In daily life, people often have jaundice, such as yellow eyes, yellow urine or yellow complexion. Especially so? How to treat jaundice? Let me tell you!

* * * A kind of jaundice with unconjugated bilirubin as the main component.

1, hemolytic jaundice

* * *1* * Congenital hemolytic jaundice: ① abnormal erythrocyte membrane, such as hereditary spherocytosis; ② Abnormal erythrocyte enzymes, such as G-6-PD and pyruvate kinase deficiency; ③ Abnormal globin chain in hemoglobin, such as thalassemia, marine anemia, etc.

***2*** Acquired hemolytic jaundice: ① Immune hemolysis, such as neonatal hemolysis, hemolysis after blood transfusion due to blood group incompatibility, and autoimmune hemolysis; ② Paroxysmal nocturnal hemoglobinuria; ③ Hemolysis caused by biological factors, such as malaria, snake venom and hemolytic streptococcus infection; ④ Hypersplenism ⑤ Hemolysis caused by drugs and chemical poisons; ⑥ Mechanical hemolysis, such as traumatic cardiogenic hemolysis; ⑦ Hemolysis caused by physical factors, such as extensive burns and radiation.

2. Congenital non-hemolytic jaundice, such as Gilbert syndrome, GriglerNajjar syndrome and Lucey-Driscoll syndrome.

3. Hypercholesterolemia after hepatitis

* * * Di * * Jaundice is mainly due to the increase of bound bilirubin.

Hyperconjugated bilirubin jaundice mainly includes hepatocellular jaundice, cholestatic jaundice and some congenital nonhemolytic jaundice.

1。 hepatocellular jaundice

*** 1*** infection: such as hepatitis virus infection and other viral infections involving the liver, bacterial infections, schistosomiasis, amoebic hepatitis and abscess, leptospirosis, etc.

***2*** Alcoholic liver disease.

* * * 3 * * Drug-induced liver damage.

* * * 4 * * Toxic liver injury.

***5*** Venous obstructive diseases: such as Bucha syndrome and hepatic venular obstructive diseases.

***6*** Autoimmune liver diseases: such as primary biliary cirrhosis and primary sclerosing cholangitis.

***7*** Primary acute fatty liver during pregnancy.

***8*** Cardiogenic jaundice: such as congestive heart failure and constrictive pericarditis.

***9*** Neonatal physiological jaundice and breast milk jaundice.

2。 intrahepatic cholestasis

* * *1* * cholestatic viral hepatitis.

* * * 2 * * Drug-induced liver damage caused by cholestasis.

***3*** Alcoholic liver disease.

***4*** Benign familial recurrent intrahepatic cholestasis.

***5*** Recurrent intrahepatic cholestasis of pregnancy.

***6*** Autoimmune liver diseases: such as primary biliary cirrhosis.

* * * 7 * * Hodgkin's disease, lymphosarcoma.

***8*** Jaundice after benign operation.

3. Mechanical obstruction of intrahepatic bile duct

* * *1* * hepatolithiasis.

***2*** Bile duct inflammation: acute suppurative cholangitis and sclerosing cholangitis of the liver.

***3*** Tumors: primary or secondary tumors of hilum, cholangiocarcinoma and metastatic liver cancer.

***4*** Congenital intrahepatic bile duct atresia, congenital segmental bile duct dilatation-

***5*** Others: Clonorchisis sinensis, etc.

4。 Mechanical obstruction of extrahepatic bile duct

*** 1*** Extrahepatic bile duct stones.

***2*** Tumors: primary cholangiocarcinoma, periampullary carcinoma and pancreatic head carcinoma.

***3*** Inflammation: acute cholangitis, acute suppurative cholangitis and sclerosing cholangitis.

***4*** Congenital malformation: congenital biliary atresia, congenital cystic dilatation of common bile duct.

* * * 5 * * bile duct stenosis; Bile duct stricture after operation and trauma.

***6*** Parasites: Clonorchis sinensis and biliary ascariasis.

5。 Congenital non-hemolytic jaundice

* * * l * * * rotor syndrome.

* * * 2 * * * Dobbin-Johnson syndrome.

TCM Syndrome Differentiation Treatment of Jaundice

Yang Huang

1, heat is heavier than water.

Clearing away dampness and heat and eliminating jaundice

Yinchenhao decoction

2. The weight of wet specific heat

Treat dampness and turbidity, and help clear heat.

Chen Yin Wu Ling Tang and Lian Pu Tang are modified.

3, urgent yellow

Treatment: clearing away heat and toxic materials, cooling blood and inducing resuscitation.

Jiawei Qianjin rhinoceros horn powder

Silver yellow

1, spleen trapped by cold and dampness

Warming Yang and Strengthening Spleen, Eliminating Dampness and Eliminating Yellowness

Yinchenhao decoction

2. Damp resistance due to spleen deficiency

Treating spleen blood, promoting diuresis and eliminating jaundice

Huangqi Jianzhong decoction

Introduction of ten types

1. Yinhuang: yellow is not obvious, the lower body is yellow, and the upper body is not yellow; Peeing is uncomfortable at night, but beneficial during the day. The etiology is slightly damp, so Huang Qu Powder 6- 15g plus Poria, Alisma orientalis, Coicis Semen or Wuling Powder should be treated. Take a few doses and return it immediately.

2. Huang Yang: Huang Rujin, with yellow upper body and yellow lower body; Dysuria during the day, or pain or no pain, normal at night; The cause is slightly damp, so it is advisable to use "Huang Qu Powder" 15- 18g with Cimicifuga, orange stem, Poria, pollen, Scutellaria baicalensis, etc. , a few doses can be cured.

3. Hot yellow: thirsty, uncomfortable after drinking too much, and yellow all over; The eyes are yellow and white, the urine is urgent and painful, and the urine color is like yellow juice. The reason is that heat causes bladder. Huang Qu Powder 15g plus Radix Gentianae, Fructus Gardeniae, Radix Paeoniae Alba, Poria, Alismatis Rhizoma, etc. In addition to clearing away heat and retreating to Huang Zhi.

4. Cold and yellow: afraid of cold, abdominal pain, timely relief; Jaundice, white eyes and long urine, especially at night. The reason is cold bladder. Huang Qu Powder (3-6g) should be used for treatment, and Atractylodis Rhizoma, Poria, Yam, Euryale Semen, Coicis Semen and Radix Aconiti Lateralis Preparata should be added. And warm the door, with 10- 15 dose to restore.

5. Wet yellow: the whole body is yellow and the eyes are yellow; Body edema, like mud; The cause is water-dampness disease. Huang Qu Powder 12- 15g should be used for the treatment, together with Cimicifuga, Petunia, Plantago Plantaginis and Alisma orientalis. And it will be fine after slowly conditioning.

6. Yellowing: The cause of yellowing of the chest is extremely dry lung gold, which occurs in the chest. Huang Qu Powder (3g) should be added with Ophiopogon japonicus, Fructus Gardeniae, Radix Paeoniae Alba, Pericarpium Citri Tangerinae, Radix Asparagi, Radix Scrophulariae, pollen and white mustard seed. Recover after a few doses.

7. Blood yellow: upper body and lower body, yellow eyes, fever, boredom and abdominal pain. The cause is blood stasis. Huang Qu Powder (3-6g) should be used for treatment, and Cortex Moutan, Radix Achyranthis Bidentatae, Radix Angelicae Sinensis, Fructus Gardeniae, Rhizoma Chuanxiong and Radix et Rhizoma Rhei should be added for a long time to recover.

8. Yellow gas: yellow head and face, no fever, mild activity fatigue, short and red urine and dry stool. The reason is that qi deficiency cannot be transported. Huang Qu Powder 12g should be used for treatment, such as Ginseng Radix, Atractylodis Rhizoma, Poria, Plantaginis Semen, etc. And the more vigorous the true qi, the better.

9. Neonatal jaundice: Jaundice can appear in 2-3 days after birth, reaching a peak in about 10 day. The cause is that the fetus feels the damp heat of the pregnant mother. Huang Qu Powder 10g plus 7 doses of Gardenia, Radix Curcumae, Atractylodis Rhizoma and Endothelium Corneum Gigeriae Galli were used for treatment, and most of them were cured.

10. Yellowing of hands and feet: the body is not yellowed, and the hands and feet are yellowed. The cause is damp-heat and blood stasis, and middle energizer. Huang Qu Powder 15g plus Atractylodis Rhizoma, Poria, Pericarpium Citri Tangerinae, Glycyrrhrizae Radix, etc. , can be cured slowly.

Other therapies for jaundice

1. Off-site treatment

*** 1*** Guadi 10g, nose grinding at the end, several times a day, yellow water self-healing.

***2*** 1 handfuls of wormwood and 1 slices of ginger, mashed and rubbed on the chest and limbs.

2. Acupuncture therapy

Acupoints: Zhangmen, Taichong, Pishu, Ganshu, Laogong and Jizhong. If you lie down easily and your limbs are tired, you can moxibustion Li San.