What are the symptoms and treatment of chickenpox

In recent years, the incidence of chickenpox has been well controlled. This is mainly because children are generally required to receive vaccinations to prevent chickenpox. The emergence of vaccines has greatly reduced the incidence of chickenpox. However, people with special physical conditions may have antibodies to the vaccine, so they may still be infected by the virus and develop chickenpox. In the following article, the editor will give you a detailed introduction to the treatment methods and clinical manifestations of chickenpox.

Chickenpox is a respiratory infectious disease caused by varicella-zoster virus infection. The clinical characteristics are the simultaneous presence of three skin lesions: papules, herpes and crusts. Chickenpox is highly contagious and occurs more frequently in winter and spring. After infection, you can gain lasting immunity. The most common infection in adults is herpes zoster.

Clinical manifestations of varicella

The incubation period is about 10 to 21 days.

1. Prodromal period: about 1-2 days, with mild fever (body temperature 37.5~38.5℃), lethargy, decreased appetite, etc. Most children do not have this symptom.

2. Rash stage: The rash is mostly seen on the chest and back, and later on the limbs, with a centripetal distribution. It initially appears as small red maculopapules, which quickly turn into herpes. The blisters are translucent, about the size of mung beans, and may be surrounded by a red halo, which may be accompanied by itching. The scab will form after 1-3 days of drying. No scar is left after the scab falls off. Because the rash appears in batches, three types of skin lesions, maculopapular rash, herpes and crusts, can be seen coexisting clinically.

Varicella Diagnosis

1. History of contact with chickenpox 2 to 3 weeks ago.

2: There is a typical rash.

3. The total white blood cell count is low or normal.

Chickenpox treatment

1. Western medicine treatment

(1) Symptomatic treatment: Reduce fever. See the “Cold” section.

(2) Antiviral treatment: Adenosine 10 mg/kg/day, intravenous drip once, for 5 consecutive days. Acyclovir 15-20 mg/kg/day, divided into 2-3 intravenous drips, for 5 consecutive days.

2. Traditional Chinese Medicine Treatment

(1) Evil qi stagnation in the defensive qi: The herpes are sparse, the serous fluid is transparent, bright red, itchy but not painful, accompanied by fever, runny nose, red tip of the tongue, thin white or thin yellow fur, and a floating and rapid pulse.

Treatment method: Relieve exterior symptoms and dispel wind, clear rash and remove dampness.

Prescription: 12 grams of honeysuckle, 12 grams of forsythia, 6 grams of bamboo leaves, 6 grams of mint, 6 grams of platycodon, 10 grams of talc (wrapped and decocted), 10 grams of apricot, 6 grams of fructus aurantii, 10 grams of wild yam, 6 grams of kochia scoparia, 10 grams of atractylodes, and 3 grams of roasted licorice.

Chinese patent medicine: antiviral oral liquid 1-2 bottles/drink, 2-3 times a day. Yinhuang oral liquid, 1-2 bottles each time, 2-3 times a day.

(1) Both Qi and Ying are burning: The blisters are dense, dark red, with turbid blister fluid, high fever, thirst, headache, vomiting, red tongue, yellow fur, and slippery and rapid pulse.

Treatment method: Clear away heat, purge fire and detoxify.

Prescription: 10 grams of Coptis chinensis, 12 grams of Moutan bark, 6 grams of Cimicifuga heracleifolia, 10 grams of Red Peony Root, 12 grams of Scutellaria baicalensis, 10 grams of Angelica sinensis, 20 grams of Rehmannia glutinosa, 6 grams of Isatis indigotica, 6 grams of Lithospermum officinale, and 6 grams of raw licorice.