Leukemia
Leukemia is a hematopoietic system has not yet entirely clear because of malignant disease. The pathological features of a large number of leukemia cells in vivo without extensive controlled proliferation, appear dry bone marrow and many other organs and tissues, and into the peripheral blood. The main clinical manifestations of varying degrees of fever, anemia, bleeding, liver and spleen and lymph nodes. Immature leukemia cells according to the extent and natural history of leukemia, acute leukemia and is divided into two major categories of chronic leukemia, the former mainly for acute lymphoblastic leukemia (acute lymphoblastic) and acute non-lymphocytic leukemia (acute Feilin) categories. Occurrence of acute leukemia in children and young people, adults and the elderly with chronic leukemia more common. Poor prognosis of leukemia, especially acute leukemia.Leukemia is a Chinese “Blood”, “Consumption,” “accumulate” and other areas.
[Etiology and pathology]
Leukemia, the disease because the body upright enough, within the virtual essence, take the plague touch poison gas, poison evil attack, injuring camp Yin, involving the kidney, bone marrow damage and disease.
Pathological changes in the body upright enough dry ground, vulnerable to toxin invasion, from the table entry, are virtual Xie Sheng, Yin hurt business, involving the kidney, bone marrow damage, lack of blood, the occurrence of deficiency. Sex fluid damage, heat fumigation, heat injury blood, forcing blood Wang Xing; or chronic illness Hao Shang blood gas is not taken blood, leading to blood evidence. As is true feelings of evils or vaginal injuries of blood lost, the business of heated blood, showing persistent high fever, duration of the course of time, more blood loss, blood stasis, vein occlusion, results in Xiexia, block the formation of scar. If the drug entirely evil, is often repeated, evil bad is true, which led to both Qi and Yin deficiency.
[Diagnostic points
1 acute leukemia (1) fever often the first symptom, hot-type variable, often accompanied by stomatitis, inflammation around the tonsils and lung infections; half of these patients showed progressive anemia.
(2) bleeding in the skin, mouth, nose more common, is undergoing extensive and severe diffuse intravascular coagulation, and visceral or intracranial hemorrhage.
(3) the performance of infiltration: liver, spleen and lymph nodes, to the more obvious lymphocytic leukemia, bone and joint pain, sternal tenderness. Headache, dizziness, vomiting, neck stiffness and other meningeal or central nervous system leukemia, compared with the performance.
(4) blood: WBC count varies significantly increased the duration of late, many appear naive cells, primitive cells in 30% to 90%, red blood cells and hemoglobin decreased, thrombocytopenia.
(5) bone marrow hyperplasia is extremely active, mainly for the original leukemia cells proliferated. ≥ 30% blasts have diagnostic value, associated with cell maturation disorders, developmental imbalance nucleus and cytoplasm.
(2) chronic leukemia (1) onset mostly slow, often no early symptoms, physical examination or a chance to find because no incentive to increase white blood cell count or splenomegaly.
(2) fatigue weakness, sweating, fear of heat, low heat; due to anemia caused by dizziness, palpitations, shortness of breath.
(3) physical examination are splenomegaly, lymphadenopathy, mostly painless.
(4) to establish the diagnosis is dependent on peripheral blood and bone marrow: chronic myelogenous leukemia with granulocyte system cells and intermediate cells were significantly megakaryocytic hyperplasia based, can be found in some chromosome-positive cells. Chronic lymphocytic leukemia lymphatic system places a small lymphocyte proliferation dominant.
[Type] dialectical
.1 Acute leukemia (1) Qi and Yin Deficiency symptoms: Shenpi fatigue, fever, five upset hot, spontaneous sweating, Nvxue or purpura, and disappeared the next, looking not Chinese.Nenhong tongue, thin white fur, weak pulse breakdown. More common in anemia mainly acute leukemia.
Syndromes: eating disorders, chronic illness or infirmity caused the lack of vitality, organs virtual bad, so Shenpi fatigue, not China; Qi Wei table is not solid, then spontaneous; Qi can not be unifying, blood consequent spillover, or See Nvxue, or purpura disappeared the next; false fire disturbance, showing fever, five upset hot, and sweating; Nenhong tongue, thin white fur, weak pulse breakdown, the Qi and Yin Deficiency of the sign.
(2) toxic heat flaming symptoms: rapid onset, strong heat, thirst, pain in joints, skin burning, whole body petechiae appear, when muscle bleed, epistaxis, teeth bleed at the nose, yellow urine, constipation. Tongue dirt and greasy slippery. More common in the heat-based leukemia.
Syndromes: lack of righteousness, and easy toxin invasion, heat toxin from the table entry, injuring Yin camp, camp blood heated, it begins abruptly, strong heat, thirst, skin burning; sex fluid damage, heat fumigation, Heat injury of blood network, forcing the blood Wang Xing, so see the whole body petechiae, muscle bleed at the nose, epistaxis, teeth bleed; involved in kidney, bone and kidney, so the joint pain;; yellow urine, constipation, tongue scale greasy, slippery pulse are signs of toxic heat flaming.
(3) phlegm knot symptoms: fever body, looking not Chinese, Shenpi fatigue, jaw, neck, armpits sputum nuclear, not red nor pain, or abdominal scar product, pain in joints. Tongue purple, thin coating, slippery pulse string or strings. More common in acute lymphoblastic leukemia.
Syndromes: essence of true, take advantage of toxin, Haoshangqiyin, so see the body fever, Shenpi fatigue, not China; slightly longer duration, blood deficiency, blood stasis and stagnation gas, context blocking, results in Xiexia, the formation of scar blocks, stay in the limb, showing pain in joints; gas is not of Tianjin, poly fluid into phlegm, and blood stasis cross-resistance, and see the lower jaw, neck, armpits sputum nucleus; tongue purple, moss thin, slippery pulse of phlegm and blood stasis of the levy.
(2) chronic leukemia (1) Qi and Yin Deficiency symptoms: looking Shaohua, malaise, fatigue, dizziness, palpitations, five upset hot, Xiexia lump in the abdomen pain, weak waist, spontaneous sweating, afternoon hot flashes, rapid pulse. Thin white fur, tongue Nenhong body fat. More common in anemia of chronic leukemia active performers.
Syndromes: deficiency of blood loss, loss of support in Confucianism, brain loss of support is dizziness, heart failure has raised the palpitations, limbs dystrophy is languid, weak waist; blood can not be measured on the wing in the area looking Shaohua; Qi table is not solid then the spontaneous Wei; yin and false fire disturbance are night sweats, hot afternoon period, five upset hot; not of Jin Qi, phlegm and blood stasis blocking, the plot in Xiexia, the Xiexia lump in the abdomen pain; tongue Nenhong body fat, thin white fur, rapid pulse is Qi and Yin of the levy.
(2) Qi stagnation symptoms: bloating, Xiexia block obvious scars or body mass ache, chest pain, fever and downs, spontaneous sweating, dark complexion dark, satisfied by fatigue. Purple tongue, petechiae, pulse string. More common in chronic leukemia activity, and relapse.
Syndromes: qi stagnation of blood resistance, and context do not, the plot from the block, the block was so Xiexia scars, pain and see, or body mass ache; blood coagulation, Camp David is not, and therefore low heat ups and downs, spontaneous night sweats; Qi stagnation, stomach disorders, it is satisfied by fatigue; dark complexion dark, purple tongue, petechiae, pulse string for the disease in the blood points, the signs of blood stasis.
(3) are imaginary blood stasis symptoms: pale complexion, fatigue, fever, spontaneous sweating, body pain, bone pain, swelling Zuoxie the next block of hard scar (splenomegaly), sputum core surface and increasing the body thin, satisfiedreduction, or Nvxue. Purple tongue with petechiae, or fragrant red smooth, weak pulse, or string. More common in end-stage leukemia.
Syndromes: virtual stasis is falling, new blood is not health, business gas burned, so pale complexion, fatigue; camp guard falling out, the spontaneous sweating, fever;
Plot block course of time, blood stasis of blood contact, it swollen Zuoxie the next block of hard scar, increasing sputum nucleus; blood does not follow through, so Nvxue; lack of gas, transport and power, it is satisfied by, thin body ; tongue purple petechiae domain red smooth, weak pulse, or thin string, are blood Hao Shang, fluid depletion, the signs of bleeding negative air machine.
[Type] treatment
1 acute leukemia (1) Qi and Yin Deficiency rule is: Qi Yin, Xiehuo detoxification.
Recipe: Shengmaisan Dabuyin Pill.
5 to 10 grams of American ginseng (also fried blunt) Astragalus 15 Winter oats 12 g 10 g Scrophularia habitat flavors in 6 grams of honeysuckle 12 grams 12 grams 12 grams forsythia Indigo 9 grams (Pack) Cork 10 Kedan Pi 12 gAnemarrhena 10 grams 10 grams turtle version of addition and subtraction with the disease: pain, plus Puhuang 9 grams, 9 grams Wulingzhi to stimulate blood circulation and relieve pain; anemia, plus angelica 12 grams, 9 grams gelatin to blood the blood.
(2) toxic heat flaming rule is: detoxification, cooling Xiehuo Recipe: Qingwenbaiduyin decoction rhino horn powder 6 g (swallow) habitat, 30 g Radix Lithospermum 12 Kedan Pi 10 g 15 g Folium 30 g Coptis 6 g Huang Qin 12 grams Treats 9 g Forsythia Gardenia 10 g 12 g 12 g Scrophularia addition and subtraction with the disease: very hot thirst, irritability, plus 30 grams of gypsum, Anemarrhena 15 grams, 6 grams of licorice, to heat Hozu; surface. Visceral bleeding, plus ten gray-nine 15 g (including fry), rhubarb 15 g of soil, heat and cooling blood to stop bleeding.
(3) phlegm knot rule: heat stasis, Phlegm Sanjie.
Recipe: Puji sterilized decoction.
Scutellaria 12 grams berberine 6 g Folium 30 grams 12 grams 30 grams of Radix Bupleurum 9 g Forsythia Cimicifuga Arrowhead Mountain 15 Kema Bo 6 g Arctium 9 g 15 g 12 g Scrophularia Radix Campanulaceae 9 g 9 Kdan parameters 12 g subtraction with the disease: abdominal scars knot, plus Tri 9 grams, Curcuma 9 grams, head back to the tomb of 9 grams to eliminate scar blood; limb pain, plus Cynanchum 12 grams, willow leaves 12 grams, in order to remove Wind Tongluozhitong.
(2) chronic leukemia (1) Qi and Yin Deficiency rule is: Yiqiyangyin heat.
Recipe: Sancai seal marrow Danga.
North Radix Codonopsis 15 grams 15 grams 15 grams of raw land and a half days of winter and 15 g lotus branch diffusa 30 g 15 g 9 g Treats 9 grams indigo Sunburn turtle shell turtle version of 15 g 30 g 15 g oyster subtraction with the disease: hot flashes, plus 10 grams of Artemisia annua, Digupi 12 grams, to Qingxudong heat; scars knot gamma Tri 9 grams, Curcuma 9 grams, peach kernel 9 grams to eliminate scar blood.
(2) Qi stagnation Therapeutic: Liver qi circulation.
Recipe: Decoction diaphragm.
Peach kernel safflower 9 g 9 g Chuanxiong 6 g 12 g Radix Angelica 9 Kedan Pi restraint Cyperus rotundus 12 Citrus aurantium 9 g 9 g ginseng 12 g turmeric 12 Kdan Tri 15 g 15 g semi-technical support by lotus 30 grams snake tongue grass 30 grams subtraction with the disease: constipation, add rhubarb 9 grams, the heat Tongfu; heat worse, plus 30 grams of gypsum, Folium 30 grams, to detoxify.
(3) are imaginary blood stasis rule is: BNI Sanjie.
Recipe: Ba Zhen Tang Ge Xia Zhu Yu Decoction.
Astragalus, Codonopsis 10 g 15 g Poria 12 grams 12 grams Atractylodes Angelica 9 grams habitat 15 grams red peony 10 grams 10 grams Chuanxiong walnuts 10 g 10 g safflower 9 Kedan Pi Tri Cyperus rotundus 10 grams 15 grams 15 grams turtle Curcuma A 15 g to 15 g turtle bug addition and subtraction with the disease: pain body pain, plus Wulingzhi 9 grams, 9 grams of frankincense, myrrh 9 grams, the blood circulation of qi, stasis and pain.
[Chinese medicine]
1 Tripterygium into pieces each 10 mg, 3 times a day, 3 months for a course of treatment. For acute leukemia.
(2) three harringtonine injection every 2 to 3 ml, intravenous infusion, day 1, 7 to 21 days for a course of treatment. For acute non-lymphocytic leukemia.
3 Angelica Long Hui Wan each 30 grams, 3 times daily after meals one hundred a month for a course of treatment. For chronic leukemia.
4 Niuhuangjiedu every four, three times daily after meals.
For chronic leukemia.
5 homoharringtonine base 2 mg per injection, intramuscular injection, 1 day, 1 month course of treatment. For chronic leukemia.
[Simple] side
1 reference notoginseng powder 3 grams, white and powder 6 grams, 2 times a day, swallow, can blood to stop bleeding.
2 indigo 6 to 12 grams, 2 times, swallow, can detoxify, anti-leukemia.
[Other therapies]
Water treatment:
(1) Qi date Yiyiren porridge: Astragalus 5 grams, jujube 10, the Health Yiyiren 30 grams, 50 grams of rice, add 1000 ml of water, porridge. Function BNI, support healthy.
(2) black-bone chicken soup Group: Silky, Tuan Yu each one, are cuts of soup, spices and then people can be. Qi and kidney function.
[Note]
1 It should be early diagnosis, symptomatic treatment, so as not to delay treatment, life-threatening.
(2) psychotherapy is an important treatment of this disease, so patients overcome pessimism, with the treatment.
3 Note that rest, during chemotherapy should be in bed.
4 Note the mouth, skin, perianal and genital hygiene to prevent infection.
5 diet should be nutritious, easy to digest, eat more vegetables and foods rich in vitamins.