Jaundice Flashcards
Clinical features
3 yellows: eyes, skin, urine
Nausea
Vomit
Stomachache
Definition
Too much bilirubin in the body
Western Diagnosis
Liver diseases
Cirrhosis
Parasites
Newborns
Etiology
External: Diet
EPF ~ damp in MJ = yang jaundice
Internal: Spleen yang deficiency = cold damp
Chronic damp retention = blocked bile
Duct
Organs Involved
Liver
GB
Spleen
Stomach
Disease Differentiation
3 yellows
High Bilirubin in blood ~ blood test
Yin Vs. Yang
Cold damp Damp heat
Smokey, dull eyes/skin Orange, bright
Deficiency Cold Excess Heat
- emergency jaundice not common anymore
Treatment
Points:
Sp 9, St 36, UB 18, UB 19, GB 34, Du 9
Auricular Acu: Liv, GB, diaphragm, Sp, St
Herbs
POT
Dispel dampness
Promote urination
Yin: Tx Sp
Yang: Tx St
Education
- Regular exercise ~ strengthen Zheng Qi
- Avoid turbid ~ damp environment
- Regulate Diet ~ avoid da,p foods
- Rest
- Maintain tx even after jaundice is gone to prevent it from coming back
Yang Jaundice
More heat than damp. ~ Signs and symptoms
Lustrous bright yellow skin and sclera
Fever, thirst, scanty dark urine, abdominal distension, constipation, restlessness, dry mouth, bitter taste, nausea
Yang Jaundice
More heat than damp ~ Tongue and Pulse
Tongue: yellow greasy coating
P: Wiry, rapid
Yang Jaundice
More heat than damp ~ POT
Clear damp heat to promote bowel movement
Yang Jaundice
More heat than damp~ Points
DU 14
Liv 3
LI 11
Yang Jaundice
More damp than heat ~ Signs and symptoms
Slight bright yellow skin and sclera
Heaviness of head and body, stiffness of chest, poor appetite, nausea, vomiting, abdominal distension, loose stools
Yang Jaundice
More damp than heat ~ Tongue and Pulse
T: slight yellow but thick greasy coat
P: wiry, slippery, soft or moderate
Yang Jaundice
More damp than heat ~POT
Transform turbid damp
Clear heat
Yang Jaundice
More damp than heat ~ Points
Sp 6
St 36
LI 4
Emergency Jaundice
Signs and Symptoms
Acute onset, golden skin and sclera, coma, delirium
High fever, thirst, distending pain in hypochondrium, epistaxis, bloody stools, bruised skin
Emergency Jaundice
Tongue and Pulse
T: deep red with yellow coating
P: wiry and rapid or thready and rapid
Emergency Jaundice POT
Clear toxic heat
Cool blood to open orfices
Emergency Jaundice Points
DU 26
12 Jingwell Points
Yin Jaundice
Signs and Symptoms
Swallow skin like smoky dark
Abdominal distension, heaviness of body, weakness, loss of appetite, lassitude, intolerance to cold, tastelessness, absence of thirst, loose stools
Yin Jaundice Tongue and Pulse
T: pale tongue with white greasy coat
P: soft moderate or deep slow
Yin Jaundice POT
Strengthen the spleen and stomach
Warm cold
Remove damp
