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Z: Y3S1 - Internal IV > A: Hepatitis > Flashcards

A: Hepatitis Flashcards

0
Q

Incubation Period for Hep A?

A

15 - 50 Days

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1
Q

What is Hepatitis?

A

Inflammation/ Enlargement of the liver

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2
Q

Incubation for Hep B?

A

45 - 80 days

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3
Q

Incubation period for Hep C?

A

14 - 182 days

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4
Q

How long can Hep survive outside the body, even if there’s O2 exposure?

A

several days

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5
Q

Which Hep is the “silent Dz”?

A

Hep B

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6
Q

When did the Red Cross start to screen blood products for Hep?

A

March, 1990

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7
Q

How many Canadians have Hep C?

A

90-300K

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8
Q

How is the usual Hep C transmission?

A

Blood-to-blood

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9
Q

Sx of Hepatitis?

A

Fever, tired, jaundice, abdominal cramp, loss of appetite, dark urine, nausea, hypochondreac pain

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10
Q

DDx for Hep C?

A

CFS

FM

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11
Q

Which type of Hep is most common in Canada

A

Hep C

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12
Q

Which type of Hep is the worst scenario?

A

Hep C

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13
Q

Standard Tx for Hep C in Western

A

Interferon drug, with massive side fx, uncertain results

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14
Q

Serious side fx from Hep C

A 
Cirhosis of liver,
Liver failure (sudden, no warning)
Liver cancer (80% of Chinese liver cancer patients had Hep B)
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15
Q

Patterns for Hep

A, B, C, D, E all included:

A 
Damp Heat in L-J (Most common)
Cold-Damp (Yin Jaundice)(Smoky Yellow)
Liver Qi Stagnation
Liver Yin Xu (esp in chronic cases)
Liver Overacting Spleen (Liver-Sp disharmony) (loose stools)
16
Q

Accute types of Hep

A

D-h

Liv Qi Stag

17
Q

Acute Types of Hep

POT

A

Sooth liver, regulate qi, clear damp-heat

Choose Liver, Sp, St, Du, using reducing method

18
Q

Chronic Types of Hep:

A

Lingering damp heat, Zheng Qi damaged, Qi Stagnation, Blood Stasis:
C-D
Liver Yin Xu
Liver Overacting Sp

19
Q

Chronic Hep POT

A

Clear Damp Heat, Regulate Qi, Remove blood stasis, strengthen spleen, tonify Kidney.

Ren, Back Shu/ Front Mu points, Nourish yin or blood (we never nourish yang, even kidney yang. Can tonify yang, but not nourish it, same with Qi - tonify, don’t nourish)

20
Q

Chronic Hep Pts:

A

4 Gates - Move Qi and Blood

Sj 5, GB 34, St 36, Liv 4, Sp 9

21
Q

Jaundice Pt

A

UB 48

22
Q

Tx length for Chronic Hep?

A

3 months - then repeat blood tests to see if any improvement

23
Q

Common Points:

A

Du 9, St 36, Du 4
especially to inject liquid angelica or astragalus, even vitamin B12

Moxa - St 36, Sp 6, Ren 12, Ren 6

24
Q

Auricular Acup:

A

Liv/GB, Sp/St, Pancreas, Sanjiao, SHenmen, Sympathetic, and any other reactive points

25
Q

Wrist Acupuncture for Hep:

A

upper and lower 2nd lines, 1.5 c needles, around PC6 goes up, retain the needle there overnight (cut and tape handle)

26
Q

Kids are scared of needles - suggestions?

A

Laser acup

27
Q

Since Hep is ususally damp heat, then will moxa induce more heat?

A

NO. Moxa on Hep is always good… never causes it to get worse.

28
Q

With treating Hep, should we use a lot of points or just a few?

A

Just a few, since we need to be treating them frequently (like a couple times a week)

29
Q

Will Acup kill Hep?

A

No, but it will strengthen immune system to fight the virus

30
Q

Why is acupuncture good for Hep?

A

Because it’s non-drug, and drugs are processed in the liver, which is what is already compromised in Hep, so since we’re not taxing the liver, it’s a major advantageq

31
Q

Herbals for Hep?

A 
DH: Yan Chen Hao Tang
CD: Yan Chen Zu Fu Tang
Lv Qi Stag: Chai Hu Shu Gan San
Liv Yin Xu: Yi Guan Jian
Liv -Sp Disharmony: Xiang Sha Liu Jun Wan
32
Q

Patterns of Hep?

TCM

A

D-H, D-C,

Liv Qi Stag, Liv Yin Xu, Liv Sp Disharmony (liver overact Sp)

33
Q

SGPT < 40

means?

A

Hepatitis, or Liver Damage

34
Q

Can SGPT > 40 be lowered with herbs?

A

Wu Wei Zi

35
Q

Si SGPT and SGOT the same thing?

A

yes

Z: Y3S1 - Internal IV (17 decks)

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