[Introduction]

Mumps refers to acute infectious disease of respiratory tract due to mumps virus. The clinical symp-toms are non-suppurative swelling of the parotid gland, pain, fever, restricted activity in chewing and involve-ment of various glands or viscera. Usually the prognosis is favourable. A few cases tend to develop complications like orchitis, encephalitis, meningitis, pancreatitis and ovari-tis. This disease usually occurs in winter and spring a-mong children. It is often caused by exogenous wind and warmth that stagnate shaoyang and yangming meridians. Severe attack by pathogenic factors may involve the liver meridian and lead to swelling and pain of testis. Invasion of exuberant pathogenic toxin into the pericardium may generate liver wind by extreme heat and result in deterio-rated syndrome.

[Syndrome differentiation]

1. Stagnation of wind-heat

Parotid swelling and pain, difficulty in chewing, ac-companied by aversion to cold, fever, headache, general aching sensation, thin and yellow tongue fur, and floating and rapid pulse.

2. Exuberance of pathogenic toxin

Parotic swelling and unpressable pain, difficulty in chewing, sore throat, lingering high fever, restless thirst with desire to drink, headache, red tongue with yellow fur, slippery and rapid pulse. Stagnation of heat in the liv-er meridian may lead to swelling and pain of testis, drag-ging pain in the lower abdomen, or even chills and high fever. Inner sinking of virulence may result in sudden high fever, severe headache, stiff neck, or even coma, convulsion, red tongue with yellow fur, or deep-red tongue with scanty fur, large and rapid or thin and rapid

pulse.

[Treatment]

Body acupuncture

Prescription: Jiache (ST 6), Yifeng (TE 17), Waiguan (TE 15) and Hegu (LI 4).

Modification£ºFor stagnation of wind-heat, Fengchi (GB 20) is added; for exuberance of pathogenic toxin, Dazhui (GV 14), Quchi (LI 11) and Guanchong (TE 1 ) are added; for stagnation of heat in the liver meridian, Dadun (LR 1), Ququan (LR 8) and Guilai (ST 29) are added; for inner sinking of pathogenic toxin, Shuigou (GV 26), Laogong (PC 8) and Yanglingquan (GB 34) are added.

Performance: Reducing needling technique is used. Jiache (ST 6 ) is needled horizontally for 0.8- 1 cun. Yifeng (TE 17) is needled obliquely downward for 0.8-1 cun. The needles are retained for 30 minutes. For the treatment of patients with high fever, the retention of needles may be prolonged. The needles are manipulated once every 5 - 10 minutes and the treatment is given once or twice a day.

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