Pediatric+Jaundice

=Jaundice and hepatitis= Neonatal Jaundice (normal) goes away in 24 -48 hours (p63 Flaws)

Yang Jaundice
Brightly colored skin and eyes, deep yellow urine, fever, constipation, cloudy spirit and vexation, confusion, fatigue, lack of strength, no appetite or thirst, abd distention and fullness, dry mouth and lips. [Yin Chen Hao (artemesia), Zhi Zi (gardenia), Da Huang (rhubarb)] If lighter skin- more damp can add: Gou Qi Zi, Hua shi (talc), Che Qian Zi (plantain seeds) More dampness add: Hou Po (magnolia), Huo Xiang (Pogostemonis)
 * Herbal Rx:** Yin Chen Hao Tang

Yin chao Hao (artemesia), ZhiZi (gardenia), Da huang (rhubarb) Can add Gou Qi Zi, Ce Qian Zi (plantain), Hua Shi (talc)
 * Damp Heat** - orange fresh yellow skin
 * Herbal Rx**- Yin Chen Hao Tang + Wu Ling San

Yin Jaundice
Dull yellow skin and eyes that last a long time, fatigue, poor appetite, easy vomiting after meals, loose stools, distention and fullness, cold limbs, pale tongue


 * Cold Damp** - Dull pale yellow with coldness
 * Herbal Rx**- Yin Chen Li Zhong Tang ( Yin Chen Hao, Gan Jiang, Dang Shen -Codonopsis, Bai Zhu –atractylodis, Fu Ling –Poria; Fatigue – add Huang Qi, constipation add Da Huang)

It is recommended to have child evaluated by a doctor if Jaundice continues than longer the first few days
 * Stagnated Qi and Blood** - White grey stools
 * Herbal Rx**- Xue Fu Zhu Yu Tang, Gu Xia Yu Tang (Dang Giu, Sheng Di, Niu Xi –Achyranthus, Hong Hua - Carthamus, Tao Ren –Persica, Chai Hu, Zhi Ken –Aurantium fruit, Chi Shao, Chuan Xiong, Jie Gong –Platycodon, Gan Cao)

Stasis Accumulation Jaundice
Dull yellow skin and eyes. cheeks are relatively bright but otherwise is dark and lusterless. Gets worse as the sun increases. Right sided glomus and lumpiness which is somewhat hard, abdominal distention and fullness, lassitude of the spirit, torpid intake, easy vomiting after eating, short yellowish urine, greyish white stools, possible appearance of static macules, ejection of blood, dark red lips, yellow tongue fur.
 * Herbal Treatment:** Xue Fu Zhu Yu Tang (Blood Mansion Dispel Stasis Decoction)

Homeopathic remedies:
Neonatal Jaundice: Humulus Lupulus (Hops) will often clear up jaundice in 6 hours. [Stargrove]

=Jaundice= Jaundice is a yellow coloring of the eyes and skin. This yellow coloring is the result of a buildup of a chemical in the blood called bilirubin. It is a common symptom in newborn babies due to initial lack of liver development and is usually not a sign of serious illness. In older children, it can be a sign of a liver disease or a blood disorder.

Jaundice should not be confused with carotenemia, which is an orange- yellow coloring in the skin caused by too much carotene in the diet. Carotene is a natural food coloring found in fruits and vegetables that have a lot of Vitamin A. It is the natural chemical in plants that causes them to be yellow or orange. If the child is jaundiced, the white part of the eyes will also be yellow, but with carotenemia, the white parts stay white.

The easiest way to tell if a child has carotenemia instead of jaundice is to look at the white part of his eyes. The bottom line is if the white part of the child's eyes look yellow, you should contact his pediatrician or family practitioner for an evaluation. 1. Jaundice There are a lot of causes of excess bilirubin (hyperbilirubinemia) in the blood. If left untreated, most of the time the bilirubin with continue to increase slightly but will not reach dangerous levels. However, in some cases the bilirubin will continue to increase and can then act like a poison (toxin) to the nervous system, especially the brain. This is called kernicterus and can lead to deafness, seizures, or developmental delay. Fortunately kernicterus is rare because hyperbilirubinemia is usually easy to monitor and treat before dangerous blood levels are reached.

Bilirubin in a natural breakdown product of blood cells. Everyday, old red blood cells are destroyed and replaced with new ones. Each red blood cell lives about 120 days. Usually the rate of destruction and creation are in balance so that the amount of bilirubin from the destroyed blood cells is kept under control by the liver, which serves to clear bilirubin from the blood stream. Bilirubin is then taken up into the liver where it is converted (conjugated) to another form that is then excreted into the gut. This conjugated bilirubin is then broken down by bacteria and is what gives stool its brown to green coloring. Conjugated bilirubin can also be broken down again into an unconjugated form that reenters the blood stream.

Herbal treatment of neonatal jaundice (NNJ) has been practiced in China for a long time. Even to-date, a variety of herbal items, including "Yin-chin" (Artemisia), "Huang-qin" (Scutellaria), "Da-huang" (Rheum officinale), "Gan-cao" (Glycyrrhiza), and "Huang-lin" (Coptis chinesis), are still being prescribed to jaundiced infants, often in combination with modern treatment such as phototherapy and exchange transfusion. Their efficacy has, however, not been tested by properly conducted randomized controlled trial. Appendix B p_ notes

If the body suddenly starts destroying red blood cells (a condition called hemolysis) faster than the liver can clear the bilirubin from the blood, the result can be hyperbilirubinemia and a yellow-orange coloring will be seen in the eyes and skin. Another way that bilirubin can accumulate in the body is if the liver is not working properly because of infection or some other condition and the conjugated bilirubin is not getting released into the intestine. This is called cholestasis. Again, the skin and eyes will get a yellow color, and sometimes the bowel movements will be white or clay colored instead of brown, green or yellow.

-Currently, I am seeing baby girls adopted from other counties that have parasites and hepatitis. They may or may not have mild jaundice appearance, but they have hepatic symptoms. We can help them with our medicine. -I use Allergy Research Phyllanthus umblica (Indian gooseberry) complex – hidden in their food –Phyllanthus, Milk Thistle and dandelion root, plus acupuncture -Other research: Hepatoprotective Effect of Cirsium arisanense Kitamura in Tacrine*-Treated Hepatoma Hep 3B Cells and C57BL Mice., Kuo-Lung Ku, Chu-Tsai Tsai, Wei-Min Chang American Journal of Chinese Medicine; 2008, Vol. 36 Issue 2, p355-368, 14p, 5 graphs
 * Cognex® (tacrine hydrochloride) is a reversible cholinesterase inhibitor that induces liver damage

Cirsium arisanense Kitamura (Compositae) has been used for hundreds of years in Taiwan as a folk medicine for hepatoprotection. However, no scientific research has demonstrated this effect. Appendix b

Silymarin at 100 μg/ml, as well as CaR and CaL, not only protect Hep 3B cells from tacrine-induced hepatotoxicity but also decrease the expression of hepatitis B surface antigen (HBsAg). In conclusion, the phenol-containing aqueous components from C. arisanense Taiwanese herb have potential in hepatoprotection. See appendix B

-The Mushroom Agaricus blazei Murill Extract Normalizes Liver Function in Patients with Chronic Hepatitis B - Conclusions: Our initial observation seems to indicate the potential benefit of ABM extract in normalizing liver function of patients with hepatitis B. Controlled studies with larger samples should be conducted in the future. Sho-Saiko-To

-Xiao-Chai-Hu-Tang) and Crude Saikosaponins Inhibit Hepatitis B Virus in a Stable HBV-Producing Cell Line. American Journal of Chinese Medicine; 2007, Vol. 35 Issue 2, p341-351, 11p, 6 graphs -Anti-hepatitis Activities in the Broth of Ganoderma lucidum Supplemented with a Chinese Herbal Medicine Yanqun i, Yailong Yang, Lu Fang American Journal of Chinese Medicine; 2006, Vol. 34 Issue 2, p341-349, 9p, 3 chart

The anti-hepatitis B virus activity and hepatoprotective activity of a liquid fermentation broth of Ganoderma lucidum were investigated. The cultured broth was supplemented with aqueous extract of Radix Sophorae flavescentis. Our results indicated that the cultured broth had effects of anti-hepatitis B virus activity in vitro and protected mice from liver damage in vivo. Our results also indicated that the co-fermentation broth of Ganoderma lucidum in the presence of aqueous extract of Radix Sophorae flavescentis has better medicinal effects than simply mixing these two ingredients together, suggesting a potential novel way to prepare Chinese herbal mixtures.

The American Journal of Chinese Medicine, Vol. 31, No. 3, 337–354 © 2003 World Scientific Publishing Company & Institute for Advanced Research in Asian Science and Medicine; Correspondence to: Dr. Jianping Liu, Radix Sophorae flavescentis for Chronic Hepatitis B: A Systematic Review of Randomized Trials

Matrine showed similar antiviral activity or liver function normalization as IFN-á, a drug that is recognized worldwide as a hepatitis B treatment. In addition, a combination therapy of matrine plus IFN-á demonstrated a better effect on clearance of HBAg and HBV DNA than IFN-á alone. A combination of matrine and levamisole* seems better than IFN-á for ALT normalization (Zhang and Zhang, 2001). We suggest that the combination therapy should encourage further trials to verify efficacy.


 * Levamisole is a cancer (antineoplastic) medication. Levamisole interferes with the growth of cancer cells and slows their growth and spread in the body. Levamisole is used in the treatment of colon cancer.

Summary Plus Pizzorrno’s research : Hepatitis B responds to VitC in Adults -2gm/day, Selenium reduces incidence of getting any type of Hepatitis. Alpha Lipoic acid is very effective in reducing hepatic irritation. Glycerrhiza is anti-inflammatory, increases interferon, and antiviral effects > 100mg/day for 6 weeks (give potassium). Licorice reduces incidence of hepatitis induced liver cancer. Milk thistle increases detoxifier glutathione and SOD He Sho Wu increases SOD] es faster than without. Phyllanthus amarus has had 1 study with dramatic results for HepB. It causes seroconversion in Hep B patients. Another study showed it did not work, so there is question about its efficacy. Patients with irritated livers should avoid liver toxic herbs. Liver and Thymus extracts improved outcomes. Summary: Vit C 1000tid, Licorice –powdered root 1-2gm tid, milk thistle 200mg tid. I have also used Lomatium Isolate (LDM) and had some sero-conversions of Hep C. -Textbook of Natural Medicine – Pizzorrno et al Also Consider: Cirsium arisanensem, Radix Sophorae flavescentism, Agaricus Blazeii, Ganoderma

Hepatitis B is an infection of the liver that can become serious. It spreads through contact with blood or other body fluids. This can happen by sharing a razor, toothbrush or needles to inject drugs, or through sexual contact. Hepatitis B causes a flu-like illness with loss of appetite, nausea, vomiting, rashes, joint pain and jaundice (yellowing of the eyes and skin). Diet is very important - the Eat to Live diet can relieve symptoms An infected pregnant woman can expose her newborn to this virus during birth. The virus stays in the liver of some people for the rest of their lives and can result in severe liver diseases or cancer. Three doses of a new vaccine offer protection, and immunization is recommended for all infants, children and adolescents. Some adults who are at increased risks — doctors, nurses, teachers, paramedics, police officers — may need to be vaccinated.

Hep B most common cause of liver cancer throughout the world – prevented with vaccination of babies.