Treatment Based on Syndrome Differentiation:
1. Qi-Stagnation and Blood-Stasis Syndrome
Main Symptoms: It is similar to acute simple appendicitis in Western medicine, manifested by shifting distending pain in the abdomen, constant insidious pain in paroxysmal aggravation and gradual transmission to the right lower abdomen, accompanied by nausea, vomiting, constipated stool, no fever usually, slight tenderness at the McMurray point of the right lower abdomen, slightly red tongue, thin and whitish coating, wiry and tense pulse.
Therapeutic Methods: Circulate qi, activate blood, and dredge the interior for purgation.
2. Syndrome of Internal Retention of Dampness and Heat
Main Symptoms: It is similar to acute suppurative appendicitis or appendiceal abscess, manifested by pain fixed at the right lower abdomen in gradual aggravation, accompanied by fever, thirst with preference for drinks, constipation, obvious tenderness and rebound tenderness at the McMurray point of the right lower abdomen, slight muscular tension, localized mass sometimes, reddened tongue, yellowish and greasy coating, wiry and rapid pulse or slippery and rapid pulse.
Therapeutic Methods: Clear away heat, remove dampness, and dredge the interior for purgation.
3. Heat-Toxin Accumulation Syndrome
Main Symptoms: It is similar to acute suppurative appendicitis complicated with localized peritonitis or gangrenous appendicitis, manifested by serious and constant pain in the lower abdomen, tenderness, rebound tenderness and muscular tension at the McMurray point, and even spreading to the whole abdomen to induce a broad-like belly, accompanied by constant fever, frequent perspiration, reddish face and eyes, restlessness, thirst with preference for drinks, brown urine, crimson and dry tongue, yellowish and greasy coating or yellowish, thick and dry coating, wiry and slippery pulse or full and rapid pulse.
Therapeutic Methods: Clear away heat, dissolve toxin, and dredge the interior for purgation.
Cautions:
This disease is mostly caused by improper food intake. The patients should take bland and digestible diet. In the period of severe condition, it is necessary to take the physician's advice for fasting. In the normal times, it is necessary to pay attention to hygiene in diet, avoid crapulence and fierce sports after meals. In addition, because this disease is one of the most commonly encountered acute abdomen, it starts with a sudden onset and changes swiftly. By a little carelessness, the condition can be aggravated to endanger the patient's life. Therefore, it is necessary to insist on therapeutic measures of combined Chinese and Western therapy clinically. Besides acute simple appendicitis and chronic appendicular abscess, clinically the treatment with Chinese herbal medicine should be combined with intravenous infusion, antiinfection and maintenance of water-electrolyte balance.During the treatment , it is necessary to observe the changes in abdominal pain ,scope ,body temperature and hemogram attentively .surgical treatment must be given immediately in those with surgical indications. Clinically ,great attention should be paid to in the children ,elders and pregnant women sick with this disease.