2 English reference favi *** [Chinese medicine terminology validation committee. Terminology of traditional Chinese medicine (20 10)]
3 Overview Faba bean yellow (favi *** [1]) refers to acute hemolysis caused by eating fresh broad beans, yellow eyes, urine like strong black tea or even soy sauce, general fatigue, chills, fever, dizziness, headache, anorexia, nausea and vomiting, abdominal pain, and even pallor, palpitation, irritability, lethargy, oliguria and thready pulse.
4 About jaundice jaundice (jaundice [1][3]) is the name of the disease [4]. It refers to diseases with yellow face, yellow body and yellow urine as the main manifestations [1][3]. In ancient times, it was also called Huangpi [5][4].
"Huang Di Nei Jing Su Jing Wen Pingren Meteorology Theory": "Those who drown in the yellow pool, lie down, are also jaundice." "Yellow eyes are called jaundice."
"Huangdi Neijing Lingshu Theory Disease Diagnosis Ruler": "Body pain is yellow, teeth are yellow, fingernails are yellow, and jaundice."
Jaundice can be seen in hepatocyte injury and necrosis, biliary obstruction, cholestasis and hemolytic jaundice caused by various reasons [4].
4. 1 Etiology and Pathogenesis of Jaundice Treatise on Febrile Diseases and Synopsis of the Golden Chamber think that the pathogenesis of Jaundice is mostly blood stasis and heat with dampness, which cannot be discharged; It is also caused by cold and dampness in the house [4].
It is mainly caused by spleen dampness, stomach heat, liver and gallbladder fumigation, and bile overflowing into the skin without normal channels [5].
Jaundice is mainly caused by dampness, the viscera are in the spleen and stomach, and the liver and gallbladder are mostly involved from the spleen and stomach.
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Spleen governs the transport of pathogenic dampness, such as improper diet, excessive drinking, spleen and stomach damage, physical dereliction of duty, or overwork, qi stagnation and dampness stagnation, dampness blocking the middle energizer, liver and gallbladder qi disorder, bile invading the blood and overflowing the skin, thus yellowing.
4. 1.2 Pathogenesis: Yang is abundant and heat is heavy, dampness turns from heat, dampness stagnates and heat steams, antidiarrheal function is blocked, and bile fluid overflows. Sand, stones and insects block the biliary tract and bile overflows and turns yellow.
Acute jaundice: heat toxin is flourishing, and evil enters the blood and sinks into the pericardium.
Yin-yellow: yin is strong and cold is heavy, and dampness turns from cold to excess, or spleen-yang deficiency, or yang is yellow for a long time, and bile is inhibited from overflowing to the skin by dampness.
4.2 The main symptoms of jaundice are yellow eyes, yellow skin and yellow urine [5][4].
The main symptoms of jaundice are yellow eyes, yellow body and yellow urine, especially yellow eyes. The incidence of jaundice is exogenous internal injury, and the diseased viscera are mostly in the liver, gallbladder, spleen and stomach, which can be divided into two types: yang yellow and yin yellow.
Bile jaundice, obstructive jaundice and hemolytic jaundice all belong to the category of jaundice.
Acupuncture is effective in treating acute icteric hepatitis. Jaundice caused by other reasons can be treated with acupuncture.
The disinfection and isolation system should be strictly implemented in the acute stage.
4.3 Syndrome Differentiation of Jaundice The disease can be divided into yin and yang, and the viscera is in the fu organs [4]. Clinical Guide to Jaundice in Medical Records: "Jaundice, yellow eyes and yellow body drowned Huang Zhi, also known as damp cause, yin and yang, and unclean viscera. Huang Yangzhi's works, wet from cremation, blood stasis and heat in the room, gallbladder heat and body fluid discharge ... Fumigating depression, invading the lung will make the body and eyes yellow, bladder fever, drowning color turn red, yellow as orange, yang dominating the light, and be cured in the stomach. The function of yin and yellow, wet from cold water, the spleen does not turn into heat, bile is blocked by dampness, stained on the spleen, soaked in the muscle, overflowing on the skin, the color is like smoked yellow, and yin governs stagnation and is treated in the spleen. " Jaundice is generally divided into two categories: yang syndrome and yin syndrome, which are called yang yellow and yin yellow respectively [5][4]. There are five types of jaundice in past dynasties, 36 types and 28 types [4].
Because of the damp heat, it is yang yellow [5]. Bright yellow, often accompanied by fever, thirst, nausea, abdominal distension and other symptoms, how short the course is, mostly caused by exogenous factors [5]. From wet to cold or from yang to yellow, it is yin to yellow [5]. Yellow and dull, often accompanied by physical weakness, anorexia and chills, and the long course of disease is mostly caused by internal injuries [5].
Jaundice syndrome differentiation takes yin and yang as the key link, yang and yellow are mainly damp and hot, and yin and yellow are mainly cold and wet.
Yang yellow: red eyes, bright yellow color, fever and thirst, depressed heart, abdominal distension, nausea and vomiting, short and red stool, yellow and greasy fur, and rapid pulse. If toxic heat invades, it will lead to symptoms such as high fever, polydipsia, abdominal distension and pain, delirium or skin spots, bloody stool, red tongue and slippery pulse.
Yin-yellow type: yellow and dark body color, mental fatigue, abdominal distension, chills and cold limbs, light and greasy tongue, slow or late pulse; If hypochondriac symptoms include accumulation of swelling and pain, abdominal distension and emaciation, dark tongue with ecchymosis, and thin and astringent pulse, most of them are blood stasis or malignant transformation.
4.4 Treatment of jaundice In modern medicine, acute and chronic hepatitis, cholecystitis, gallstones, pancreatitis, cirrhosis and other diseases accompanied by jaundice can be treated with reference to this article [5].
4.4. 1 Acupuncture takes Yinlingquan, Ganshu, Danshu, Zhiyang, Zusanli and Zhongfeng as the main points [5]. Huangyang plus Yanglingquan, Taichong and Jianli; Abdominal distension and nausea plus Neiguan and Tonggu; The hot air is very hot, and there are winding pools and inner courtyards [5]. Huangyin plus moxibustion on Pishu, Shenshu, Qihai and Zhongyu; God's fatigue and fear of cold plus moxibustion at Mingmen and Dazhui; Loose stool Jia Shutian and Shenque [5].
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Prescription: Danshu, Yinlingquan, Taichong and Neiting
Recipe 1: gallbladder relaxes the liver, clearing heat and eliminating dampness; Yinlingquan is the point of spleen economic cooperation, and cooperates with stomach meridian to conduct Neiting point to purge the evil of damp-heat in spleen and stomach; Taichong point is the original point of the liver meridian, soothing the liver and benefiting the gallbladder. Dampness and heat are eliminated, liver and gallbladder are relieved, bile follows the normal route, and jaundice is eliminated.
Matching points with syndromes: nausea and vomiting-Neiguan, abdominal distension and constipation-Shu Tian.
Operation: filiform needling method, 1 time per day, 20 ~ 30 min each time,1time as a course of treatment.
4.4. 1.2 treatment principle of yin and yellow: warming cold and dampness, strengthening spleen and benefiting gallbladder.
Prescription: Danshu, Pishu, Yinlingquan and Sanyinjiao.
Recipe 1: Clear the gallbladder and intestines, warm the spleen and transport the spleen and stomach to benefit cold and dampness; Yinlingquan and Sanyinjiao strengthen the spleen and promote diuresis, thus promoting transport and transformation, promoting downward movement of dampness, and playing the role of strengthening the spleen and promoting diuresis, benefiting gallbladder and promoting jaundice.
Acupoint selection is based on syndromes: fatigue and fear of cold-Mingmen, Qihai, loose stool-Shu Tian.
Operation: millimeter needle, plain needle, cathartic needle or warm needle, 1 time every day, 30 minutes each time,1time is a course of treatment.
4.4.2 Acupoint injection: Take Ganshu, Pishu, Zhongdu and other acupoints, and choose three kinds of injections of vitamin B 1, vitamin B 12,1~ such as Radix Isatidis, Herba Hyperici Japonici, and Radix Glycyrrhizae, and inject 1ml every acupoint every day or every other day.
Acupoints: Danshu, Ganshu, Qimen and Yanglingquan.
Methods: Radix Isatidis injection, Radix Hyperici Japonici injection, Radix Salviae Miltiorrhizae injection or vitamin 1 and vitamin B 12 injection, 0.5 ~ 1 ml each time, l times a day, 10 times as a course of treatment.
4.4.3 Ear acupuncture: mainly select points such as gallbladder, liver, spleen, stomach, lower limbs and triple energizer [5]. Medium *** [5].
Acupoints: liver, gallbladder, spleen and stomach.
Methods: Millimeter wave acupuncture, 65438 0 times a day, 30min； each time; It can also be buried according to the needle, or it can be replaced every 3 ~ 5 days 1 time.
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