NEO-NATAL JAUNDICE

Etiology
  • Indigestion
  • Spleen Qi Deficiency due to fatigue or poor Lung function
  • In utero stress causing Liver Qi Stagnation and Heat
  • Transmission of Toxic Heat at conception
  • Mother's diet during pregnancy causing Heat
  • Mother's milk too hot
  • Baby's inherent Damp and hot constitution
  • Stagnant Blood due to birthing trauma causing Stagnant Heat
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Loose stools or watery diarrhea
  • Weak extremities
  • Weight loss
  • Distention and a stifling sensation in chest and epigastrium
  • Pale wan complexion
  • Abdominal distention
  • Indigestion
  • Vomiting
  • Fatigue
  • Chills
  • Yin jaundice
  • Maybe vomiting
  • Leukorrhea
  • Reduced appetite
  • Borborygmus
  • Edema
  • Reduced appetite
  • Diarrhea with onset of menstrual flow
  • Cough with copious sputum
  • T: Pale or Pale red
  • C: White - maybe greasy
  • P: Thready and even or Even and Deficient
Treatment Principle
  • Augment Qi
  • Strengthen the Spleen
  • Resolve Dampness
  • Stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Abdominal masses which are visible when lying down
  • Piercing hypochondriac pain
  • Irritability
  • Indigestion
  • Constipation
  • Dysmenorrhea
  • Amenorrhea
  • Chronic diarrhea
  • Daybreak diarrhea
  • Palpable abdominal masses
  • Irregular menstruation
  • Breast distention
  • Abdominal tumors
  • Hypochondriac distention
  • T: Purple with purple spots on the side
  • C: Normal
  • P: Wiry, choppy and tight
Treatment Principle
  • Invigorate Blood
  • Dispel Blood Stasis
  • Move Qi
  • Alleviates pain
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Yang jaundice
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Sudden onset of Cold-type abdominal pain
  • The pain typically focuses around or lateral to the umbilical region or lower abdomen
  • Epigastrium cold with pain
  • Cramping
  • The pain is alleviated by warmth and aggravated by pressure
  • Chilliness
  • Aversion to Cold
  • Cold extremities
  • Lack of thirst
  • Clear urine
  • Normal or soft stools
  • Mild cases:
      Constant pain
  • Severe cases:
      Sudden bouts of sharp   pain
      Pain is aggravated by Cold   and relieved by warmth
      and hot drinks
      Cold hands and feet  
  • T: Normal
  • C: White and sticky
  • P: Deep, wiry and slow
  • Cold Penetrates the Stomach and Intestines:
      Pain is sudden and sharp
      Pain relieved by warmth
      Nausea
      Vomiting
      Diarrhea, loose stools
      May be constipation
      T: Pink
      C: White
      P: Deep and tight
  • Retention of Fluid in the Stomach due to Cold:
      Pain is dull
      Pain relieved by warmth
      Succussion sound in the   epigastrium on palpation
      Vomiting of clear, watery
      fluid
      T: Pink
      C: White and sticky
      P: Thready or Thready and
          slow
  • Stomach Deficiency with Stagnation of Cold:
      Pain is dull
      Pain is relieved by warmth
      and pressure
      Vomiting clear, watery fluid
      T: Pale
      C: Thin and white
      P: Deep and slow or Deep
          and thready
Treatment Principle
  • Warm the Interior
  • Dispel the Cold
  • Support the Yang
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Colic
  • Abdominal pain
  • Jaundice
  • Nausea
  • Vomiting
  • Toxic shock (acute obstructive suppurative cholecystitis)
    Exhausted Yang:
    Shortness of breath
    Profuse perspiration
    Cold skin
  • Peritonitis
    Tenderness
    Guarding
    Blumberg's sign
  • T: Deep red
  • C: Dry and yellow
  • P: Thready and rapid or Disappearing (low Blood pressure)
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Relieve toxicity
  • Cool the Blood
Herb Formulas
Points