Mustard plasters in the treatment of colds: how to use mustard. Rules for the use and setting of mustard plasters for coughing.

For various colds, which are accompanied by inflammatory processes in the organs of the respiratory system, not only official medications are used, but folk and home remedies are used to quickly relieve severe symptoms. Is it possible to use mustard plasters for bronchitis, how useful and safe such treatment is, especially if it is used for colds in children?

Bronchitis is a common complication of colds in children, it is characterized by the development inflammatory process in the bronchi. The inflammation is accompanied by strong coughdry and heavy at first, then wet, followed by expectoration. For bronchitis, it is extremely important to use cough-stimulating agents. Without treatment, the likelihood of the disease becoming more severe, the development of pneumonia - pneumonia, increases.

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The mustard plaster is a well-known remedy used for colds, which is a small bag with crushed mustard seeds, known for its burning effect. Some experts today question the effectiveness and safety of this drug and advise turning to more modern and effective medicines.

Important! Before using any agent in the treatment of bronchitis, it is advisable to consult a doctor, especially if a small child needs therapy for the disease.

Do you use mustard plasters for bronchitis?

Mustard plasters are used for most diseases respiratory tractaccompanied by the discharge of sputum. This home remedy helps to stimulate phlegm production, and mustard acts to irritate nerve endings and improved expectoration.

Therefore, with bronchitis, this remedy is still used. However, it is worth remembering about the indications, contraindications, to know how to put the mustard plaster correctly and how often it can be used. Dr. Komarovsky also confirms that the main thing in treating diseases with such means is a reasonable approach. It is worth remembering that you cannot completely rely on folk and home remedies, in most cases they can only act as an auxiliary treatment.

Contraindications

It depends on the presence of certain contraindications whether this remedy can be used to improve coughing up in bronchitis. It is not possible to put mustard plasters in all cases; in no case should they be used for such diseases:

  1. Spine diseases, the presence of various neoplasms, convulsions.
  2. Blood clotting disorders, other diseases of the cardiovascular system.
  3. Pulmonary tuberculosis, bronchial asthma, allergic reactions.
  4. Diseases of the skin, especially in the field of application of mustard plasters.

Also worth rememberingthat mustard plasters and other similar agents should not be used at temperatures. The irritant effect can provoke deterioration, increase in temperature and its stability.


Benefit and harm

It is rather difficult to say exactly how useful or harmful mustard plasters are. First of all, it should be borne in mind that they cannot replace full-fledged treatment with bronchitis and colds, they can be used exclusively as an aid. It is impossible to fully prove their effectiveness, many experts today deny it.

At the same time, it is believed that in addition to the coughing effect, mustard plasters help to strengthen the immune system. This effect is extremely difficult to prove, but some home therapists claim it is present.

It is also worth remembering that bronchitis is an inflammatory disease, irritating factors can increase the inflammatory process. Therefore, mustard plasters should be used only at the end of the disease, when there is a coughing up, the inflammation gradually goes away.

It should be noted that this remedy is effective only when applied to the chest or below the shoulder blades. Mustard plasters are a means of local action; when applied to the feet, the effect is unlikely to be noticeable.


Mustard plasters for bronchitis for adults

Important! Children of infants are not advised to put mustard plasters, they are advised to do wraps with cloth napkins soaked in mustard solution. Take two tablespoons per liter of water mustard powder, the application technique is the same.

Can I bet every day

You should not put mustard plasters too often, the frequency is three days in a row, then you should take a short break. This product should not be used more than once a day, especially in children. Otherwise, mustard can provoke an allergic reaction, irritation on the skin.

How to put mustard plasters correctly

It is quite simple to use mustard plasters, the main thing is not to overexpose them so that mustard does not cause a burn, painful irritation on the skin. How long do they bet? Usually 5 to 15 minutes is sufficient depending on the age of the child.

A bag of mustard should be soaked under running warm water. Babies are advised to soak under cold water, put a few cloth napkins under the mustard plaster, it is better to take thick paper or a piece of gauze soaked in sunflower oil.

The effect of the application is achieved within a few minutes after the preparation of the product, you can keep it up to 10 - 15, depending on the age of the child. Longer is usually not advised, as skin irritation may occur. In adults, the mustard plaster can be removed when there is a slight redness of the skin.


How to properly put mustard plasters for children

After the procedure, it is advised to wipe the skin with a damp towel. If severe redness occurs due to the use of the product, the skin can be lubricated with Panthenol or another sedative.

The procedure is advised to do before bedtime, as it is considered more effective. In children, if there are no contraindications, the use of mustard can be combined with another remedy - milk with honey. After the procedure, it is advised to warm up the milk, but do not bring it to a boil, then add a spoonful of honey there. Sometimes butter is added to this medicinal drink.

Milk with honey should be given to the child after the mustard plasters. It will help relieve expectoration and soften sputum discharge, and enhance the effects of other treatments.

If during the use of a home remedy there is an allergy, discomfort, the compress should be removed immediately, wipe the skin with a damp towel or napkin. Next time, the procedure should be shortened or completely abandoned.

Mustard plasters for children with cough are most often prescribed for ARVI as an adjunct to general therapy. This procedure is optional. And if the child does not agree, is afraid, cries, you should not use it. A healthy psychological atmosphere in the family and a child's good mood are much more valuable and useful for a speedy recovery.

Mustard plasters, like cans, compresses, poultices, heating pads, body wraps, are distracting procedures. It would seem that what could be simpler than this event? But here, too, there are subtleties and a number of contraindications. How to put mustard plasters on children when they cough? At what age can you start? And what are the main indications for use?

Types of mustard plasters

Mustard plasters can be of two types.

  • In the form of a sheet on which a thin layer of mustard powder is applied.
  • In the form of sachets with two or four cells, into which mustard powder is poured. It is preferable for children to use this particular form.

You can also purchase dry mustard for compresses and foot baths.

Mechanism of action

Mustard has two main actions - annoying and distracting. The hot water releases mustard essential oils. They irritate the skin and dilate blood vessels at the site of application. Thus, blood circulation is activated, the nutrition of the affected mucous area is enhanced and the volume of sputum increases. Also, metabolic processes in the body are enhanced, the work of the autonomic nervous system is reflexively stimulated, which strengthens the immune system.


Indications for use

  • Most often, mustard plasters are prescribed for children for ARVI, diseases of the upper and lower respiratory tract: bronchitis, tracheobronchitis, laryngitis, tracheitis, pneumonia.
  • It is especially helpful in a debilitating, dry cough.
  • Also, the doctor may prescribe this procedure for inflammation of the nasopharynx and larynx during ARVI. In this case, mustard plasters are placed on the calf muscles in order to redistribute the blood to the area of \u200b\u200birritation. Thus, puffiness is removed, it is easier for the child to breathe, speak, swallow.
  • Less commonly prescribed for sprains, muscle pains, bruises, neuralgia, spasms of blood vessels, attacks of angina pectoris.

How to put mustard plasters correctly

How to put mustard plasters on a child? First of all, you need to know about contraindications and still read the instructions that come with the package. It is also important to remember that in the first days of ARVI, distracting procedures are not used, since the thermal effect will activate the inflammatory process. Usually they are prescribed at the stage of recovery. If a child is diagnosed with pneumonia, they are diagnosed a few days later than with bronchitis. It is best to apply this procedure before bed, so that the child is already in bed. Babies from 1 to 3 years old need to keep mustard plasters for no more than 2 minutes. Moms also often ask: how many times a day can you put mustard plasters? No more than once a day.


Where to put

On what parts of the body can you put mustard plasters for bronchitis and pneumonia, dry cough in a child? On both sides of the chest, upper sternum, on the sides, on the back under the shoulder blades or between them, as well as on the calf muscles and feet.

Where not to put?

  • area of \u200b\u200bthe heart;
  • kidneys;
  • spine;
  • nipples;
  • birthmarks;
  • skin lesions of a traumatic, purulent nature.


What is needed for the procedure

  • A container with water. The temperature should be no higher than 45 ° C.
  • Mustard plasters package... Be sure to check the expiration date. Mustard plasters should be kept in the refrigerator. The shelf life is from 1 to 2 years. In an open package, they quickly lose their properties.
  • Towel. It will be needed to cover the child.
  • Any baby cream... It will be needed to lubricate irritated skin if necessary.
  • Good mood and patient consent... Many children are afraid of this procedure, they endure burning of the skin painfully.


Step by step actions

How to give mustard plasters to children when they cough?

  1. Place the patient on the stomach or back, depending on the location.
  2. Dip the mustard plaster in hot water.
  3. Apply to skin area and gently smooth.
  4. Cover with a towel on top.
  5. Wait 5-10 minutes.
  6. Check the condition of the skin periodically.
  7. Remove the mustard residue and rinse well with warm water.
  8. Anoint the skin with baby cream, oil, petroleum jelly.

After about two minutes, you will already feel a slight tingling sensation on the skin. If a child of any age has a strong burning sensation, irritating cough and anxiety during the procedure, the mustard plasters must be quickly removed and the area of \u200b\u200bthe body thoroughly washed. Redness on the skin remains for several days. This is normal. The degree of redness depends on individual sensitivity.

Mustard plasters are not such a harmless auxiliary tool as it might seem at first glance. There are three dangers. The first is burns to the delicate baby skin. Therefore, they cannot be used for more than four days in a row and it is advisable to alternate body parts. The second is an acute allergic reaction to mustard. The third is a spasm of the larynx and bronchi under the influence of mustard vapor. This can lead to shortness of breath and result in resuscitation.

More about the procedure on the feet

Often with ARVI, the doctor prescribes mustard plasters for children on the feet. An option could be dry mustard, which is poured into socks. Dry mustard does not irritate the skin, so the baby can sleep with it all night. This method is considered a highly targeted irritant. The foot is a biologically active reflexogenic zone. By acting on the feet, we affect the entire body. And how he might react under reflexogenic influence is difficult to imagine. Therefore, it is forbidden to put mustard plasters on the feet of infants and with acute infections.

Contraindications for use

First of all, you need to check the individual sensitivity of the skin. It is very common to be allergic to mustard powder. Therefore, if the procedure is used for the first time, you need to conduct a test: cut off a piece of the plate and put it on for 10 minutes. If there is no severe redness and burning, then the product is tolerated normally. You cannot use this distracting procedure under the following conditions:

  • infants;
  • at temperature and the next day after its normalization;
  • with a tendency to allergies;
  • with dermatitis, psoriasis;
  • with convulsions;
  • with bronchial asthma;
  • with laryngotracheitis (false croup);
  • with obstructive bronchitis (obstructed passage of air in the bronchi);
  • oncological diseases.

Precautions

  • For children under 3 years old, it is recommended to put mustard plasters on the reverse side to soften the effect.
  • You can apply them on top of napkins, thin cloth, bandage.
  • You can also purchase special children's mustard plasters with a lower concentration of mustard.
  • Mustard baths are dangerous due to the large amount of mustard fumes. Also, mustard is highly irritating to the mucous membranes of the genitals and eyes.

The use of mustard plasters is singled out in first place among the huge number of folk methods for treating colds. They help to effectively fight the first signs of a cold and cough. Mustard has its warming effect on the human body, allowing the upper and lower respiratory tract to warm up from the outside.

However, if used incorrectly, due to ignorance of important rules for use or existing contraindications, mustard plasters can cause significant harm to the patient.

The effects of mustard on the body

Mustard powder shows local irritation to the human body, triggering a mechanism that helps warm up the sore spot. Its effect is very strong and surpasses some of the physiological processes taking place inside the human body, thereby proving that the influence of mustard plasters has a distracting effect during illness.

Mustard powder has the following effects on the human body:

  • Warming effect. It consists in the fact that the powder particles begin to provoke the manifestation of limited hyperemia after falling on the surface of the human skin, as a result of which the blood circulation occurs much more intensively, due to the increased vasodilation.
  • Annoying effect. It manifests itself in the excitation of the central nervous system due to skin receptors, while accumulating hormones and substances in the blood that are responsible for phagocytic reactions leading to the protection of immunity.

During a cold, the mustard plaster primarily triggers its irritating effect, helping to activate the protective work of the human immune system. The warming process manifests its additional effect by participating in a more thorough warming of the upper and lower respiratory tract.

Mustard powder also has other abilities:

  • The manifestation of anti-inflammatory effects;
  • Providing an analgesic effect;
  • The ability to enhance blood circulation;
  • The possibility of accelerating metabolic processes taking place inside the human body.

How to put mustard plasters correctly

It is especially important to consider that the time of the procedure directly depends on the sensitivity of the skin, in no case should it lead to pronounced redness due to the possible risk of severe burns. If the patient experiences discomfort in the form of burning or pain, then this method of treatment should be stopped immediately.

It is strictly forbidden to put mustard plasters in the acute period of the disease, when the patient complains of a high temperature. This can lead not only to the emergence of a dangerous inflammatory process, but also give a huge load on the cardiovascular and respiratory systemleading to undesirable consequences.

Basically, mustard plasters are used when the first signs of a cold appear and on the third day after the onset of the disease. Treatment with mustard will help not only improve health and cope with the disease in the initial stage, but also strengthen immunity, actively resisting infection.

Mustard plasters on legs

The use of mustard plasters on the legs is an effective treatment for the first symptoms of a cold. The procedure is quite simple, you just need to prepare everything you need.

You will need:

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  1. Mustard plasters.
  2. Gauze cloth.
  3. A bowl of warm water.
  4. Thick socks.

First of all, you should check the condition of the mustard plasters and the shelf life of their storage. A paper mustard plaster should contain a dry powder of a uniform yellow color, which has a fragrant and rich smell. The spoilage of the product may be evidenced by its ability to finely crumble. If the mustard plasters are suitable for use, then you can start using them.

There are mainly two ways to deal with a cold:

  • Hot baths with the addition of mustard powder;
  • Warm socks using dry mustard;

How to soar your feet in a mustard bath:

  1. It is necessary to heat the water to forty degrees and prepare the basin.
  2. Dissolve 3 tablespoons of dry mustard powder in warm water.
  3. Immerse your feet in a basin of hot water, previously covered with a warm blanket.
  4. Monitor the temperature and add additional boiling water from the kettle as it cools.
  5. Soar your legs for about half an hour or until an unpleasant burning sensation occurs in the legs.
  6. After the procedure, put on warm socks and lie under the covers.

Repeat the treatment procedure before going to bed for several days to consolidate the effect. Specialists recommend adding a couple of drops of essential oils of woody trees, for example, pine or eucalyptus, to the basin, if desired.

How to put mustard in socks:

  1. Legs must be absolutely dry to avoid scalding from wet mustard.
  2. Pour mustard into cotton socks, considering that for an adult you need two tablespoons, and for a child, one teaspoon is enough.
  3. Put on socks on your feet, on top of which you need to put on tight socks made of natural fabric.
  4. Leave it overnight.

Mustard plasters on the chest

Doctors strongly recommend putting mustard plasters on the chest for diseases of the upper respiratory tract, as well as for pneumonia or bronchitis. The procedure is very simple and does not require additional manipulations and skills. To begin with, you should prepare a suitable dish with warm water, lower the mustard plaster there and apply it to the desired area and leave until a certain time, which depends on the diagnosis.

Advice: If the skin is sensitive, it is better to take care of the presence of gauze tissue through which the mustard plaster is usually placed, avoiding unnecessary irritation on the skin.

  • For children under nine years old - up to 3 minutes
  • For children from nine to thirteen years old - up to 5 minutes
  • For adults - up to 15 minutes

The setting of mustard plasters must be carried out:

  1. When treating the upper respiratory tract, a mustard plaster is applied in the middle chest.
  2. In case of pneumonia or bronchitis, a mustard plaster should be placed on the upper chest.


If the skin begins to redden, showing an unnatural color, then the procedure should be completed immediately. Such a reaction may indicate precisely skin irritation, which in the future can lead to burns. The mustard plaster pleasantly warms the chest area and gives a slight tingling sensation. After the end of the procedure, the breast area is wiped with a terry towel and a fat cream is used, rubbing thoroughly into the skin.

Mustard plasters on the back

For colds and various manifestations of cough, mustard plasters are placed on the back, first between the shoulder blades, and then under the shoulder blades, helping to warm up the bronchi in the correct location and distribution, effectively fighting coughing and sputum discharge. The method is carried out according to the standard principle: mustard plasters are dipped in warm water and then laid on the back (up to 10 minutes). If an unbearable burning sensation occurs, or traces of redness of the skin, it is necessary to urgently complete the procedure.

Contraindications

Despite the fact that the treatment of colds with mustard powder shows an effective result, like any other remedy, it has its own contraindications that must be taken into account in order to avoid undesirable consequences.

Contraindications to the use of mustard plasters:

  • The skin contains defects in the form of cracks and small scratches;
  • Heat body. The use of mustard powder in this case can aggravate the patient's fever;
  • Tendency to allergic reactions;
  • Numerous formations in the form of moles or papillomas are observed on the skin;
  • Individual intolerance of the human body to mustard powder;
  • The patient's age. It is forbidden to put mustard plasters on children under one year old because of thin and sensitive skin.

The baby's illness is a great stress for the whole family, so all family members, including grandparents, are trying to help him in every way. And, therefore, warming up with cans and mustard compresses, tested by the older generation, comes to help.

Of course, modern medicine offers a variety of drugs and procedures that have been clinically proven to be effective. But, despite this, thanks to the popular popularity, mustard plasters to this day remain one of the most common methods of treatment for coughing, especially in children.

Why do you need mustard plasters?

Mustard plasters are prescribed for children as an auxiliary procedure, most often when coughing.

It is very important to understand that mustard plasters alone cannot cure the disease. They only allow you to accelerate the recovery processes with the help of essential oils, the release of which occurs when the mustard powder comes into contact with water.

What are they and how do they affect the body?

Mustard plasters are of two types:

  1. A thin layer of mustard powder applied to a sheet of paper.
  2. Dry mustard bags inside.

Mustard plasters have two types of effects:

  • irritating - with the help of phagocytes, they irritate the immune system and make it work at an accelerated rate. Thus, harmful microorganisms are eliminated faster.
  • warming - make the blood move faster by expanding blood vessels.

Despite the listed beneficial features do not rush to put mustard plasters on a child when coughing. First, you should determine the causes of this symptom.

For example, if it is an allergic or asthmatic cough, then the mustard fumes will only make your child worse. He may start to choke.


Therefore, before the procedure, you should definitely consult with your pediatrician, even if you are acting on the advice of your grandmother, who is your authority. Remember, the health of the child is in the hands of the parents!

What diseases can be treated with mustard plasters?

Mustard plasters are not a universal remedy for all diseases. They have their own indications and contraindications.

For example, the list of diseases for which you can put mustard plasters includes:

  • bronchitis;
  • tracheitis;
  • pneumonia.

All these diseases are usually accompanied by a severe cough, and with the help of mustard plasters, it can be significantly alleviated. Also, mustard compresses can be put on babies to combat a runny nose and to eliminate muscle cramps.

At what age can you use mustard plasters?

The most important thing parents need to remember is "do not harm your child." Mustard plasters have their own age restrictions. They can be used in the treatment of children only after they reach the age of 3.

For children under one year old, a light mustard wrap is allowed only as prescribed by a doctor. No amateur performances! At this age, the skin is very delicate, so it is easy to damage it.

For children from one to three years old, you can apply a mild mustard wrap. The main thing is that mom and dad are sure that the child does not have an allergic reaction to mustard.

This also applies to older children. Otherwise, such treatment can lead to serious consequences. Do something with the child for the first time only after the doctor has given the go-ahead for the procedure.


From three to seven years old, mustard plasters should be applied through cheesecloth. This will protect your skin from burns. But at any age, you should consider the sensitivity of the skin in children.

In what cases is the setting of mustard plasters contraindicated for children?

It is allowed to put mustard plasters on children only after the entire list of contraindications has been excluded.

It includes:

  1. Age restrictions (the procedure can be carried out for children from one year old).
  2. Bronchial asthma.
  3. An allergic reaction to mustard.
  4. Body temperature is over 37 degrees.
  5. The presence of cracks or scratches in the skin.
  6. The presence of papillomas, moles and other skin formations in the place where the compress was placed.
  7. The presence of eczema, psoriasis, dermatitis and hyperthermia.
  8. Blood in sputum.
  9. Oncological diseases.

If your child has at least one item, the procedure cannot be performed.

Where can and can not put mustard plasters?

Depending on the type of disease, mustard plasters must be applied to different parts of the body:

  1. On the chest from above or on the area of \u200b\u200bthe back between the shoulder blades (when coughing). At the same time, you should avoid getting particles on the area of \u200b\u200bthe mammary glands and heart.
  2. Along the edges of the chest (when coughing during bronchitis or pneumonia).


  1. On the heel area (to relieve cold symptoms).
  2. On the neck (for headaches).
  3. On the stomach, mainly above or near the navel (to relieve pain during intestinal colic).
  4. On the lumbar region (with renal colic).

Remember that mustard compresses should never be put on:

  • area of \u200b\u200bthe heart;
  • mammary gland;
  • spine;
  • damaged skin.

Algorithm for setting mustard plasters for a child

At first glance, it seems that putting mustard plasters is quite simple. In fact, this process takes place in several stages.

Training

Mustard plasters are put in the evening, before bedtime. First you need to inspect the area where you need to apply the compress for the absence of scratches or formations.

If everything is normal, then ask your child if he wants to use the toilet or drink water. Explain that he will have to lie still for a while.

Then prepare everything you need:

  • the mustard plasters themselves (do not forget to check the expiration date);
  • a container to which to pour hot water (approximately 45 degrees);
  • towel;
  • timer;
  • a toy for the baby so that it is not so boring to lie.

Staging

  1. Put the patient in a position convenient for him so that the place of application is on top (if you put it on your back, then lay the baby on your stomach. If on the chest, then the child should lie on your back).
  2. Put a piece of gauze on the back or chest of the crumbs, depending on where you will put the mustard plasters.
  3. Gently separate the mustard bags along a special line and shake a little.
  4. Dip in a container of water for 10 seconds.
  5. Shake and put on the right place.
  6. Cover with a towel and warm blanket.

If the procedure is carried out for the first time, then the mustard plasters should be kept for no more than 5 minutes, followed by an addition of 1-2 minutes.

Also, the duration of the procedure depends on the sensitivity of the sick child's skin. Therefore, every 2 minutes, you should lift the edge of the mustard bag and see if there is any pronounced redness. If not, then leave until the desired time, if there is, then immediately remove and lubricate the skin with baby cream.

The baby's complaints about pain and burning also serve as a reason to remove the mustard plasters immediately. And henceforth, it would be better to refuse such a method of treatment.

Completion

At the end of the time it follows:

  1. Carefully remove the mustard plasters and remove the gauze.
  2. Remove mustard residues from baby skin with a damp cloth or gauze.
  3. Wipe the area to be applied with a dry cloth.
  4. Lubricate with baby cream.
  5. Change the child's clothes and put them to bed.

It is necessary to repeat the procedure every other day, alternating surfaces. For example, the first time they put it on their back. So, the second time - on the chest. Usually 5-7 sessions are required.

And once again, we recall that the decision on treatment by such a method as putting mustard plasters should be made in the office of the attending physician, and not at the family council. Especially if your child is under three years old.

Mustard plasters are allowed to be put no more than once a day, while for a child the frequency of their use should not exceed once every two days. Also, you should not use mustard plasters longer than four to five days. Before putting mustard plasters, they need to be moistened with warm water, the temperature of which does not exceed 40 degrees - otherwise, the mustard plasters will lose their medicinal properties. Then the wet plate must be pressed tightly to the sore spot and covered with a towel, as well as cover the patient himself.

If the patient has too sensitive skin, a piece of porous paper can be placed under the mustard plaster.

It is forbidden to put mustard plasters at a body temperature of more than 37 degrees and keep them on the skin for more than 15 minutes so as not to burn it. A couple of minutes after sticking them, the person begins to feel warmth, and then a burning sensation, accompanied by reddening of the skin caused by a large rush of blood. With a strong burning sensation, the mustard plaster must be immediately removed and the skin is lubricated with panthenol. At the end of the procedure, wipe the treated area with a damp cloth, then dry and moisturize with a cream.

Application features

Pharmacy mustard plasters are a piece of thick paper with a thin layer of mustard flour. Mustard plasters bought in a store are able to retain their properties throughout the year, but for this they need to be properly stored - wrapped in paper and put in a cool dry place. When using self-prepared mustard plasters for children, the following rules must be observed: mix wheat flour with dry mustard in a 1: 3 ratio and place the mixture on a double gauze layer.

The standard time for applying mustard plasters is no more than 15 minutes, but if the child is restless, it should be reduced.

After removing the mustard plaster, the remnants of the mustard compress must be removed with a damp cotton swab and lubricated with ordinary baby cream. For lung problems in children and elderly patients, it is forbidden to put mustard plasters next to the heart area. Also, the use of mustard plasters during pregnancy is not recommended, since they can adversely affect the woman's condition and the development of the child. If necessary, their use must first consult a gynecologist leading a pregnancy.