Children with icterus 2
" Coming!" Shao Yao's mother carried her son to the front. "Hello, Dr. Huang. Thank you. Shao Yao's icterus has been cured. I'm here for a follow-up today." "Oh, are you here for a follow-up visit too?”"Yes." "Okay, let me take a look at my little sweetheart." Teacher Huang looked at the patient seriously."Haha, I didn't expect this. The icterus on my body has completely subsided, and my abdominal distension has disappeared. Is it normal for the child to drink milk?" " Normal?"" Is it normal to urinate and defecate?"”"That's normal." Doctors had the heart of a parent. Seeing that the child was in high spirits, Teacher Huang smiled happily and said,"Hehe, this little sweetheart has been ruined. She has taken thirteen doses of medicine in a row. What kind of concept is this for a baby? How sinful!" "This patient's battle line has been dragged on for a long time," Teacher Huang said to the two intern girls.
This child was Shao Yao male, 3 months old. Two months ago, the child's body and eyes were yellow, and it gradually deepened. He was once hospitalized in the provincial hospital's pediatrics department, and was diagnosed with 'incomplete obstructed jaundice', and' chronic hepatic'. After two months of treatment, it was ineffective, so he came here to see a doctor. The symptoms of the child were moderate yellow staining of the whole body and face, abdominal distension, loose stools like white clay, short and red urine like strong tea, dry mouth, anorexia, dark red tongue with yellow moss, and purple fingerprints. The main cause of syndrome identification is the accumulation of dampness and heat in the spleen and stomach, the blockage of blood stasis and heat, and the forced overflow of bile, resulting in yellowness-- " Aiyo, it's Yang Huang again-" The two intern girls were puzzled. After careful analysis, Teacher Huang used the Yang Huang Clearing Soup.
(composition) 10 grams of oriental wormwood, 6 grams of white dandelion, 6 grams of raw gardenia, 3 grams of corktree bark
Sichuan Lysimachia Herb 15g, Sichuan Tulip Herb 3g
[Effect] Clearing heat and removing dampness, removing blood stasis and removing yellow.
[Host] Neonatal icterus. It was commonly seen in newborns with infection accompanied by fever and icterus, newborns with viral syndrome, and some newborns with obstructed icterus. The main clinical symptoms are yang yellow.
[Usage: 1 dose of decoction twice a day, mixed together, divided into 2-3 times to take warm.]
Newborn Yang Huang: " The symptoms are yellow eyes, yellow body color as bright as orange peel, crying and restlessness, vomiting, abdominal distension, not wanting to eat milk, dry mouth and thirst, or stool stagnation, short and red urine, or fever, red tongue, yellow and greasy fur, and purple fingerprints.”The cause of this disease is mostly transmitted from the mother to the fetus by damp-heat, or when the baby is born, it feels damp-heat evil poison, suffocating the liver and gallbladder, resulting in bile leakage and jaundiced, so it is also called "fetal yellow" or "fetal gangrene". in that prescription, Yin Chen and Bai Ying are the main herb for clearing heat, promote dispiritedness, promoting gallbladder-promoting and removing icterus; The raw gardenia, corktree bark and lysimachia are bitter and cold to discharge fire, clear and relieve damp-heat, all of which are auxiliary herbs; 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, removing blood stasis and retreating yellow.
As long as the newborn has the symptoms of yang yellow due to excessive dampness and heat, this prescription can be used with addition and reduction, and every time it obtains good effect. if that body is feverish, bustard root and scutellaria root can be added to eliminate pathogenic heat; Vomiting, add fresh bamboo shavings, dried orange peel and stomach qi to descend the inverse; Constipated knot, add raw big yellow to dredge fu-organs to discharge heat, draw firewood from the bottom of the pot; Urination is not smooth, add chalk, plantain to dredge water, dredge stranguria; If abdominal distension is serious, add bitter orange and Magnolia bark; For food stagnation, add Shenqu and wheat sprout to digest food and guide food stagnation; High fever, irritability, rash all over the body, red and dark urine, this is damp-heat injury of the camp into the blood, should be combined with rhinoceros horn powder to clear heat and promote dampness, cool the camp detoxification; Accompanied by dizziness, convulsion, then combined with Angong Niuhuang Wan or Zixue Dan Qingre cool camp, extinguish wind and enlighten.
Teacher Huang commented," The newborn's skin, mucus membrane, and retina are obviously yellowish. The clinical manifestations vary according to the cause of the disease." Neonates with hemolytic icterus often had icterus that gradually deepened within a few hours or 1 - 2 days after birth. Pale complexion, edema, hepatosplenomegaly, even drowsiness, convulsions, limb stiffness. Bile duct obstruction: A few days after birth, the patient will slowly develop icterus, which will persist or deepen. The stool will be grayish-white, the urine will be dark yellow, and the liver and spleen will be enlarged. Neonates with viral infections: The severity of icterus gradually increases, but it does not subside for a long time. The urine is dark yellow, and the stool is gray. The mother has a history of viral infections, or the baby has a history of viral infections. Sepsis: Some children have icterus, accompanied by fever, mental exhaustion, bleeding spots on the skin or suppuration. The above evidence needs to be identified in detail. The indication of this prescription is mainly manifested by yang yellowness. The treatment should be to clear away heat, remove dampness, remove blood stasis and retreat yellow, so use the front treatment. After taking 13 doses of the medicine, the icterus subsided completely, the stool and stool were normal, the appetite improved, the spirit was refreshed, and the tongue was clean and recovered. This case belongs to the type of obstruction of jaundices. The disease has been present for many days, resulting in stagnated heat and blood stasis. Therefore, the treatment of clearing away damp-heat and promoting blood circulation to remove blood stasis should be taken simultaneously. The medicine and syndrome are in harmony, so all the symptoms can be solved easily. In addition, this prescription can also be used to treat newborns with simple damp-heat icterus, and viral icterus.
The following follow-up patient was a typical case of Chinese medicine treatment for icteroviral infections. Teacher Huang's introduction:
The patient, Kang Xin, was 12 years old this year. Half a month ago, she developed fear of cold, fever, nausea, loss of appetite, and pain in her right hypochondrium. She had been treated for a cold in a hospital. After taking the medicine, the fear of cold and fever subsided slightly. The other symptoms did not change, but recently, she found that her skin and retina were yellow in urine, and her stool was dry once every two days.
Physical examination: Body temperature 37.2 degrees Celsius, blood pressure: 16.5/10.4kPa, yellow skin and scera, soft abdomen, yellow and greasy tongue coating. Liver function test: Alaine Transtox 200U, Jadestus index 33U, urine triple-bile positive. He was diagnosed with yellow gangrene type of liver disease.
Traditional Chinese medicine syndrome identification: damp-heat obstruction, middle-jiao ascending and descending disorder, affecting the discharge of liver and gallbladder, so that bile does not follow the usual path, seeps into the blood, overflows the skin and occurs. Treatment should be clear heat, promote dispiritedness, soothe the liver and benefit the gallbladder.
So he prescribed herbs: Yin Chen, Plantago Seed (pan-fried), Huangbai, raw Rheum, charred gardenia, turnip, bitter orange. Drink it in water, 1 dose per day.
When the patient first took three doses, the frequency of defecation increased, three to four times a day. When he took four doses, the defecation was twice a day. The pain under the right hypochondrium had been reduced, and he felt hungry. The original prescription of raw Rhubarb was changed to prepared Rhubarb. After taking another 7 doses, the patient's spirit improved, his appetite increased, and the yellowness of his skin and scera significantly subsided. His liver function was reexamined and improved. The original prescription of Yinchen and Plantago Seed (pan-fried) was changed to 30g. The scorched gardenia was removed, and Bupletum, flatwood, scorched mountain plant, white peony root, raw coix seed, and fingered citron were added. He was given 7 doses of nourishing the spleen and removing dampness, soothing the liver and regulating qi. After reexamination, his liver function was normal and he was cured. On this day, the patient's family members and the patient had a double mission: Send the banner and recheck.
Teacher Huang took the banner from her smiling mother. The banner wrote: Huang Shi reappeared Hua Tuo's prescription, treating children with high medical ethics.
The two intern girls concluded,"Recalling the family members of the above patients who spent thousands of yuan on hospitalization fees, they could not cure the patient's illness." And Chinese medicine only cost a few yuan to show results! This once again showed us the eternal value of traditional medical culture.
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