Leukopenia and agranulocytosis
Leukopenia and agranulocytosis peripheral blood white blood cell count is consistently lower than 4.0X109 / L who, neutrophils less than (1.5 ~ 1.8) X 109 / l were. Clinical to dizziness, fatigue, fever.
Palpitations, backache, mouth ulcers, infections characterized.Drugs, physical and chemical factors, or severe infections can cause the disease can also be secondary to other diseases, such as hypersplenism, aplastic anemia. Such as early diagnosis and treatment of this disease, the prognosis is still good, or can cause bone marrow suppression, the prognosis is poor.Leukopenia and agranulocytosis is a traditional Chinese medicine, “wasting”, “Vertigo” and other areas.
[Etiology and pathology]
Leukopenia and agranulocytosis disease because Laojuan internal injuries, illness, disorder or drug Killing injury, the injured righteousness, leading to lack the source of qi and blood, spleen and kidney deficiency, blood attenuation Camp David, yin and yang imbalance and disease.
Pathological changes of the endowment, dystrophy, ferrite losses, complex due Laojuan internal injuries, illness or drug disorders Killing injury, caused by spleen deficiency. Spleen can not be spread subtle, kidney is infuriating enough, resulting in blood biochemical lack the essence of the source, righteousness and thus virtual failure.
[Diagnostic points
1 leukopenia
(1) clinically asymptomatic, or dizziness, fatigue, fever, loss of appetite, insomnia, chills, palpitation, etc..
(2) susceptibility to colds and other viral and bacterial infections.
(3) white blood cell count (2.0 ~ 4.0) X109 / l, differential count may be normal, red blood cell and platelet count often normal.
(4) bone marrow: the system can be seen myeloid dysplasia or mild mature barriers.
2 agranulocytosis
(1) rapid onset of clinical, visible chills, fever, fatigue, mouth ulcers, infections.
(2) often can be found predisposing factors, such as drug reactions, radiation injury.
(3), blood leukocyte count is less than 2.0X109 / L, neutrophils extremely reduced, even without neutropenia, often in absolute terms (1.5 ~ 1.8) X109 / l, red blood cells and platelets was normal.
(4) bone marrow: inhibition phenomena can occur granulocyte, myeloid immature or mature cells to reduce barriers.
[Type] dialectical
1 Qi and Yin Deficiency symptoms: dizziness, Shenpi fatigue, less gas lazy words, spontaneous sweating, dry mouth and throat.Pink tongue, thin white veins empty big.
Syndromes: Spleen loss in health movement, not metaplasia Mizutani source of refined gasoline is not sufficient blood, body dystrophy, it dizziness, Shenpi fatigue, less gas lazy words; Qi Wei table is not solid, it is spontaneous; negative virtual Huo, Hot fluid leakage is caused by forced sweating; virtual fire disturbance, Jin not on the commitment, so dry mouth and throat;
Pink tongue, thin white veins empty large, the signs of Qi and Yin Deficiency.
(2) Heart and blood deficiency symptoms: dizziness, palpitations, insomnia, forgetfulness, fatigue, the less satisfied pond. Pale tongue, thin, thin veins or knot generation.
Syndromes: Spleen not metaplasia cereal essence, caused by lack of blood, body dystrophy, showing dizziness, malaise and fatigue; Spleen lost in the health movement, sodium gastrointestinal dysfunction Valley and mass-based, so the less satisfied pond; heart qi deficiency, lack of effort, mind dystrophy, so see palpitations, insomnia, forgetfulness;
Pale tongue, thin, thin veins or the end of the levy on behalf of the Heart and blood deficiency.
3 liver and kidney symptoms: dizziness, headache, vertigo, tinnitus, weak knees, two feet atrophy weak throat. Little red tongue, Tianjin, wiry pulse.
Syndromes: liver and lack of hyperactivity, feeling empty on the disturbance, it is dizziness, headache, dizziness and ringing in the ears; kidney yin deficiency, kidney House dystrophy, it Yaoxisuanruan, two soft enough to atrophy; virtual fire inflammation, Therefore, oropharyngeal drying; little red tongue, Tianjin, wiry pulse, signs of liver Wang for the deficiency.
4 spleen deficiency symptoms: dizziness, looking virtual yellow, cold limbs, Shenpi fatigue, less gas lazy words, eat less, loose stools, bowel, due to increased Haner, backache urine.
Sound pale, white fur, weak pulse.
Syndromes: Spleen deficiency, can not be shipped Mizutani, encourage physical, so dizzy, looking virtual yellow, eat less, cold limbs, Shenpi fatigue, less gas lazy words; deficiency in the cold, Qing Yang did not show , Hanning qi stagnation, so bowel loose stools, increased whenever Haner; kidney shortage, lost in the warmth, so backache, chills; gasification less, water is not of the air dam u urine; pale fat, white coating, weak pulse are signs of yang deficiency.
[Type] treatment
1 Therapeutic Qi and Yin Deficiency: Qi Yin.
Recipe: Sijunzitang Shengmaisan addition and subtraction.
Codonopsis 15 grams 12 grams Atractylodes Poria 12 grams astragalus, 15 Shamir, Ref 12 Winter oats 12 g 12 g Radix Schisandra 6 grams 6 grams of licorice jujube 7 subtraction with the disease: spontaneous sweating worse, glutinous rice can be added root 12 grams.
Dry shriveled peaches 12 grams, to sweating antiperspirant; see mouth sores, plus berberine 3 grams, Akebia 5 grams short bamboo 9 grams chinghsin Xiehuo, thermal conductivity down.
(2) Heart and blood deficiency rule is: Heart tonic.
Recipe: Yang Xin Decoction.
Astragalus Codonopsis 15 grams 15 grams 12 grams Atractylodes Poria 12 grams Angelica 9 grams Chuanxiong 9 g Schisandra 6 g Bozi 12 g 12 g Semen 3 grams of cinnamon (later) Pinellia 9 grams of licorice 6 grams subtraction with the disease: epigastric fullness, vomiting, belching, plus 6 grams of dried tangerine peel to Heweijiangni; abdominal pain or diarrhea, hand, foot and not temperature, can be added Baojiang 6 grams of meat, fruit 9 g simmer to warm in the cold.
3 Therapeutic liver and kidney: nourishing liver and kidney.
Recipe: Zuogui Pill.
Rehmannia medlar 12 grams 12 grams 12 grams yam medicine, Achyranthes turtle version of 15 g 9 g 9 g Dodder Dogwood Polygonatum 12 grams 12 grams 6 grams of licorice subtraction with the disease: headache, dizziness, ringing in the ears than the worse, plus 30 abalone grams, chrysanthemum 9 grams, 15 grams of Uncaria to calming liver yang; virtual fire even more, see hot flashes sore throat, plus Anemarrhena 12 grams, 15 grams Digupi to Yin Xiehuo; deafness foot pain , plus Placenta 9 grams, to fill the fine blood.
4 spleen deficiency rule is: Warming spleen and kidney.
Recipe: Astragalus Decoction Yougui Pill.
20 grams of astragalus Guizhi 10 grams 30 grams peony 20 grams caramel (molten red) system with on-chip 6 g 12 Kedu Chung-yam medicine Epimedium 12 g 10 g 10 g Cuscuta Angelica Millettia 15 g 10 g 6 g Zhigancao subtraction with the disease: Diarrhea and see if the person shows that psoralen 12 grams of nutmeg 9 grams, Evodia 3 grams, Schisandra 6 grams, warm to warm the spleen kidney, solid intestinal diarrhea; if the abdomen after eating swelling and vomiting Nizhe, plus Amomum 3 g, Pinellia 9 grams, 6 grams of dried tangerine peel, to warm in the Heweijiangni.
[Chinese medicine]
1 Guipi every 12 three times a day.
2 LDB 12 each, 3 times a day.
3 YouguiWan 6 grams each time, twice daily.
[Simple] side
1 madder 10 grams, jujube 15 grams, 10 grams forsythia, Shuijianbi day 1, 2 service. Applicable to all types of the disease.
2. Placenta powder, each 1.5 g, 2 times a day, warm boiled water. Insufficient for spleen and kidney.
3 30 grams astragalus, 30 grams of Millettia, jujube 7, Huang Jing 15 grams, Shuijianbi day 1, 2 service. For radiotherapy-induced neutropenia.
[Other therapies]
Acupuncture: Take gu, sea air, the full three years, Guan Yuan, Yang Ling Quan, Sanyinjiao, Shenshu, spleen, a sea of blood and other points, with the reinforcing-reducing method, functional spleen and kidney.
Mount abdominal therapy: the sea air from below the belly button starting point for the navel as the center of Mount belly, clockwise, from small to large, extended to the whole abdomen, repeated several times, functions qi and blood, strong fill yuan.
Physical therapy: patients in remission can practice tai chi to enhance physical fitness, conditioning blood yin and yang, the consolidation effect.
Water treatment:
Mushrooms Beef soup: mushroom 60 grams (shredded), mushrooms, 50 grams (sliced), beef 50 grams (diced), 50 grams of rice, add 1000 ml of water, porridge, re-seasoning, 1 day, 2time consumption, spleen and kidney function.
[Note]
1 of the drugs may cause the disease, should be strictly controlled drug indications, not to abuse.
(2) long-term exposure to radioactive substances, X-ray personnel and certain chemical substances, should pay attention to make protection work, and should regularly check blood.
3 bedroom air circulation to keep fresh, cold shelter, anti-cold.