CHINESE MEDICINE TREATMENT ANEMIA
[summary]
According to the clinical manifestations of iron deficiency anemia, TCM believes that the formation of the disease is mostly caused by eating disorders, weakness of the spleen and stomach, long-term blood loss, overwork, gestational dystrophy and so on, eventually Qi deficiency and blood failure, Qi and blood deficiency. The focus is on the spleen and stomach in the middle energizer. "Blood is the essence of the valley, biochemical in the spleen", "Zhongjiao Qi juice, change and red is blood", "spleen is the acquired basis, stomach is the sea of water valley, spleen and stomach is the biochemical source of Qi and blood. Due to poor diet, damage to the spleen and stomach, stomach does not accept decay, the spleen can not be transported and absorbed, resulting in inadequate grain, gas and blood biochemical passivity, the disease.
1. spleen deficiency
Syndromes: pale or At white, weak in spirit, less in food, less in tongue, light in tongue, thin in fur, and thin in veins.
Differentiation: 1. Syndrome differentiation: This syndrome is mostly seen in the early stage of iron deficiency anemia, with yellow and white complexion, mental fatigue, eating feces and urinals as the key points of syndrome differentiation. The disease is located in the spleen, and its sex is deficient. (2) Pathogenesis: Spleen and stomach are the source of Qi and blood biochemistry, and spleen deficiency can not transport and transform water gluten into Qi and blood, thus causing blood deficiency and Qi deficiency.
2. deficiency of heart and spleen two
Syndrome: pale or pale complexion, fatigue, dizziness, palpitations, insomnia, lack of breath and laziness, loss of appetite, dry hair, cracked nails, pale tongue, thin fur, fine pulse.
Differentiation: (1) syndrome differentiation: this syndrome is commonly seen in mild or moderate iron deficiency anemia. The key points of syndrome differentiation are body fatigue, less food, yellow complexion, palpitation, palpitation, forgetfulness and insomnia. The disease is located in the heart and spleen. Pathogenesis: spleen is the source of the acquired, the source of Qi and blood biochemistry. Spleen deficiency is less Qi and blood, and insufficient blood in the spleen and stomach. The blood is not proud, so it is pale or white. Dry month, dizziness; claws for tendon surplus, inadequate nail crack brittle; cardiopulmonary dystrophy, palpitation, shortness of breath; hair for blood surplus, blood deficiency, hair dry off. Qi deficiency, blood failure, heart failure, so see palpitations, palpitation, insomnia.
3. spleen and kidney yang
deficiency
Syndrome: yellowish or pale, cold-shaped limbs, pale lip nails, edema, and even ascites, palpitations, shortness of breath, tinnitus dizziness, fatigue, weak stool or five diarrhea, urine is long, male impotence, female amenorrhea, pale tongue or dental scars, thin pulse.
Differentiation: 1. Differentiation: This syndrome is characterized by cold extremities, fatigue and weakness of the mind and limbs, thin stool or diarrhea. Position of disease
In the spleen and kidney, its sex is Yang deficiency. Pathogenesis: spleen and kidney yang deficiency, abnormal vaporization, and internal arrest of water evil. Spleen governs limbs.
Yang Qi is weak, not warm, so the hands and feet are not warm, spleen deficiency water wet inside stopped, so see stool loose thin. Qi and blood two empty, so palpitation, shortness of breath.
Tinnitus, dizziness and deficiency of Kidney Yang result in clear urination, male impotence and female amenorrhea.
4. insect product
Syndrome: In addition to anemia symptoms, there are abdominal distention or addiction to raw rice, tea, soil and so on, good food and hunger, nausea and vomiting, dry stool or thin stink, fatigue limbs and other insect evidence, moss thin, weak pulse.
Differentiation: (1) syndrome differentiation: this syndrome is characterized by spleen stomach symptoms and eating foreign bodies. The disease is located in the stomach and intestines, and its sex is actually hot. (2) Pathogenesis; this syndrome is the syndrome of spleen deficiency and stomach heat, spleen deficiency and abdominal distention, stool pool, stomach heat is easy to eat, nausea and vomiting, stool stink and so on.
[syndrome differentiation]
The disease is mostly deficiency syndrome, but there are also deficiency and excess mixed with the syndrome, so its syndrome differentiation, the first clear differentiation of deficiency and excess, specimen of the primary and secondary.
1. spleen deficiency
Syndromes: pale or At white, weak in spirit, less in food, less in tongue, light in tongue, thin in fur, and thin in veins.
Differentiation: 1. Syndrome differentiation: This syndrome is mostly seen in the early stage of iron deficiency anemia, with yellow and white complexion, mental fatigue, eating feces and urinals as the key points of syndrome differentiation. The disease is located in the spleen, and its sex is deficient. (2) Pathogenesis: Spleen and stomach are the source of Qi and blood biochemistry, and spleen deficiency can not transport and transform water gluten into Qi and blood, thus causing blood deficiency and Qi deficiency.
2. deficiency of heart and spleen two
Syndrome: pale or pale complexion, fatigue, dizziness, palpitations, insomnia, lack of breath and laziness, loss of appetite, dry hair, cracked nails, pale tongue, thin fur, fine pulse.
Differentiation: (1) syndrome differentiation: this syndrome is commonly seen in mild or moderate iron deficiency anemia. The key points of syndrome differentiation are body fatigue, less food, yellow complexion, palpitation, palpitation, forgetfulness and insomnia. The disease is located in the heart and spleen. Pathogenesis: spleen is the source of the acquired, the source of Qi and blood biochemistry. Spleen deficiency is less Qi and blood, and insufficient blood in the spleen and stomach. The blood is not proud, so it is pale or white. Dry month, dizziness; claws for tendon surplus, inadequate nail crack brittle; cardiopulmonary dystrophy, palpitation, shortness of breath; hair for blood surplus, blood deficiency, hair dry off. Qi deficiency, blood failure, heart failure, so see palpitations, palpitation, insomnia.
3. spleen and kidney yang deficiency
Syndrome: yellowish or pale, cold-shaped limbs, pale lip nails, edema, and even ascites, palpitations, shortness of breath, tinnitus dizziness, fatigue, weak stool or five diarrhea, urine is long, male impotence, female amenorrhea, pale tongue or dental scars, thin pulse.
Differentiation: 1. Differentiation: This syndrome is characterized by cold extremities, fatigue and weakness of the mind and limbs, thin stool or diarrhea. Position of disease
In the spleen and kidney, its sex is Yang deficiency. Pathogenesis: spleen and kidney yang deficiency, abnormal vaporization, and internal arrest of water evil. Spleen governs limbs.
Yang Qi is weak, not warm, so the hands and feet are not warm, spleen deficiency water wet inside stopped, so see stool loose thin. Qi and blood two empty, so palpitation, shortness of breath.
Tinnitus, dizziness and deficiency of Kidney Yang result in clear urination, male impotence and female amenorrhea.
4. insect product
Syndrome: In addition to anemia symptoms, there are abdominal distention or addiction to raw rice, tea, soil and so on, good food and hunger, nausea and vomiting, dry stool or thin stink, fatigue limbs and other insect evidence, moss thin, weak pulse.
Differentiation: (1) syndrome differentiation: this syndrome is characterized by spleen stomach symptoms and eating foreign bodies. The disease is located in the stomach and intestines, and its sex is actually hot. (2) Pathogenesis; this syndrome is the syndrome of spleen deficiency and stomach heat, spleen deficiency and abdominal distention, stool pool, stomach heat is easy to eat, nausea and vomiting, stool stink and so on.
[treatment]
The treatment of this disease should be supplementation and deficiency. Strengthening spleen, supplementing qi and enriching blood is the basic law for treating this disease. Disease can damage kidney and temperature for a long time.
Invigorating spleen and kidney, supplementing qi and nourishing blood are the main therapies.
1. Selection of braids.
1. deficiency of Spleen Qi
Treatment: replenishing qi and strengthening spleen.
Prescription: Xiangsha Liujunzi Decoction (Medical Prescription Collection) and Danggui Buxue Decoction (Internal and External Injury Differentiation Theory) were added or subtracted: Dangshen 15g, Atractylodes macrocephala 10g, Bodhi 15g, Pinellia 10g, Angelica 10g, Fried Chicken 10g, Liuqu 10g, Muxiang 10g, Sharen 6g, Astragalus 15g. Those who had diarrhea were 15g, yam 12g, nausea and vomiting, 10g and ginger 10g..
2. deficiency of heart and spleen two
Treatment: replenishing qi and enriching blood, nourishing heart and tranquilizing the mind.
Prescription: Guipi Decoction (Jisheng Fang) or Bazhen Decoction (Zhengti Leiyao) add or subtract: Dangshen 15g, Huangqi 10g. Rhizoma Atractylodis Macrocephalae 10g, angelica 10g, Rehmannia glutinosa 15g, tangerine peel 10g, fried Zizyphus jujuba kernel 15g, Zizyphus Glycyrrhiza 10g, Zizyphus jujuba 10g. Anemia serious can be added Ejiao 12g, Huangjing 30g; palpitation insomnia serious can be added night fir 15g, Albizzia julibrissin 10g, Shenglongmu each 20g.
3. spleen and kidney yang deficiency
Treatment: warming spleen and kidney
Prescription: prescription with the Spleen Drink (Shi Mei De Xiao Fang) and Sishen Pill (Syndrome and Treatment Criteria) add and subtract: Astragalus 15g, Atractylodes macrocephala 10g,
Poria Cocos 15g, liquorice 10g, aconite 10g, abdomen 10g, Magnolia officinalis 10g, psoralen 10g, dodder 15g, cinnamon 6g,
Cornus jiao (melted) 15g, angelica 10g. If diarrhea is severe, add yam 12g and stir fried lentil 10g to strengthen spleen and warm kidney to fill the middle; * edema is obvious, add pig to 10g and Alisma 10g, so as to reduce water and detumescence.
4. insect product
Treatment: insecticide and dissipation
Prescription: Huazhong pill (Hefei Prescription) or stick pesticide pill (test prescription) add or subtract: Torreya fruit 10g, betel nut 10g, azedarach root bark 15g, red rattan 15g, 100 10g, realgar 1g, garlic appropriate amount (juice). If abdominal pain is heavy, add Paeonia lactiflora Pall 15 g and Rhizoma Corydalis 12g.
Generally, if the patient's general condition is poor, it is advisable to nourish Qi and blood first, correct anemia, and wait for the general condition to improve after the worm repellent. After anthelmintic anemia is still significant, and positive treatment should also be given.
