How to provide first aid after realgar poisoning?

(1) Immediately after poisoning, induce vomiting with ferric hydroxide solution, gastric lavage with 1% sodium thiosulfate, and catharsis with magnesium sulfate, and then take egg white, milk, soy milk, medicinal charcoal, etc. Absorb poisons and protect mucous membranes.

(2) Intramuscular injection of dithiocarbamide for detoxification until the symptoms of poisoning disappear, and intravenous infusion of glucose or glucose saline injection, or sodium bicarbonate injection, to alkalize the urine and reduce the deposition of hemoglobin in the renal tubules.

(3) Symptomatic treatment:

1) If there is severe hemolysis, large doses of hydrocortisone or dexamethasone can be used to counteract hemolysis.

2) If there is acute renal failure, dialysis therapy and comprehensive treatment can be used.

3) When arsenic keratosis or arsenic melanosis occurs, sodium thiosulfate should be given intravenously, 0.64g/d, for 30 times, and oral vitamin treatment should be given.

4) When allergic reactions occur, oral anti-allergic drugs such as chlorpheniramine, calcium gluconate, etc. can be used.

(4) Chinese medicine treatment:

1) 120g mung beans, decoct and drink.

2) 60g mung bean, 30g forsythia, 9g akebia, 30g honeysuckle, 9g coptis, 12g talc, 15g tricholoma, 9g liquorice, decocted in water, taken in the morning and evening, for 3-4 doses.

3) Take 15g Angelica dahurica and 60g mung bean, decoct in water and drink immediately.

4) 9g of Cyperus rotundus, 3g of Borneol, 15g each of Millettia reticulata, Aucklandia lappa, Aucklandia lappa and Panax notoginseng, decocted in water 3 times, combined and taken once every 2-4 hours for 3 times, and take 2-4 doses in a row.

5) Take 90g~120g of fresh leaves of Jade Leaf Golden Flower, mash them into juice, add 3~5 egg whites, 1.5g each of giant moss root powder and asparagus powder, induce vomiting first and then orally. Once every 15 minutes, drink more mung bean soup when you are thirsty.