly. For severe cases, administer intravenously. The general dosage is 0.5-1 mg every 2-4 hours. In severe cases, the dosage can be increased as needed, and the frequency of repeated administration can be shortened.

  6. Administer 5% or 10% glucose solution to promote the excretion of toxins.

  7. If accompanied by shock, arrhythmia, seizures, metabolic acidosis, etc., provide symptomatic treatment.

  8. Some severe patients may undergo blood purification therapy to completely remove toxins from the body.

  9. Patients in the recovery period may undergo hyperbaric oxygen therapy.

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