Intern Accompanying Angel Dream 7
Infantile icterus 1
"Oh, it's a follow-up patient. Tan Ming, are you feeling better after taking the medicine?”Teacher Huang asked the child's mother. "Thank you, Dr. Huang. I'm fine now. I'm here for a follow-up today.”Tan Ming's mother said. Teacher Huang examined the child. The infant's icterus and abdominal distension had disappeared. He looked very energetic. "Is it normal to drink milk?" Teacher Huang asked the child's mother. "It's normal." "Is your discharge normal?" "That's normal." "Congratulations," said Teacher Huang with a smile."The baby's icterus is completely cured. How about this? In order to stabilize the effect, I'll prescribe two more doses of medicine for the child to consolidate his treatment. He should be fully recovered.”Hence, Teacher Huang prescribed two more prescriptions for the child and asked the child's mother to bring the medicine home.
Teacher Huang introduced them to the two intern girls. When Qin Ming came, his first diagnosis was yellow eyes, yellow body color as bright as orange peel, crying restlessly, vomiting, abdominal distension, no desire to eat milk, constipation, short red urine, purple fingerprints. According to the analysis of the situation, the cause of this kind of disease was mostly transmitted to the fetus by the mother's damp heat, or the baby felt the damp heat and evil poison suffocating the liver and gallbladder during labor and after birth, resulting in bile leakage and jaundiced, so it was also called "fetal yellow" or "fetal jaundiced". The disease belongs to yang yellow, causing abnormal digestive system and abdominal distension. The treatment we usually use is to clear heat and remove dampness, and to remove blood stasis and yellow. Harmonize the stomach and descend the adverse qi, regulate qi and dampness.
The prescription: 6 grams of Yin Chen, 4 grams of Bai Ying, 4 grams of gardenia, 2 grams of corktree bark, 8 grams of Lysimachia, 2 grams of turnip, 3 grams of bitter orange, 3 grams of Magnolia bark, 5 grams of bamboo shavings, and 3 grams of dried orange peel.
"Why do you need these medicines?" asked Xiaoying.”Teacher Huang explained: Yinchen and Baiying in the prescription are the main herbs for clearing away heat and promoting dampness, benefiting the gallbladder and retreating yellow. gardenia, corktree bark and lysimachia are all used as auxiliary medicines for relieving fire due to bitter cold and clearing damp-heat; Tulip is used as an assistant for regulating qi and promoting blood circulation. All the herbs cooperate to play the effect of clearing heat, removing dampness, activating blood stasis and retreating yellow. Because of vomiting, Zhu Ru, dried orange peel and stomach qi can be used to lower the adverse qi; Because of abdominal distension, bitter orange and Magnolia bark are used to regulate qi and dampness.
Usage: 1 dose per day, decocted twice with water, about 300ml of the mixture. The child should take 15ml of the liquid medicine mixed with warm rock sugar water every day, regardless of the number of times. "Doesn't Dr. Huang need to stay in the hospital?" Tan Ming's mother asked. "There's no need to stay in the hospital. Give these two medicines to the child and see how they work.”In this way, the child's mother would carry the child home with the medicine. From today's follow-up, the treatment effect of the two medicines was quite satisfactory.
" Who's next?" Teacher Huang shouted at the people in line. Miss Yulu said,"According to the order of registration, is Xue Wen here?"”" I'm here." The patient's mother carried the patient over. "Oh-it's a follow-up patient-how did it go?”"Thank you, Dr. Huang. I feel much better. Most of the yellowing on my body has subsided."
Six days after birth, Xue Wen's body was yellow, her abdomen was bulging, and her urine was yellow. After examination by the People's Hospital of the city, he was diagnosed with bile duct obstruction. After hospitalization, there was no improvement. The family was very anxious. Later, they heard that Dr. Huang had treated many infants with Chinese medicine, so they automatically discharged themselves and came to Dr. Huang. At the time of first diagnosis, the whole body was yellow, abdominal distension was like a drum, appetite was dull and irritable, yellow and red were less, the tongue was white and greasy, and the lines were purple and light red. Diagnose infants with icterus. Syndrome identification: damp-heat stagnation, qi stagnation and blood stasis.
Treatment principle: clearing heat and removing dampness, relieving gangrene and removing blood stasis. [Recipe: Yellow Retreating Soup]
(composition) Yinchen 15- 30g, gardenia 6 - 9g, coptis root 3g, tulip root 12 - 15g, white cardamom 6g, cyperus root 15 - 30g, perilla stem 3g, lysimachia 30g
Baby's breath 30g, mottled bamboo 30g
(Effect) Clearing heat and removing dampness, promoting gallbladder function and eliminating phlegm.
Infant and toddler icterus.
[Usage] Soak all the herbs for 5- 10 minutes, then simmer them for 10 minutes with slow fire, extract the juice, and administer the medicine according to the age, four times a day, once every four hours.
[Solution] Yinchen is bitter and slightly cold in nature, bitter and dry in spleen and damp in nature. It can dispel damp evil in the middle jiao, reduce bitter diarrhea, and lead damp evil out of the stool. Its cold can clear away heat and clear away stagnated heat in the liver and gallbladder. It is the main medicine for treating liver and spleen damp-heat. The three herbs are used together to clear the heat in the middle of the dampness and to clear the damp-heat in the middle of the jiao. The three herbs can disperse the damp-heat from the lower part and are the main herbs for treating icterus. it can be use with Tulip, white cardamom, cyperus rotundus and perilla root to promote ventilation, and can dissolve dampness and remove blood stasis; Lysimachia, mantis breath and spotted bamboo are used together to remove dampness and eliminate yellowing. If they are used together, the qi will be transformed into dampness, and the dampness will be removed without leaving any place for pathogenic factors to stay, so that the heat will naturally retreat and the yellowing will naturally disappear. This can be called the effective prescription for clearing damp-heat and eliminating yellowing.
This prescription is more suitable for dampness, which is mainly caused by dampness and heat. The symptoms include yellow skin, bright or dark purple color, deep yellow and short urine, abdominal distension, constipation or loose stool, yellow and greasy tongue coating, red texture, red and purple fingerprints, etc. if that disease is infect, the symptoms are yellow, aversion to cold, body heat, lack of appetite, nausea, vomiting, yellow and red, short and short, stool is not solid, the moss is thick, yellow and greasy or slightly white, the pulse is deep and thin, the lines are red and purple, and the spleen is too wet, 9 grams of Cangzhu and 10 grams of Tsaoko are added; For newborns with obstructed icterus due to qi stagnation, obstruction of meridians and collaterals, and obstruction of tunnels, liver-soothing and qi-breaking products were added, including 10 grams of white cardamom, 10 grams of green peel, 10 grams of fragrant rafter, 10 grams of betel nut, 30 grams of fried wheat sprout, and 30 grams of fried millet sprout. For dry stool, add 10- 15 grams of Fatty Big Sea to dredge the internal organs and discharge the evil qi. If there is a lump in the abdomen, add 15- 30 grams of purple red sage, 10 - 15 grams of chicken's gizzard membrane, 15 grams of crispy turtle shell, and 15 grams of pangolin to promote blood circulation, soften hardness, and eliminate fullness. For vomiting, add 6 grams of dried orange peel, 9 grams of ginger juice and bamboo shavings; For those with weak body, yellow and dark complexion, lack of warmth in hands and feet, although evil qi is abundant, but healthy qi is also deficient, add 30 grams of Adenophis and 30 grams of Huangqi. Add 15 grams of chalk, 10 grams of chicken's gizzard membrane, 30 grams of fresh plantain, take three doses, one dose a day.
Follow-up visit: After taking the upper part, the yellow color receded by more than half, the urine increased and became slightly yellow, the irritability reduced, and the abdominal distension subsided. Teacher Huang then added 30 grams of stir-fried two sprouts and 6 grams of turpentine on top. She took three more doses. The hospital rechecked and the child basically returned to normal. Teacher Huang had finished treating a few patients one after another, and her lips were already dry. Miss Yulu poured a cup of water for Teacher Huang.""Please wait for a moment. Let Teacher Huang drink a glass of water before treating everyone.”A moment later, he continued,"Miss Yulu, who do you think is next?"”
Miss Yulu called out to the registration list,""Is Shao Yao's patient here yet?"
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