A: Hepatitis Flashcards
Incubation Period for Hep A?
15 - 50 Days
What is Hepatitis?
Inflammation/ Enlargement of the liver
Incubation for Hep B?
45 - 80 days
Incubation period for Hep C?
14 - 182 days
How long can Hep survive outside the body, even if there’s O2 exposure?
several days
Which Hep is the “silent Dz”?
Hep B
When did the Red Cross start to screen blood products for Hep?
March, 1990
How many Canadians have Hep C?
90-300K
How is the usual Hep C transmission?
Blood-to-blood
Sx of Hepatitis?
Fever, tired, jaundice, abdominal cramp, loss of appetite, dark urine, nausea, hypochondreac pain
DDx for Hep C?
CFS
FM
Which type of Hep is most common in Canada
Hep C
Which type of Hep is the worst scenario?
Hep C
Standard Tx for Hep C in Western
Interferon drug, with massive side fx, uncertain results
Serious side fx from Hep C
Cirhosis of liver, Liver failure (sudden, no warning) Liver cancer (80% of Chinese liver cancer patients had Hep B)
Patterns for Hep
A, B, C, D, E all included:
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)
Accute types of Hep
D-h
Liv Qi Stag
Acute Types of Hep
POT
Sooth liver, regulate qi, clear damp-heat
Choose Liver, Sp, St, Du, using reducing method
Chronic Types of Hep:
Lingering damp heat, Zheng Qi damaged, Qi Stagnation, Blood Stasis:
C-D
Liver Yin Xu
Liver Overacting Sp
Chronic Hep POT
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)
Chronic Hep Pts:
4 Gates - Move Qi and Blood
Sj 5, GB 34, St 36, Liv 4, Sp 9
Jaundice Pt
UB 48
Tx length for Chronic Hep?
3 months - then repeat blood tests to see if any improvement
Common Points:
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
Auricular Acup:
Liv/GB, Sp/St, Pancreas, Sanjiao, SHenmen, Sympathetic, and any other reactive points
Wrist Acupuncture for Hep:
upper and lower 2nd lines, 1.5 c needles, around PC6 goes up, retain the needle there overnight (cut and tape handle)
Kids are scared of needles - suggestions?
Laser acup
Since Hep is ususally damp heat, then will moxa induce more heat?
NO. Moxa on Hep is always good… never causes it to get worse.
With treating Hep, should we use a lot of points or just a few?
Just a few, since we need to be treating them frequently (like a couple times a week)
Will Acup kill Hep?
No, but it will strengthen immune system to fight the virus
Why is acupuncture good for Hep?
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
Herbals for Hep?
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
Patterns of Hep?
TCM
D-H, D-C,
Liv Qi Stag, Liv Yin Xu, Liv Sp Disharmony (liver overact Sp)
SGPT < 40
means?
Hepatitis, or Liver Damage
Can SGPT > 40 be lowered with herbs?
Wu Wei Zi
Si SGPT and SGOT the same thing?
yes
