|
|
|
| Origin and development of fetal jaundice |
| JIANG Deyou1 DUAN Fangfang2 JIANG Xicheng1 LI Wenhao1 WANG Youpeng3#br# |
1.College of Basic Medicine, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
2.Department of Traditional Chinese Medicine Internal Medicine, the First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
3.Department of Pediatrics, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China |
|
|
|
Abstract Fetal jaundice, as the most common clinical problem in the neonatal period, is mostly self-healing. However, its critical illness is life-threatening, so its prevention and treatment has been a research priority in the field of medicine. Fetal jaundice is first documented in General Treatise on Causes and Manifestations of All Diseases writed by Chao Yuanfang in Sui dynasty. Younger generation doctor summarizes that the pathological changes of the viscera are in the liver, gallbladder, spleen and stomach, and the etiology and pathogenesis include heat-dampness in pregnancy, cold-dampness encumbering spleen, liver depression and blood stasis, bile efflux, and so on. From Song dynasty to Qing dynasty, successive physicians’ perceptions of this disease has been improved, and multiple methods of diagnosis has been proposed, based on the principle of removing dampness and eliminating jaundice, such as methods of clearing heat, removing dampness and eliminating jaundice, methods of warming the middle, removing dampness and eliminating jaundice, methods of resolving stasis, dispersing accumulation and eliminating jaundice, etc. Traditional Chinese medicine has rich experience in differentiation and treatment of this disease. Considering all together, this article collates and examines accounts of relevant discourses of fetal jaundice in successive generations crucial medical books.
|
|
|
|
|
|
[1] 顾敏勇，杨燕，孙彦丽，等.中医儿科临床诊疗指南·胎黄（修订）[J].中医儿科杂志，2018，14（2）：5-9.
[2] Bhutani VK，Wong RJ. Bilirubin neurotoxicity in preterm infants：risk and prevention [J]. J Clin Neurol，2013，2（2）：61-69.
[3] 农志飞，潘利忠，王丹谊.胎黄的概念、病因病机及治法探讨[J].中医儿科杂志，2012，8（6）：11-13.
[4] 吴肖妮，费健丽，陈祺雅.中西医治疗新生儿黄疸的研究进展[J].中医儿科杂志，2013，9（3）：52-55.
[5] 符婧媛.中药泡浴联合蓝光照射及推拿治疗湿热熏蒸型胎黄的临床观察[D].泸州：西南医科大学，2021.
[6] 张倩，张美芳，刘晓娜，等.改良蓝光灯联合中药煮散剂灌肠治疗湿热蕴蒸型胎黄的优势探讨[J].中国中西医结合儿科学，2020，12（5）：403-406.
[7] 金继超.降黄散熏蒸治疗湿热内蕴型胎黄患儿80例[J].吉林中医药，2018，38（8）：908-910.
[8] 马娜娜.小儿推拿干预新生儿病理性黄疸临床疗效评价[D].长春：长春中医药大学，2014.
[9] 单宝英，黄惠芬，陈娜.中西医综合护理方案在新生儿胎黄中的应用[J].海南医学，2015，26（24）：3740-3742.
[10] Dong T，Chen T，White RA，et al. Meconium microbiome associates with the development of neonatal jaundice [J]. Clin Transl Gastroenterol，2018，9（9）：182.
[11] 巢元方.诸病源候论校释[M].北京：人民卫生出版社，1982：1285.
[12] 王伯岳，江育仁.中医儿科学[M].北京：人民卫生出版社出版，1984：231.
[13] 陈复正.幼幼集成[M].北京：人民卫生出版社，2006：67-69.
[14] 郑端友.保婴全方[M].北京：中国中医药出版社，2016：154.
[15] 肖岑昕，黄恒青.《伤寒论》发黄证辨治特色探微[J].亚太传统医药，2021，17（7）：191-193.
[16] 舒静，何强，穆静，等.基于肝络病理论治疗婴儿肝内胆汁淤积性肝病[J].中医杂志，2021，62（1）：79-81.
[17] 程云鹏.慈幼新书[M].北京：人民军医出版社，2012：21-23.
[18] 赵强，伍玲，张云梅，等.田金娜运用泻黄散加味治疗儿科疾病验案举隅[J].山西中医，2022，38（4）：39-40.
[19] 万全.幼科发挥[M].北京：人民卫生出版社，2006：123.
[20] 沈金鳌.幼科释迷[M].北京：人民军医出版社，2012：18.
[21] 吴谦.医宗金鉴·儿科心法要诀[M].北京：中国医药科技出版社，2012：36-37.
[22] 谷丙亚.含茵陈方剂在黄疸病中的应用[J].中医学报，2016，31（3）：416-418.
[23] 许靖，李伟伟，艾军，等.茵陈理中汤治疗新生儿静脉营养相关性胆汁淤积疗效观察[J].新中医，2020，52（21）：28-30.
[24] 徐杨，田云龙，李年华.短时多次蓝光照射联合酪酸梭菌二联活菌、茵陈胃苓退黄合剂对新生儿高胆红素血症疗效及免疫功能的影响[J].中国医药科学，2021，11（7）：20-24.
[25] 张丽，王新佩.张仲景顾护脾胃在中医儿科学中的临床应用[J].中国临床医生杂志，2016，44（3）：100-103.
[26] 杨爱玲，冯雅敏，张有成.抚触和穴位按摩配合蓝光照射治疗新生儿黄疸效果的Meta分析[J].西部中医药，2021，34（6）：67-74.
[27] 胡鸾，王春林，张吉，等.小儿推拿四法对新生儿黄疸早期干预的临床观察[J].云南中医中药杂志，2017，38（11）：67-68. |
|
|
|
