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CC BY 4.0 · Chinese medicine and natural products 2022; 02(04): e179-e184
DOI: 10.1055/s-0042-1759793
Review Article

Re-analysis on Heidan Disease (Black Jaundice) in Synopsis of Golden Chamber (Jin Gui Yao Lue)

Tzi Chiang Lin
1   Naturewise Pty/Ltd, Melbourne, Australia
,
Xiaolin Yuan
2   School of Chinese Medicine, School of Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
,
Gang Wei
3   Rheumatology Department, Jiangsu Province Hospital of Chinese Medicine, Nanjing, Jiangsu, China
,
Shi Jin
4   The First School of Clinical Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
› Author Affiliations Funding This work was supported by the National Natural Science Foundation of China (81403407) and Special Program of the International Cooperation in Chinese Medicine of the State Administration of Traditional Chinese Medicine (China-Australia Chinese Medicine Center [Melbourne] GZYYGJ2021024)
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Abstracts

Heidan disease (black jaundice) is a kind of jaundice, which is caused by lingering and chronic jaundice, often with blood stasis and damp-heat, etc. The clinical symptoms of Heidan disease (black jaundice) are similar to those of cirrhosis caused by multiple chronic liver diseases in Western medicine. Heidan disease (black jaundice) generally belongs to yin jaundice type, and the pathogenesis is mostly related to blood stasis and dampness stagnation, often with damp-heat residue. According to Zhongjing Zhang, the prescription Xiaoshi Fanshi powder for the treatment of Heidan disease (black jaundice) is based on the understanding that the nature of Heidan disease (black jaundice) is inseparable from the two key pathological factors of dampness and blood stasis. The treatment of jaundice should be based on removing blood stasis and dampness, supplemented by soothing the liver and promoting the transportation function of spleen, removing blood stasis and harmonizing the collaterals, and promoting diuresis and reducing jaundice. In the treatment of jaundice, removing blood stasis and purging turbidity should be stressed, and powerful tonification should be used with caution. Since blood stasis and turbidity are always intermingling and often complicated with damp heat, the method of warm drying should be used with caution. For promoting blood circulation, removing blood stasis, and dredging the liver-biliary collaterals, drastic medicine should be used with caution.

Keywords

Heidan disease - black jaundice - Xiaoshi Fanshi powder - chronic liver disease - liver cirrhosis - Yinshao Erjin decoction - Yinchen Zhizi decoction - Synopsis of Golden Chamber (Jin Gui Yao Lue)

CRediT Authorship Contribution Statement

Lin Tzi Chiang: Writing - original draft. Xiaolin Yuan: Writing -original draft?writing-review & editing, project administration. Gang Wei: Resources. Shi Jin: Conceptualization, resources, writing-review & editing.




Publication History

Received: 01 June 2022

Accepted: 23 August 2022

Article published online:
30 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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