Acute jaundice hepatitis is a clinical classification of acute hepatitis, which is divided into acute jaundice hepatitis and acute jaundice-free hepatitis according to whether there is jaundice in acute hepatitis patients and whether serum bilirubin is elevated. Acute jaundice hepatitis is a diagnosis based on clinical symptoms rather than etiology. Hepatitis A, B, C, D, and E can all cause this type of hepatitis, most commonly in viral hepatitis A, followed by viral hepatitis E.
Patients with acute jaundice hepatitis have obvious yellowing of the skin and sclera, and the urine is dark brown. In addition, there may be symptoms of the digestive tract, such as some patients will have nausea, vomiting, fatigue, fatigue, lack of energy, loss of appetite and other symptoms. Examination of liver function found that their jaundice was significantly elevated, and some patients with high transaminases were also high, indicating that they may have acute jaundice hepatitis.
Acute yellow hepatitis: on the basis of clinical differentiation, when dispensing drugs, with reference to the previous experience, according to the specific situation, the following cool blood, blood invigorating, heat clearing, anti-wind drugs can be selected.
(1) Salvia: 20 to 30 grams per day, compatible with kudzu root can treat residual jaundice, for lowering alanine aminotransferase, fat lowering also has a good effect is currently used in the treatment of liver disease is more widely used drugs.
(2) Madder: cool blood to stop bleeding, has obvious yellowing effect, for yglobulin is too high, can be quickly reduced to normal. The flocculation effect is also quite satisfactory.
(3) Angelica: can produce blood and nourish yin, nourishing yin can reduce fever, so it is particularly suitable for blood fever and yin deficiency internal heat. In the treatment of severe hepatitis, it has a good effect on enzyme-lowering flocculation.
(4) Red peony: it is the main drug for the treatment of acute jaundice hepatitis. Modern research has proved that it has the effect of reducing blood viscosity and antibacterial, anti-inflammatory, antispasmodic, antipyretic, diuretic, hepatoprotective, and lowering portal pressure. Severe jaundice hepatitis that persists in jaundice does have a significant yellowing effect, and although the dosage is large, it has no damage to major organs such as liver, kidneys and lungs. The inhibition rate of DNAP on HBV (hepatitis B virus) is about 50%.
(5) Raw ground yellow: with angelica, to prevent blood injury, especially suitable for jaundice with ecchymosis, bleeding, damp and hot with yellow greasy moss is not suitable.
(6) Peony peel: cool blood to stop bleeding, activate blood detoxification, and the ALT height caused by various types of hepatitis can be reduced. Used for jaundice hepatitis, it can improve blood viscosity, increase liver blood flow, reduce blood ACE concentration, strengthen bilirubin binding, beneficial biliary, laxative, diuretic and other effects, can improve liver substructure, improve liver pathology. With madder has the effect of clearing heat and cooling blood and stopping bleeding, especially for those with rashes, it is especially suitable for use.
(7) Rhubarb: it is the main drug for the treatment of jaundice, which can promote bile secretion, eliminate hepatocyte inflammation, promote hepatocyte regeneration, and treat high jaundice with cool blood drugs. Can be used to 10 to 30 grams per day, those who are not able to breathe, Use Xuanming powder, stop the disease, and those with spleen deficiency are contraindicated.
(8) Kudzu root: In modern research, its choleretic group effect is better than that of fungus chen and gardenia. Compatible with cool blood activating drugs, the treatment of severe jaundice has a good effect, and has a hypotransferase effect, the daily amount of 20 to 30 grams, facial, rash, acne is prohibited.
(9) Matrine: has the effect of antiviral, hepatoprotective and immune function, can be used for acute and chronic hepatitis, cirrhosis of the liver ascites, spleen deficiency and loose stool with caution
(10) Qin Gang; It has antiviral, antibacterial and diuretic effects, and has a good yellowing effect on refractory jaundice. Modern pharmacological research, which has the effect of corticosteroids, can be selected regardless of acute or chronic jaundice.