Chronic adrenal hypofunction
[Overview]
Also known as chronic adrenal hypofunction Addison’s disease is due to tuberculosis, autoimmune or other causes of damage to the adrenal tumor most, leading to inadequate secretion of adrenal hormones caused by chronic clinical syndrome. With pigmentation, fatigue weight loss, low blood pressure and water and salt metabolism as the main clinical features. Patients with more than middle-aged and young people, aged mostly between 20 to 50 years old, male and female prevalence rate is almost equal. The disease in active and effective treatment, the patient can greatly extend the life of some patients and even restored to near normal levels. But lead to adrenal crisis, often poor prognosis. Chronic adrenal hypofunction is a traditional Chinese medicine, “Consumption,” “black gangrene” and other areas.
[Etiology and pathology]
Chronic adrenal hypofunction main cause of congenital deficiency, Kidney essence hormone deficiency; or acquired disorders, chronic illness such as serious illness or loss of government mistreatment, the yin and yang qi hit, causing kidney irreducible.
Pathological changes of wasting organs, mainly the deficiency.A variety of causes can damage and kidney. Kidney are organs of the gas shortage, it appears systemic weakness symptoms.Vital to send in the kidney, kidney deficiency, Vital Huoshuai, the deficiency of kidney yang, kidney inviting reliance Spleen, kidney failure Spleen is also true, it is common spleen deficiency syndrome. Because of liver and kidney homologous kidney essence deficiency, Yuanyang is not sufficient, then the evidence also shows that liver and kidney. In addition, due to dirty air deficiency, not blood, Qi can promote blood circulation, but the disease process is often associated with pathological changes of blood deficiency or blood stasis.
[Diagnostic points
1 patient was light brown skin and mucous membrane to different degrees of coking coal color pigmentation, body weight decreased, fatigue, loss of appetite, memory loss, menstrual disorders, women’s, men such as impotence and low blood pressure.
2 small heart shadow prompt chest, ECG showed low voltage trend, 24-hour urine and blood 17-hydroxy corticosteroids significantly reduced, water test and ACTH test was positive.
[Type] dialectical
1 spleen deficiency symptoms: Bianshen swarthy, Shenpi fatigue, drowsiness think lying, face floating foot swelling, loss of appetite, bowel lining is thin, urine long, low back and knees, aversion to cold, loss of libido, dizziness, palpitations . Pale and fat, tender, white slippery tongue coating, the pulse was fine or cowardly weakness.
Syndromes: Kidney failure, the color outside the pan, then see Bianshen swarthy; kidney deficiency, Vital Huoshuai, the lower back and knees, loss of libido, aversion to cold, urine long; spleen deficiency , moisture loss rule, the surface floating foot swelling; spleen qi is weak, transport and negative, then anorexia would Tong; Qing Yang does not rise then the dizziness; gas is weak blood deficiency, heart palpitations dystrophy; pale and tender tongue, moss white slip, fine or weak pulse, weakness, both spleen and kidney yang of the levy.
(2) liver and kidney symptoms: the type of rare, Bianshen swarthy, waist and knees, dizziness, tinnitus, blurred vision, upset, insomnia, numbness, hand, foot and hot, women, menstrual disorders. Mamillata Tianjin, moss, thin, wiry pulse.
Syndromes: liver and kidney origin, sex fluid less than liver and kidney, kidney-color outside the pan, then see Bianshen swarthy; bones dystrophy, brain loss of charge, you see the waist and knees, numbness, dizziness, ringing in the ears head paste; Yinheat, easy to disturbance of mind, you see the hands and feet of heat, insomnia; liver and kidney of the Chong and Ren, liver and kidney deficiency, the Chong and Ren disorders, women, menstrual disorders; mamillata less fluid, thin, wiry pulse, are liver and kidney deficiency symptoms sex fluid.
[Type] treatment
1 spleen deficiency rule is: Warming kidney, spleen Qi.
Recipe: Gui Four Gentlemen Decoction Pills.
Astragalus Codonopsis 15 grams 30 grams 12 grams Atractylodes Poria 12 grams 12 grams 15 grams of yam Rehmannia Cornus 9 g 15 Ke Du Zhong Cuscuta psoralen 12 grams 12 grams antler 9 grams (molten red) with a piece 9 grams subtraction with the disease: severe diarrhea, plus wood 9 grams, Baojiang 5 grams, to warm the spleen to stop diarrhea; cold limbs, Shen Juan evident, plus Curculigo 9 grams, Epimedium 6 grams, 3 grams of cinnamon (later) to enhance Warming kidney;
Swarthy, could add 6 grams of saffron, Angelica 9 grams, the nourishing blood, circulation Xiaoban.
(2) treatment of liver and kidney are: nourishing liver and kidney, nourishing and filling fine.
Recipe: Zuoguiwan together Siwutang.
Habitat 12 grams 12 grams yam dogwood 9 grams, 12 grams medlar dodder seed 12 g turtle version of glue 9 grams (molten red) Angelica peony root 12 g 9 g 9 g Chuan Xiong Millettia 15 g subtraction with the disease: dizziness, tinnitus virtual wind moving like, plus chrysanthemum 9 grams, Uncaria 15 g (later), abalone 30 grams (down) to Pingganxifeng; Fanre night sweats, plus turtle 9 grams, Anemarrhena 9 g to Ziyinqingre; irregular menstruation, plus Motherwort 15 grams of placenta powder 3 grams (blunt) to kidney Tiaochong.
[Chinese medicine]
1 Pill 6 grams each time, 3 times a day.
2 SHENLINGBAISHU pill 6 grams each time, 3 times a day.
[Simple] side
15 to 30 grams of licorice, decoction of tea, apply to this type of mild disease in patients with spleen deficiency.
[Other therapies]
External: aconite, Gui, Chuan Jiao, angelica root, safflower, hematoxylin, Cnidium, 15 grams, Jianshui night dip enough for about 30 minutes. For the disease spleen and kidney yang.
Acupuncture: Acupuncture to take Shenshu, spleen, Zusanli, Sanyinjiao, Guan Yuan, Tianshu, Vital and other points, Yang worse plus moxibustion.
Water treatment: ginseng, angelica 6 grams, traditional Chinese medicine decoction to slag juice, add lamb 500 grams of cinnamon, fennel, cooking wine, ginger, onions amount, with the boiled food.
[Note]
1 immunity in patients with low susceptibility to respiratory infections, gastrointestinal disorders, and even lead to adrenal crisis. The long-term use of hormone replacement therapy, the side effects, it should actively cooperate with the medical treatment, to obtain the best results.
(2) pay attention to rest and avoid fatigue on mental and physical. It should be dynamic and static, proper physical exercise to enhance physical fitness, reduce complications.
3 to avoid the cold, injury, surgical stimulation, vomiting and diarrhea, excessive sweating or hot and cold stimuli, etc. happen.
4 diet should be rich in protein, vitamins and carbohydrates in food, more sodium and less potassium to maintain electrolyte balance.
Anterior pituitary hypofunction
[Overview]
Anterior pituitary dysfunction syndrome, also known as Simon, a two Sheehan’s syndrome, or pituitary hypothalamic system a variety of lesions, so that all or most of the pituitary is damaged caused by endocrine dysfunction syndrome. To face the white Shenpi, cold, backache, loss of libido, hair loss, breast atrophy, amenorrhea embolism as the main clinical features. The disease is most common because of postpartum pituitary necrosis, and pituitary tumors. The former found in maternal bleeding during delivery, if the latter is when the disease in children can cause pituitary dwarfism. In severe cases of the disease, can occur anterior pituitary hypofunction crisis, especially the nervous system involvement, often mental disorders, vomiting, and even coma, where less can be life-threatening. Anterior pituitary hypofunction is a Chinese “Consumption,” “amenorrhea” and other areas.
[Etiology and pathology]
Anterior pituitary hypofunction of the most important disease because of postpartum hemorrhage, with blood gas consumption, sufficient to support due to kidney failure.
Pathological changes of the birthing fetus, has caused kidney, deficiency, postpartum hemorrhage, but the essence sudden loss of blood, with blood gas consumption, not to be sufficient to support yang, Vital-fire decline, life can not thrive, and see the weakness, sexual apathy, sexuality, the signs of atrophy. Burned because of the blood, liver and kidney and blood loss of charge, any two red veins virtual loss, caused the milk is not secreted.Amenorrhea and loss of hair and so on. Kidney is the birth of the brand is acquired, both with each other to breed, interdependence, mutual balance, loss deficiency, Spleen also lost warmth and finally both spleen and kidney yang of the card is.
[Diagnostic points
1 with childbirth bleeding or ischemic necrosis of the pituitary, intracranial vascular lesions, pituitary tumors, brain trauma, surgery, chemotherapy and other medical history.
(2) the performance of pituitary hormone deficiency caused by secondary gonadal, thyroid, adrenal dysfunction symptoms, caused by a pituitary tumor pituitary compression symptoms, produced by a variety of other reasons, the primary disease symptoms.
3 prolactin, growth hormone, gonadotropin, thyroid-stimulating hormone and adrenocorticotropic hormone secretion, are pigmented with mild or moderate anemia, fasting blood sugar is low.
4.CT or MRI pituitary tumors can be detected earlier. ECG often prompts: bradycardia, T wave flat, low voltage, P-R question period be extended.
[Type] dialectical
1 deficiency decline, two blood loss symptoms: pale, pale lips and minimalist, gas mood chills, dizziness, dry hair, hair loss, sexual apathy, the milk is not bleeding, amenorrhea, waist and knees. Pale tongue white, pulse was weak.
Syndromes: postpartum hemorrhage, with blood gas consumption, refined sudden loss of blood, no more wing, so to meet the color pale, pale lips and minimalist, gas mood dizziness; liver blood and kidney essence, sufficient to support the liver and blood-free , so see the hair loss, dry hair, waist and knees; liver and kidney with the Chong and Ren 2 pulse is closely related to liver and kidney and two losses, Chong and Ren wasting, no milk, amenorrhea; blood dependent, yin and yang, each root, sudden blood loss, kidney damage along with a large, visible chills, sexual apathy; pale tongue white, pulse weak, are two blood loss, deficiency of kidney yang of the levy.
2 spleen deficiency, two blood loss symptoms: pale complexion, amenorrhea, loss of libido, sexuality atrophy, rough skin, cold mood of cold, fatigue and leg swelling, anorexia, then eliminate, thin clear. Tongue pale white fur, thready and weak pulse.
Syndromes: the birth of the kidney, the spleen is acquired, the two interdependent, breeding and balance, spleen deconditioning, burned by measuring blood to meet the color complexion, fatigue; renal failure sufficient to support, Vital Huoshuai After you see the group, loss of libido, sexuality atrophy, rough skin, cold urinate clear; kidney deficiency, the spleen lost warmth, Spleen also decline to transport and disorders, loss of moisture transport, showing anorexia, they keep out; tongue pale white fur, thready and weak pulse, both spleen and kidney yang, two blood loss of the levy.
[Type] treatment
1 deficiency decline, two blood loss rule is: kidney yang, Qi and blood.
Recipe: Ba Zhen Tang Immortals Decoction.
Curculigo Epimedium 9 g 9 g 9 g Chuanxiong 6 grams angelica peony root 9 g 9 g ginseng, Rehmannia 12 grams Atractylodes 9 g Poria 9 g Zhigancao 3 g jujube 3 15 grams of astragalus subtraction with the disease: blood deficiency sperm loss, with see vertigo, tinnitus, imaginary trouble, constipation, with raw Shouwu 15 grams, dogwood 9 grams, 12 grams Ligustrum lucidum, Eclipta 12 grams, to nourish the liver and kidney Yin and Blood; weak acid worse , Ghassan parasitic 15 grams of Eucommia 9 grams, strong back bone to kidney, sexual apathy, amenorrhea, coupled with the dodder 9 grams, Motherwort 15 grams to Wenshen menstruation, gas mood chills were evident, plus the system monkshood 9 grams of cinnamon 2 g (later) to Warming yang.
2 spleen deficiency, two blood loss rule is: spleen Warming, tonic tone red.
Recipe: Modified DBD combined Pill.
System tuber 9 g cinnamon 2 g (later) Rehmannia 12 grams 12 grams yam dogwood 9 Keze diarrhea Poria 15 grams 15 grams 15 grams of astragalus Codonopsis 12 grams Angelica 9 grams Epimedium 9 g Dodder 9 g subtraction with the disease:drowsiness drowsiness who Jiapei Lan 9 grams, iris 6 grams, 9 grams turmeric to aromatic phlegm resuscitation; edema evident, plus Polyporus 15 grams, 6 grams of wood through to swelling; sexuality atrophy, amenorrhea, Add Curculigo 9 grams, Morinda 9 grams, Motherwort 15 grams, to kidney Tiaochong.
[Chinese medicine]
1. Ginseng supplement paste each 10 ml, 2 times a day.
2 King Medical Qi Pill 6 grams each time, 3 times a day.
[Simple] side
Health and 30 grams of licorice, ginseng 6 grams, 1, 3 service points.
Light for alternative treatment of the disease.
[Other therapies]
Acupuncture: acupoints Guan Yuan, Zhong Wan, Zusanli, Sanyinjiao a group, Shenshu, spleen, stomach Yu, Tai chi one, two points are used interchangeably. Sanyinjiao, too River Point fill method, more than points with moxibustion. Amenorrhea, sexual dysfunction, plus the pole, a sea of blood, the uterus hole.
External: aconite, cinnamon, Evodia equivalent powder, wine notes for the cake, wrap Yongquan night.
Water treatment:
(1) 9 grams white ginseng or red ginseng 3 grams, jujube 30 grams, cooking soup, the daily generation of tea.
(2) Angelica 10 grams, 10 grams of ginger, lamb 250 grams of rice wine 10 ml scallion 2, water simmer until lamb Sulan, together with other spices tasty food.
[Note]
1 long course of anterior pituitary dysfunction syndrome, the patient body in a weak state, Chinese medicine syndrome differentiation, treatment method, especially kidney, to promote functional recovery of the body is extremely important.
2 diet tone up, choose high-calorie, high protein, high vitamin diet.
3 used with caution or disable sleeping pills, central nervous system depressants and insulin-like hypoglycemic agents, etc., so as not to aggravate the condition.