Jaundice

Question 0

Clinical features

Answer 0

3 yellows: eyes, skin, urine

Nausea
Vomit
Stomachache

Question 1

Definition

Answer 1

Too much bilirubin in the body

Question 2

Western Diagnosis

Answer 2

Liver diseases

Cirrhosis

Parasites

Newborns

Question 3

Etiology

Answer 3

External: Diet
EPF ~ damp in MJ = yang jaundice

Internal: Spleen yang deficiency = cold damp
Chronic damp retention = blocked bile
Duct

Question 4

Organs Involved

Answer 4

Liver
GB
Spleen
Stomach

Question 5

Disease Differentiation

Answer 5

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

Question 6

Treatment

Answer 6

Points:
Sp 9, St 36, UB 18, UB 19, GB 34, Du 9

Auricular Acu: Liv, GB, diaphragm, Sp, St

Herbs

Question 7

POT

Answer 7

Dispel dampness
Promote urination

Yin: Tx Sp
Yang: Tx St

Question 8

Education

Answer 8

1. Regular exercise ~ strengthen Zheng Qi
2. Avoid turbid ~ damp environment
3. Regulate Diet ~ avoid da,p foods
4. Rest

• Maintain tx even after jaundice is gone to prevent it from coming back

Question 9

Yang Jaundice

More heat than damp. ~ Signs and symptoms

Answer 9

Lustrous bright yellow skin and sclera

Fever, thirst, scanty dark urine, abdominal distension, constipation, restlessness, dry mouth, bitter taste, nausea

Question 10

Yang Jaundice

More heat than damp ~ Tongue and Pulse

Answer 10

Tongue: yellow greasy coating

P: Wiry, rapid

Question 11

Yang Jaundice

More heat than damp ~ POT

Answer 11

Clear damp heat to promote bowel movement

Question 12

Yang Jaundice

More heat than damp~ Points

Answer 12

DU 14
Liv 3
LI 11

Question 13

Yang Jaundice

More damp than heat ~ Signs and symptoms

Answer 13

Slight bright yellow skin and sclera

Heaviness of head and body, stiffness of chest, poor appetite, nausea, vomiting, abdominal distension, loose stools

Question 14

Yang Jaundice

More damp than heat ~ Tongue and Pulse

Answer 14

T: slight yellow but thick greasy coat

P: wiry, slippery, soft or moderate

Question 15

Yang Jaundice

More damp than heat ~POT

Answer 15

Transform turbid damp

Clear heat

Question 16

Yang Jaundice

More damp than heat ~ Points

Answer 16

Sp 6
St 36
LI 4

Question 17

Emergency Jaundice

Signs and Symptoms

Answer 17

Acute onset, golden skin and sclera, coma, delirium

High fever, thirst, distending pain in hypochondrium, epistaxis, bloody stools, bruised skin

Question 18

Emergency Jaundice

Tongue and Pulse

Answer 18

T: deep red with yellow coating

P: wiry and rapid or thready and rapid

Question 19

Emergency Jaundice POT

Answer 19

Clear toxic heat

Cool blood to open orfices

Question 20

Emergency Jaundice Points

Answer 20

DU 26

12 Jingwell Points

Question 21

Yin Jaundice

Signs and Symptoms

Answer 21

Swallow skin like smoky dark
Abdominal distension, heaviness of body, weakness, loss of appetite, lassitude, intolerance to cold, tastelessness, absence of thirst, loose stools

Question 22

Yin Jaundice Tongue and Pulse

Answer 22

T: pale tongue with white greasy coat

P: soft moderate or deep slow

Question 23

Yin Jaundice POT

Answer 23

Strengthen the spleen and stomach
Warm cold
Remove damp

Question 24

Yin Jaundice Points

Answer 24

UB 20
UB 48
St 36
Sp 6

Question 25

Basic Points

Answer 25

Sp 9
St 36
UB 18
UB 19
GB 34
DU 9

Question 26

Chief Pathology

Answer 26

Damp Retention in MJ