25. Jaundice
Definition
Yellowish discoloration of sclera, skin and urine due to obstruction of bile and abnormal deposition of bile pigments in to body fluid and blood.
Relevant diseases of western medicine
1. hepatitis
2. cirrhosis
3. hemolytic jaundice
4. yellow atrophy
5. cholecystitis
6. cholelithiasis
7. cholangioma
8. leptospirosis
9. pancreatic cancer
Etiology & pathogenesis
1. Exterior pathogenic factors: damp-heat
2. improper deit: damp-heat
3. spleen and stomach yang deficiency: cold-dampness
4. stones or parasites obstructing the bile ducts
5. blood stasis obstructing the bile ducts
Differential diagnosis
1. yang jaundics and yin jaundice
2. jaundice and sallow skin (wei huang)
Classification & treatment
A. yang jaundice
o preponderance of heat
Yin chen hao tang
Yin chen hao---
Zhi zi---
Da huang---
Preponderance of dampness
Yin chen wu ling san
Yin chen hao---
Wu ling san---Gui zhi, Bai zhu, Fu ling, Zhu ling, Ze xie
Gan lu xiao du dan
Hua shi, Yin chen hao, Huang qin, Shi chang pu, Huo xiang---
Chuang bei mu---
Mu tong---
She gan, Lian qiao, Bo he, Bai dou kou---
Heat toxin jaundice
Xi jiao san
Shui niu jiao---
Yin chen hao---
Hang lian Zhi zi, Sheng ma---
B. yin huang
cold-dampness
Yin chen zhu fu tang
Yin chen hao---
Fu zi---
Bai zhu---
Gan cao---
Gan jiang---
Acupuncture treatment
SP 9, ST 36, UB 18, UB 19, DU 9
Yellowish discoloration of sclera, skin and urine due to obstruction of bile and abnormal deposition of bile pigments in to body fluid and blood.
Relevant diseases of western medicine
1. hepatitis
2. cirrhosis
3. hemolytic jaundice
4. yellow atrophy
5. cholecystitis
6. cholelithiasis
7. cholangioma
8. leptospirosis
9. pancreatic cancer
Etiology & pathogenesis
1. Exterior pathogenic factors: damp-heat
2. improper deit: damp-heat
3. spleen and stomach yang deficiency: cold-dampness
4. stones or parasites obstructing the bile ducts
5. blood stasis obstructing the bile ducts
Differential diagnosis
1. yang jaundics and yin jaundice
2. jaundice and sallow skin (wei huang)
Classification & treatment
A. yang jaundice
o preponderance of heat
Yin chen hao tang
Yin chen hao---
Zhi zi---
Da huang---
Preponderance of dampness
Yin chen wu ling san
Yin chen hao---
Wu ling san---Gui zhi, Bai zhu, Fu ling, Zhu ling, Ze xie
Gan lu xiao du dan
Hua shi, Yin chen hao, Huang qin, Shi chang pu, Huo xiang---
Chuang bei mu---
Mu tong---
She gan, Lian qiao, Bo he, Bai dou kou---
Heat toxin jaundice
Xi jiao san
Shui niu jiao---
Yin chen hao---
Hang lian Zhi zi, Sheng ma---
B. yin huang
cold-dampness
Yin chen zhu fu tang
Yin chen hao---
Fu zi---
Bai zhu---
Gan cao---
Gan jiang---
Acupuncture treatment
SP 9, ST 36, UB 18, UB 19, DU 9