黄疸
Alias肝炎黄疸
Traditional Chinese Medicine Definition
In traditional Chinese medicine, jaundice is referred to as "yellow jaundice," which is a syndrome caused by the internal obstruction of dampness, the derangement of the liver and gallbladder's function, and the overflow of bile into the skin. The characteristic symptoms include jaundice of the body and eyes, and yellowish urine. According to the records in "Internal Medicine of Traditional Chinese Medicine," the pathogenesis of jaundice primarily involves the dysfunction of the liver, gallbladder, spleen, and kidney, with damp-heat in the liver and gallbladder being the key factor.
Jaundice is a common liver and gallbladder syndrome in clinical traditional Chinese medicine, with the core pathogenesis being the internal obstruction of dampness and the derangement of the liver and gallbladder function. Common precipitating factors include irregular diet, emotional disorders, and excessive fatigue. In the process of differentiation, attention should be paid to the following key points:
1. Heat predominant over dampness: Characterized by jaundice of the body and eyes, with a bright yellow color, fever, thirst, and yellowish urine.
2. Dampness predominant over heat: Jaundice of the body and eyes, but less bright than in heat predominant cases, often accompanied by symptoms such as heavy-headedness, body fatigue, and epigastric and abdominal fullness.
3. Epidemic toxicity syndrome (acute jaundice): Onset is acute, with the jaundice deepening rapidly, the color resembling gold, and symptoms such as high fever and thirst.
Overall treatment direction: In clinical traditional Chinese medicine, the treatment of jaundice should follow the principles of clearing heat and detoxifying, promoting diuresis and jaundice, and soothing the liver and resolving depression. According to different patterns, different treatment methods such as clearing heat and purging the bowels, promoting diuresis and transforming turbidity, and clearing heat and detoxifying can be adopted. Traditional Chinese medicine believes that by adjusting the functions of the organs and restoring the liver and gallbladder's function, the symptoms of jaundice can be improved.
Common Syndrome Types and Key Points of Differentiation
热重于湿证
Main Manifestations：身目俱黄，黄色鲜明，发热口渴，小便黄赤
Management Approach：清热通腑，利湿退黄
湿重于热证
Main Manifestations：身目俱黄，但不如前者鲜明，头重身困，脘腹痞满
Management Approach：利湿化浊，佐以清热
疫毒炽盛证(急黄)
Main Manifestations：发病急骤，黄疸迅速加深，其色如金，高热烦渴
Management Approach：清热解毒，凉血开窍
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
In clinical practice, for patients with hepatitis jaundice, the observation of the color change of the skin, with a bright yellow color often indicating damp-heat, and a dim yellow color usually indicating cold-dampness.
— 唐玉兰 中医执业医师（师承）
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)