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Jaundice

Posted by: admin on Feb 03, 2008 - 06:52 PM
Internal Medicine

Type 1: Yang jaundice
Symptoms:
Bright yellow coloration of the skin and sclera, fever, dry and bitter in the mouth, thirst and preferance for cold drinking, fullness and distension in the abdomen, restlessness, scanty dark urine, constipation, tongue with yellow and greasy fur, wiry and rapid pulse. If toxic heat invades the blood, there may be more excessive symptoms, such as unconciousness, ecchymoses, and hemorrhage. If dampness is more excessive than heat, jaundice is not too much bright yellow, slight fever, epigastric fullness, loose stools, slight thirst, slight yellow and grease tongue coating, soft and rapid pulse.
Principle of treatment:
Soothing the liver and normalizing the function of gallbladder, removing heat and dampness. Select points from Du Meridian, Liver Meridian of Foot-Jueyin and the Gall Bladder Meridian of Foot-Shaoyang. The filiform needles are used with reducing method.
Prescription:
Zhiyang (GV9) (DU9), Wangu (GB12) (Wangu (SI4) Yuan-Primary Point), Yanglingquan (GB34) He-Sea Point, Influential Point of Tendon (Yanglingquan (GB34) He-Sea Point, Influential Point of Tendon), Taichong (LR3) Shu-Stream, Yuan-Source Point (Taichong (LR3) Shu-Stream, Yuan-Source Point).
Modification according to symptoms:
For excessive heat, Dazhui (GV14) (DU14) is added; for unconciouness, Shuigou (GV26) (DU26), Zhongchong (PC9) Jing-Well Point (Zhongchong (PC9) Jing-Well Point) and Shaochong (HT9) Jing-Well Point (Shaochong (HT9) Jing-Well Point) (BLood-letting) are used; for excessive dampness, Yinlingquan (SP9) He-Sea Point (Yinlingquan (SP9) He-Sea Point) is added; for epigastric fullness and loose stools, Zusanli (ST36) He-Sea Point (Zusanli (ST36) He-Sea Point) is added.
Type 2: Yin jaundice
Symptoms:
Dark yellow coloration of the skin and sclera just like smoky colour, general debility, aversion to cold, poor appetite, epigastric distension, loose stools, tastelessness in the mouth, no thirst, pale tongue with greasy coating, soft and slow pulse or deep and slow pulse. Symptoms of pain in the hypochondrium and abdomen, abdominal distension, thin figure, anorexia, slight purple tongue, or the tongue with ecchymoses, thread and uneven pulse, may be diabnosed as blood stasis or malignat disease.
Principle of treatment:
Invigorating spleen and normalizing the function of gallbladder, expelling pathogneic cold and dampness. Select point mainly from Stomach Meridian of Foot-Yangming, Spleen Meridian of Foot-Taiyin and Back-Shu points. Uniform reinforcing-reducing method and moxibustion are used.
Prescription:
Pishu (BL20) (Pishu (BL20)), Zusanli (ST36), Danshu (BL19) (Danshu (BL19)), Yanglingquan (GB34), Sanyinjiao (SP6) (Sanyinjiao (SP6)), Qihai (CV6) (RN6).
Modification according to symptoms:
For fatigue and aversion to cold, use Mingmen (GV4) (DU4), Guanyuan (CV4) Front-Mu Point of the SmallIntestine (RN4); for loose stools Tianshu (ST25) Front-Mu Point of the Large Intestine (Tianshu (ST25) Front-Mu Point of the Large Intestine) is added.


Key Words: jaundice, acupuncture

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