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TcmInt2 jaundice

QuestionAnswer
Types of jaundice Yang jaundice. Acute Yin jaundice: if jaundice persists and becomes chronic, the patient is weakened and the pattern will change to one of deficiency or mixed excess and deficient
Yang jaundice can be caused by what patterns Damp Heat, Liver and Gall Bladder stagnant Heat, Toxic Heat.
Yin jaundice can be caused by what patterns , Cold Damp, Spleen qi and Blood deficiency, Blood stagnation
Jaundice. Key diagnostic points. The color of jaundice form damp heat or Toxic heat Bright, fresh clear yellow or yellow orange
Jaundice key diagnostic points: The color of jaundice from cold damp, spleen deficiency, qi and blood stagnation Dull, darkish yellow or matt yellow
Biomedical mechanism of jaundice: Results from the destruction of red blood cells & consequent liberation of hemoglobin into the plasma. The catabolic pathways for degradation of hemoglobin are overloaded & unconjugated bilirubin accumulates in the blood Hemolytic
Biomedical mechanism of jaundice: Results from failure of bilirubin transport into the bile due to liver cell damage. When liver cells are damaged, by viral insult, drugs or alcohol, transport of bilirubin across cell membranes may be impaired, or the res Hepatic
Biomedical mechanism of jaundice: Due to obstruction to the passage of bile between the liver hepatocytes & the duodenum. Cholestasis leads to dark urine & pale stools, as bile does not reach the intestine. Cholestatic, post hepatic
jaundice that is a bright or orangey yellow, apparent in the sclera, mucous membranes or skin • fever, or alternating fever and chills • thirst (with desire to drink cold fluids) • irritability and malaise • an uncomfortable burning sensati Damp heat (heat greater than dampness)
Treatment principle for damp heat (heat > dampness) Clear heat, eliminate dampness (through the urine and stools)
Acu Rx for jaundice due to damp heat (heat > dampness) Du 9, si 4, sl 19, gb 34, sp 9, liv 3. Severe fever, add du 14 and li 11. With nausea add pc 6. With hypochondriac pain add liv 14, sj 6, and liv 13
jaundice • usually there is no fever, or only mild fever • the head is heavy and full ('like being wrapped in a wet cloth') • a sensation of obstruction, fullness or discomfort in the chest and epigastrium • loss of appetite • nausea and v Damp heat (dampness > heat)
Treatment principle for jaundice due to damp heat (dampness > heat( Eliminated dampness and turbidity. Promote urination, clear heat, clear jaundice
Acu Rx for jaundice due to damp heat (dampness > heat) Du 9, bl 19, gb 34, liv 3, sp 9, ren 12, st 36, bl 39, with nausea add pc 6. With hypochondriac pain, add liv 14, sj 6 and liv 13
mild jaundice or no jaundice • simultaneous fever and chills • distension and heaviness of the head • generalised myalgia • fatigue and lethargy • poor appetite • epigastric fullness and discomfort • concentrated urine • aversion to c DAMP HEAT WITH EXTERIOR SYMPTOMS (EARLY STAGE EXTERNAL DAMP HEAT)
Treatment principle for jaundice due to damp heat with exterior symptoms (early stage external damp heat) Clear heat eliminate dampness. Clear the exterior promote urination
Acu Rx from jaundice due to damp heat with exterior symptoms (early stage external damp heat) Lu 6, li 4, ren 12, st 36, sj 6, if dampness is severe add sp 9. With fever add du 14 li 11 with diarrhoea add st 25 and zhi xie
the jaundice develops relatively quickly and is accompanied by severe, colicky, right sided, hypochondriac pain which may radiate to the right shoulder and upper back; the painful episodes are likely to be recurrent • fever and chills, or alternatin Liver and gall bladder stagnant heat. (Bile duct obstruction with heat)
Treatment for jaundice due to Liver and gall bladder stagnant heat. (Bile duct obstruction with heat) Soothe the liver and drain the gall bladder. Clear heat and relieve fullness
Acu Rx for jaundice due to Liver and gall bladder stagnant heat. (Bile duct obstruction with heat) Bl 19, gb 34, gb 24, liv 14, du 9, si 4, liv 3. Worms in the bile duct, needle LI 20 through to ST 2. With fever add du 14 and LI 11. With alternating fever and chills add sj 5 and gb 41. With nausea add pc 6
rapidly developing jaundice that quickly deepens in colour to orange or gold • high fever • restlessness and irritability • thirst • foul breath • frequent vomiting • abdominal distension and pain that is worse with pressure • constipat Jaundice due to toxic heat
Treatment principle for jaundice due to toxic heat Clear heat and toxins. Cool the blood, support yin
Acu Rx for jaundice due to toxic heat Bl 19, gb 34, du 20, du 26, li 11, liv 3, gb 40, bl 40, with impaired consciousness add shi xuan
jaundice that is dull, matt or darkish yellow, and which may be hard to see in artificial light; it may be noticeable in the palms and palmar creases • fatigue, malaise, lethargy • cold intolerance • poor appetite, nausea • epigastric and abdo Jaundice due to Cold damp
Treatment principle for jaundice due to cold damp Transform dampness and promote urination. Warm the middle jiao and strengthen spleen
Acu Rx for jaundice due to cold damp MOXA du 9, sp 9, bl 20, bl 19, ren 12, st 36, sp 6
The face, eyes and skin are dull, lusterless yellow or sallow. Lethargy and fatigue. Weakness in the extremities poor muscle tone. Palpitations shortness of breath. Loose stools or diarrhoea. Poor appetite. T pale and swollen, with a thin white coat. P Jaundice due to spleen qi and blood deficiency
Treatment principle for jaundice due to spleen qi and blood deficiency Strengthen the spleen, warm the middle jiao. Tonify qi and blood
Acu Rx for jaundice due to spleen qi and blood deficiency Bl 19, du 9, bl 20, ren 12 & st 36, Moxa du 4, ren 6 & ren 4
chronic, darkish or dull yellow jaundice ~ , • dark or purplish spider naevi over the ribs, face and around the inner • fixed, stabbing hypochondriac pain, worse at night and with pressure ,.. ,. • hepatosplenomegaly iJi. ankle and knee-Kid Jaundice due to blood stagnation.
Treatment principle for jaundice due to blood stagnation Invigorate the circulation of blood, eliminate stagnant blood. Alleviate jaundice and soothe the liver
Acu treatment for jaundice due to blood stagnation Bl 20, bl 19, bl 18, gb 24, sp 6, liv 14, sp 10, bl 17, sp 7, LI 4
Created by: Jkellycal