A: Hepatitis Flashcards

(36 cards)

0
Q

Incubation Period for Hep A?

A

15 - 50 Days

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1
Q

What is Hepatitis?

A

Inflammation/ Enlargement of the liver

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2
Q

Incubation for Hep B?

A

45 - 80 days

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3
Q

Incubation period for Hep C?

A

14 - 182 days

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4
Q

How long can Hep survive outside the body, even if there’s O2 exposure?

A

several days

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5
Q

Which Hep is the “silent Dz”?

A

Hep B

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6
Q

When did the Red Cross start to screen blood products for Hep?

A

March, 1990

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7
Q

How many Canadians have Hep C?

A

90-300K

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8
Q

How is the usual Hep C transmission?

A

Blood-to-blood

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9
Q

Sx of Hepatitis?

A

Fever, tired, jaundice, abdominal cramp, loss of appetite, dark urine, nausea, hypochondreac pain

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10
Q

DDx for Hep C?

A

CFS

FM

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11
Q

Which type of Hep is most common in Canada

A

Hep C

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12
Q

Which type of Hep is the worst scenario?

A

Hep C

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13
Q

Standard Tx for Hep C in Western

A

Interferon drug, with massive side fx, uncertain results

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14
Q

Serious side fx from Hep C

A
Cirhosis of liver,
Liver failure (sudden, no warning)
Liver cancer (80% of Chinese liver cancer patients had Hep B)
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15
Q

Patterns for Hep

A, B, C, D, E all included:

A
Damp Heat in L-J (Most common)
Cold-Damp (Yin Jaundice)(Smoky Yellow)
Liver Qi Stagnation
Liver Yin Xu (esp in chronic cases)
Liver Overacting Spleen (Liver-Sp disharmony) (loose stools)
16
Q

Accute types of Hep

A

D-h

Liv Qi Stag

17
Q

Acute Types of Hep

POT

A

Sooth liver, regulate qi, clear damp-heat

Choose Liver, Sp, St, Du, using reducing method

18
Q

Chronic Types of Hep:

A

Lingering damp heat, Zheng Qi damaged, Qi Stagnation, Blood Stasis:
C-D
Liver Yin Xu
Liver Overacting Sp

19
Q

Chronic Hep POT

A

Clear Damp Heat, Regulate Qi, Remove blood stasis, strengthen spleen, tonify Kidney.

Ren, Back Shu/ Front Mu points, Nourish yin or blood (we never nourish yang, even kidney yang. Can tonify yang, but not nourish it, same with Qi - tonify, don’t nourish)

20
Q

Chronic Hep Pts:

A

4 Gates - Move Qi and Blood

Sj 5, GB 34, St 36, Liv 4, Sp 9

21
Q

Jaundice Pt

22
Q

Tx length for Chronic Hep?

A

3 months - then repeat blood tests to see if any improvement

23
Q

Common Points:

A

Du 9, St 36, Du 4
especially to inject liquid angelica or astragalus, even vitamin B12

Moxa - St 36, Sp 6, Ren 12, Ren 6

24
Auricular Acup:
Liv/GB, Sp/St, Pancreas, Sanjiao, SHenmen, Sympathetic, and any other reactive points
25
Wrist Acupuncture for Hep:
upper and lower 2nd lines, 1.5 c needles, around PC6 goes up, retain the needle there overnight (cut and tape handle)
26
Kids are scared of needles - suggestions?
Laser acup
27
Since Hep is ususally damp heat, then will moxa induce more heat?
NO. Moxa on Hep is always good... never causes it to get worse.
28
With treating Hep, should we use a lot of points or just a few?
Just a few, since we need to be treating them frequently (like a couple times a week)
29
Will Acup kill Hep?
No, but it will strengthen immune system to fight the virus
30
Why is acupuncture good for Hep?
Because it's non-drug, and drugs are processed in the liver, which is what is already compromised in Hep, so since we're not taxing the liver, it's a major advantageq
31
Herbals for Hep?
``` DH: Yan Chen Hao Tang CD: Yan Chen Zu Fu Tang Lv Qi Stag: Chai Hu Shu Gan San Liv Yin Xu: Yi Guan Jian Liv -Sp Disharmony: Xiang Sha Liu Jun Wan ```
32
Patterns of Hep? | TCM
D-H, D-C, | Liv Qi Stag, Liv Yin Xu, Liv Sp Disharmony (liver overact Sp)
33
SGPT < 40 means?
Hepatitis, or Liver Damage
34
Can SGPT > 40 be lowered with herbs?
Wu Wei Zi
35
Si SGPT and SGOT the same thing?
yes