Iron deficiency anemia
[Overview]
Iron deficiency anemia is due to inadequate dose or body storage of iron deficiency affecting hemoglobin synthesis of a small cell hypochromic anemia.
Relative lack of iron absorption, such as infants and young children growing season, the rapid development and female puberty onset of menstruation, pregnancy or breast-feeding women; blood loss, such as acute and chronic gastrointestinal bleeding, bleeding hemorrhoids, hookworm, menorrhagia, etc.;digestion and absorption barriers, such as gastrointestinal disorders, gastrointestinal absorption of iron disorders, surgery, etc., causing insufficient absorption of iron. Above can lead to iron deficiency anemia. The disease is most common form of clinical anemia, such as timely diagnosis and treatment, the prognosis is good. Iron deficiency anemia is a Chinese “Consumption”, “chlorosis,” “Vertigo” and other areas.
[Etiology and pathology]
The main cause of iron deficiency anemia of chronic blood loss, such as vomiting, bloody diarrhea, menorrhagia, bleeding hemorrhoids, parasitic diseases (hookworm), leading to the spleen and stomach weakness, lack of biochemical source, caused the anemia.
Pathological changes of chronic blood loss, caused by missing the transportation of the stomach, spleen and stomach, can not be eating into Mizutani essence, the source of lack of blood biochemistry, and the resulting anemia; and intestinal worms in volts, sucking people’s cereal essence, it can cause The lack of sources of blood, causing anemia.
[Diagnostic points
1 have iron deficiency, chronic blood loss, iron special requirements increase, or a history of iron use disorders.
2 Clinical manifestations looking minimalist or chlorosis, dizziness, fatigue, tinnitus, palpitations and so on.
3 may have pale mucous membranes, blue sclera, nails flat and fragile not only easy to crack the whole individual to anti-A or Hong Yan, stomatitis and other signs.
4 laboratory decreased serum iron and total iron binding rate increases, blood shows small cell hypochromic anemia.
5 bone marrow sideroblasts and extracellular iron reduced or absent.
[Type] dialectical
1 spleen and stomach symptoms: pale complexion, dizziness, Shenpi fatigue, poor appetite will pond. Pale tongue, thin white fur, thready pulse.
Syndromes: spleen and stomach, missing transportation, chemical and biological power, blood source is not sufficient, a small deficiency of blood, so to meet color chlorosis, Shenpi fatigue, blood is not on the wing in the head, face, then dizziness; spleen and stomach, health movement measured loss of the Division see poor appetite; tongue pale, thin white, thin veins of the spleen and stomach weakness, blood deficiency symptoms.
(2) Heart and blood deficiency symptoms: pale minimalist, dizziness, tinnitus, palpitations, insomnia. Pale tongue, thin white veins or breakdown.
Syndromes: Heart and blood deficiency, blood does not raise heart, restlessness, insomnia, palpitations see, blood is not on the wing head, face, and therefore dizziness, tinnitus, pale tongue, thin white, blood gas less blood is not sufficient,Therefore pulse.
3 spleen deficiency symptoms: pale complexion or minimalist, cold limbs, lips and a pale, whole body edema, and even may have ascites, heart palpitations, shortness of breath, ringing in the ears, dizziness, Shenpi limb soft, thin or loose stools diarrhea before dawn , urine long, man impotence, women amenorrhea.Pale or Indented, pulse.
Syndromes: spleen deficiency, gasification disorders, the water inside to stop the evil, so see the whole body edema, and even may have ascites; spleen limbs, weak yang, not very inviting, so cold limbs; spleen deficiency , Vital Huoshuai, moisture inside the stop, so the men’s impotence, loose stools thin or just before dawn diarrhea, urine long; spleen is acquired, as the source of qi and blood, kidney is the innate, the main bone, marrow, essence, essence can be of blood, so the spleen and kidney yang, Qi blood is small, so pale complexion or pale minimalist, lips a pale, heart palpitations, shortness of breath, ringing in the ears, dizziness, Shenpi limb soft, woman, amenorrhea, pale tongue with teeth marks, pulse and so on.
4 parasitic-type symptoms: In addition to the symptoms of anemia, there bloating or addicted to food uncooked rice, tea, soil, etc., good food and easy hunger, nausea, vomiting, dry stools or stools thin with Stink, Shenpi limb soft and See other parasitic disease. Pale tongue, thin, weak pulse.
Syndrome Analysis: This card’s certificate for the Spleen parasitic diseases, parasitic diseases the course of time, damage the spleen and stomach, resulting in the spleen and stomach disorders, so Shenpi limb soft, addicted to eating raw rice, soil and other foreign matter, good food and easy hunger; Spleen qi stagnation, Therefore, abdominal distension; intestine accumulated heat, so the large easy to knot a Stink; spleen is loose stools thin; pale tongue, thin, weak pulse of the sign of anemia.
[Type] treatment
1 spleen and stomach rule: Qi spleen and blood.
Recipe: Six Gentlemen Decoction.
Astragalus Codonopsis 15 grams 15 grams 10 grams Atractylodes Poria 10 grams of dried tangerine peel 6 g 6 g Pinellia jujube 7 5 grams of licorice.
Subtraction with the disease: blood deficiency, dizziness worse, plus Angelica 9 grams, Rehmannia 12 grams, with blood.
(2) Heart and blood deficiency rule is: Yang Xin Qi and blood.
Recipe: Decoction spleen.
Astragalus Codonopsis 12 grams 15 grams 12 grams Atractylodes Fu Shen peony 12 grams 12 grams 12 grams Angelica 9 grams Rehmannia Zaoren Sunburn Polygala 6 g 12 g 6 g jujube wood 7 Zhigancao 5 grams.
Subtraction with the disease: constipation, could go jujube, with raw Shouwu 15 grams, Millettia 15 g, with nourishing laxative.
3 spleen deficiency rule is: Warming spleen and kidney.
Recipe: Real spleen drink and four gods Pill.
Astragalus 15 grams, 12 grams Atractylodes Poria 12 grams 6 grams of licorice tuber 9 g Da Fupi 12 grams psoralen Magnolia 9 g 12 g 12 g Dodder antler nine grams of cinnamon 6 grams Angelica 12 grams.
Subtraction with the disease: severe diarrhea, add yam and medicine 15 grams, fried beans 15 grams, baked meat, fruit 9 g, in order to fill in the spleen Warming; edema, plus 12 g Polyporus, Alisma 15 grams of water consumption in order to facilitate swelling.
4 Therapeutic parasitic type: insecticide negatively.
Recipe: rhizome of worm pills or pija Pill.
Pija nut 12 g 12 g bitter?? Child SFAS skin 9 g 12 g 15 g one hundred nine grams of garlic (juice) subtraction with the disease: severe anemia, poor general condition were advised to replenishing qi and blood, re-drive insects, or add 15 grams of astragalus, angelica 12 grams, Rehmannia 12 grams, blood tonic.
[Chinese medicine]
1 return every 12 Pai Gow, 3 times a day.
2. Ginseng pills every 12 to support Camp three times a day.
3 date alum pill every 3 grams, 2 to 3 times daily after meals.
[Simple] side
Astragalus 12 grams, Angelica 9 grams, jujube 7, Shuijianbi day 1 fried, 2 doses.
[Other therapies]
Acupuncture: Acupuncture hidden white, a sea of blood, Zusanli, with the reinforcing method, the needle for 20 minutes, blood and spleen function, can cure blood in the stool, hematuria, menorrhagia, uterine bleeding, treatment of this disease from the indirect effects.
Mount abdominal method: from below the belly button and two horizontal refers to the sea air hole at the start, as the navel as the center of the clockwise direction, diameter small to large, spiral movement of the rubbing friction, has been extended to the entire abdomen, so the number of repeated second, functional spleen qi, blood fill yuan.
Food therapy: Spinach Zhugan: spinach, pig or poultry 250 grams of blood, liver, 150 grams, added after the first liver blood clots fan speculation, spinach soup consumption, function and blood tonic.
Spa bath: feeding the discretion of Salt Spring, Iron Springs balneotherapy, and discretion to take Iron Springs to drink, can increase iron absorption.
[Note]
1 should be a clear diagnosis, timely treatment for the cause.
(2) transfer photo diet, eat more iron-rich foods, such as organ meats, egg yolk, soybeans, apples.