Children's Jaundice4
Teacher Huang explained,"In the medical world, icterus is called icterus hepatectomy." It was also known as acute liver disease or liver disease.
"What do you mean by 'Yang Yellow'?”The two girls were puzzled. " Hahaha," Ms. Huang said with a smile," Traditional Chinese medicine has divided icterus into two categories: yang icterus and yin icterus.”"Hehehe-I see." Miss Yulu was enlightened. "How?" The two intern girls asked. Mr. Huang continued,"When a child is diagnosed with icterus, the color that is as bright as an orange is yang yellow, and the color that is smoked is yin yellow." Judging from his complexion and skin, this was also the case. " This is the difficulty for doctors to prescribe the right medicine for the patient." The two interns felt a headache coming on. Teacher Huang continued to explain,
Yang Huang was the name of the disease. Icterus belongs to damp-heat disease. See "Febrile Disease Wei Zhi Lun." "Jing Yue Quan Shu Za Zheng Mo":"Yang Huang syndrome due to dampness more into heat, heat will produce yellow, this is the so-called damp-heat syndrome.”Because of the accumulation of damp-heat in the liver and gallbladder, the hot fluid of the gallbladder is discharged, seeps out of the skin, flows down the bladder, and causes the whole body, face and urine to turn yellow. The symptoms are fever and polythirst, yellow eyes as bright as orange, dark urine as strong tea, accompanied by loss of appetite or nausea and vomiting, poor stool, abdominal distension and hypochondriac pain, red tongue, yellow and greasy moss, stringy and rapid pulse, etc. The treatment method is to clear away damp and heat. For heat and dampness, use YinChenHao Tang, ZhiziBaipi Tang, Dachaihu Tang, etc.; For the treatment of dampness and heat, Yin Chen Wu Ling San can be used.
"What is the main basis for the diagnosis?”The two interns asked.
Dr. Huang replied," Jaclutched is a type of disease that is mainly manifested by yellow eyes, yellow body, and yellow and red urine. Clinically, yellow eyes are the main basis for diagnosis."
"Teacher, please explain the cause of the illness.”
Teacher Huang analyzed,
The main reasons for the occurrence of icterus are: excessive destruction of red blood cells, poor liver cell function, Bilirubin secretion disorder, and congenital defects of Bilirubin metabolism. The occurrence of icterus was mainly caused by dampness evil, such as improper diet, excessive drinking, or external dampness and heat evil, which led to the damage of spleen and stomach function. If the spleen loses its healthy transportation and damp evil is blocked in the middle jiao, the spleen and stomach will rise and fall abnormally. If the spleen qi does not rise, the liver qi will stagnate and cannot be discharged. If the stomach qi does not descend, the transmission and secretion of bile will be abnormal. Dampness and evil qi stagnate, causing bile to permeate into the blood or overflow into the skin, resulting in yellow gangrene. Yang yellow, yang exuberant heat heavy, usually stomach fire partial exuberant, dampness from heat transformation and lead to damp heat disease, steaming liver and gallbladder. Its clinical features are: bright yellow like orange; The disease is more acute, the course of disease is short, and it is often accompanied by body heat. Thirst leads to drinking, big constipation, small hiccup red astringent adverse; The tongue is yellow and greasy, the tongue is red, and the pulse is stringy and rapid, stringy and slippery, or soft and slow. Its pathological nature is yang heat excess syndrome, and its pathomechanism is divided into dampness more than heat, or heat more than dampness, and both dampness and heat. In the position of the disease, there are dampness partial to the middle and upper jiao, damp-heat partial to the middle and lower jiao, and damp-heat diffused into the triple jiao.
Miss Xiaoying said,"Aiyo, Chinese medicine is too complicated.""Teacher Huang, please tell me more about the views of Chinese and Western medicine on icterus."”Miss Yulu suggested.
Teacher Huang introduced the name of the disease. It is a disease caused by blood stasis and heat, which causes the body and face to turn yellow. "Tai Ping Sheng Hui Fang Huang Bing Lun":"Yellow disease, the whole body pain fever, face hole yellow, seven or eight days later strong fever, mouth blood, when the pulse, like pig liver shape, the person's lower abdomen full and urgent. If the patient's eyes are astringent and painful, the nose bone is painful, the arms and neck are strong, and the back is tense, it is yellow. Yellow disease often has astringent stool, as long as the urine is fast, there is no fear of death. Don't make stool more astringent, astringent is heart distension uneasy.”
Western medicine for icteroscopic liver, acute and chronic liver, etc
Chinese medicine views on icterus a. Chinese medicine-- Yu Changrong, a famous doctor of the current era, once said that the color of orange was not completely yellow. B. Western medicine-
1. Prehepatic Jadestasis (also known as hemolytic Jadestasis and Metabolic Jadestasis) is mostly caused by hemolysis. The non-bound Bilirubin in the blood is mainly elevated, and the bound Bilirubin accounts for less than 20% of the total Bilirubin.
2. Most of the patients with hepatic icterus (also known as hepatic cell damage icterus) were infected with viral infections and certain drugs. The uncombined and combined Bilirubin in the blood were elevated, and the combined Bilirubin accounted for 20% to 40% of the total Bilirubin.
3. Posthepatic Jadestar Jadestar (also known as Obstructive Jadestar) is mostly caused by bile duct stones, bile duct stricture, tumors, etc. The blood is mainly elevated by bound Bilirubin, which is the most important indicator to identify the nature of Jadestar. If the combined bile protein accounted for more than 50% of the total bile protein, then it could be considered to be obstructed bile protein. If the combined bile protein accounted for more than 60% of the total bile protein, then it could be diagnosed as obstructed bile protein.
"Then what is the connection between the two? "Please explain, teacher," Miss Yulu requested.
Professor Huang explained that Yang Huang should belong to the type of icterus with increased indirect Bilirubin (including hemolytic and hepatic icterus), while Yin Huang should belong to the type of icterus with increased direct Bilirubin (such as obstructed icterus).
Miss Yulu reminded Miss Xiaoying," Make a distinction between indirect and direct."”
The teacher continued,"Yang Huang" is caused by heat and is related to the spleen, stomach, liver, and gallbladder. If the spleen, stomach, liver, and gallbladder function is abnormal, it can lead to the formation of internal dampness. Heat is the exuberance of yang and evil, and the attack is rapid due to the fight between healthy qi and evil qi. It seems to belong to the acute stage of viral liver disease. Due to the inflammation of the liver cells, the indirect Bilirubin in the blood cannot be taken in and processed to become direct Bilirubin. In addition, the lysomes in the liver cells release beta-glyuronidation, so that the bound Bilirubin can be partially decomposed into indirect Bilirubin and returned to the blood, causing the indirect Bilirubin in the blood to increase. If it exceeds 2.0mg%, the retina and skin will be yellow. Because indirect Bilirubin was difficult to pass through the wall of the capillaries, the skin color was bright yellow like orange through the skin tissue. It seemed to belong to the "Yang Huang" category in traditional Chinese medicine.
"Yin Huang" is the transformation of dampness from cold. The so-called "cold" is caused by the excessive decline of the body's functional metabolism, causing dampness to be abundant and yang to be weak. Cold dampness stagnates the spleen and stomach, yang qi is weak, and bile fluid does not follow the normal path and overflows. The disease was slow and the course of the disease was long. It seemed to be an obstruction. Because the direct Bilirubin processed by the liver could not be discharged into the intestinal cavity through the bile duct and returned to the blood, at this time, the direct Bilirubin in the blood was mainly increased. Direct Bilirubin easily penetrated the wall of the capillaries, and the initial tissue yellowing was deeper, which was called "Yang Huang". As the course of the disease prolonged, the direct Bilirubin in the blood continued to increase, and the icterus deepened. The Bilirubin in the tissues could be oxided into biliverdin, and the skin color would be dark and dull, which belonged to the "Yin Huang" in Chinese medicine.
Miss Yulu concluded,"Yang is heat, and Yin is dampness."”
This book comes from：m.funovel.com。