The man's body was inexplicable, and he was weird blue!It's because of long -term use ...

Time: early July

Location: Liver Disease Center of Xiamen Hospital of Traditional Chinese Medicine

Wu Jianhua and the team doctors met with Mr. Lai.

One of the medicines for Mr. Lai.

Over the past year, Mr. Lai, a patient with a history of hepatitis B for more than 30 years, found that his face and body were inexplicably dark and deepened. Ten days ago when he went to the liver disease center of Xiamen Hospital of Traditional Chinese Medicine, symptoms such as weakness and significant reduction in both lower limbs and significantly reduced food volume appeared.

What causes liver damage of patients? Recently, Wu Jianhua, director of the liver disease center of the Municipal Hospital of Traditional Chinese Medicine, drew up the cocoon and finally found the cause. After three weeks of stopping and liver treatment, the patient's condition was stable. Before discharge, the whole body had declined.

【History】

Two liver cirrhosis was admitted to the hospital for treatment

Take it in the clinic a year ago

Mr. Lai, 44, is from Longyan. His face and whole body are inexplicably black, and he is still weird blue in black. He is often regarded as "Africans", and some people joked that he "Avatar". When doing gastroscopy, it was found that the entire gastrointestinal mucosa turned black and blue, and the endoscopy doctor was shocked. Mr. Lai heard that he had diagnosed and treated many rare liver diseases at the liver disease center of Xiamen Traditional Chinese Medicine Hospital, so he came to see it.

Mr. Lai recalled that more than 30 years ago, he found that hepatitis B and Sanyang was found, and he did not pay attention and standardized diagnosis and treatment. Three years ago, he received antiviral treatment at local hospitals for cirrhosis. One year ago, due to cirrhosis and progressing to the unclear liver disease and encephalopathy, it was referred from local hospitals to the liver disease center of Xiamen Traditional Chinese Medicine Hospital. After the discharge was discharged twice, no review was not regulated. Subsequently, he was diagnosed with a local clinic and took Chinese medicine to treat liver cirrhosis. It was said that the medicine could protect the liver and liver. More than 10 days ago, he began to appear numbness in the left upper limbs, and his lower limbs were weak with mild clamor. He was bitter, dry, and hoarse, and even reduced the amount of food.

【Diagnosis】

Symptoms are similar to chronic liver disease

Do not rule out the possibility of drug poisoning

Wu Jianhua, director and chief physician of the Xiamen Hospital of Traditional Chinese Medicine Hospital, said that the patient's skin was dark and the urine color was dark, which was similar to the dull face of long -term chronic liver disease. Mr. Lai said that two types of traditional Chinese medicine powder prescribed by local Chinese medicine practitioners have been taken in their hometown for the past year.

Wu Jianhua considers that Mr. Lai not only shows black skin, but also has weak limbs. His black and common liver disease are obviously different. The black is shiny in the black, but also a strange blue. possible. Mr. Lai presented the medicine picture to him, and his family also provided a bag of chocolate powder and a bag of white medicine powder.

Wu Jianhua immediately took the drug to the Chinese pharmacy in our hospital to ask if it could be preliminarily determined by the drug composition and whether there were toxic drugs. The chief physician of Zhou Jinyu in the Chinese medicine room carefully judged that the chocolate powder was mainly gardenia powder, and the composition of white drugs was not easy to judge.

Wu Jianhua also asked Mr. Lai to contact the physician who provided medicine powder. The doctor said that the red powder mainly contains gardenia, and the white powder mainly took the medicinal materials in the spleen and stomach in Bazhen Decoction. At this point, the main components of the medicine powder are roughly clear. However, the cause of the patient's face and skin is still not clear.

Cause

Ask the pharmacy + detailed literature

Picking out "behind the scenes" gardenia powder

During Mr. Lai's hospitalization, Wu Jianhua encountered Juventus chief physician in the Chinese medicine room. Juventus told him that the folk uses gardenia powder to sprains with sprains, and the local skin will turn black after applying the medicine. After listening to Wu Jianhua, he thought that Mr. Lai's skin turned black and could be directly consumed by eating gardenia powder.

He further consulted relevant reports and found that foreign journals have published a case of gardenia caused by gardenia. The patient took 7 years of oral administration, which mainly composed of Chinese herbal soups composed of gardenia, cork and licorice. After taking the medicine, blue -gray pigments appeared on the face, trunk and limbs. Gylinoside detected in the patient's skin tissue pathology. The melanin deposition is caused by the increase in gardenin, and the patient disappears with pigmented pigmentation after September.

After finding this, the cause of the skin of Mr. Lai's skin was finally clear -it was caused by taking gardenia powder directly. Fortunately, the data shows that although gardenia can cause skin, mucous membranes, and tissue black hair blue, it will cause serious consequences. Wu Jianhua rushed back to the ward and told the patient to suspend the powder of this Chinese medicine.

After clarifying the cause, after the symptomatic treatment, Mr. Lai's condition was stable, the whole body was slightly decreased, and the liver function was stable. However, before discharged, Wu Jianhua repeatedly told that the liver was repeatedly damaged.

【Doctor Notes】

Ask more and think more

Cracking many years of mystery

● Wu Jianhua, Director of Liver Disease Center of Xiamen Traditional Chinese Medicine Hospital

As a clinician, you will always face new problems and new challenges, just like there is a saying: there is only something you can't think of in the world, nothing can't happen.

To be an excellent clinician, you must not only learn new knowledge in the book at all times, but also be committed to clinical practice. Experience must be accumulated by time and practice.

After working in Xiamen for more than 20 years, I also encountered several cases of patients with abnormal complexion and black hair blue. This time I can solve the mystery of "Africans" because it has been exploring cases for many years, and at the same time, I ask people who are familiar with the customs of southern Fujian and the old pharmacist. In addition, they have repeatedly thought and summarizing it.

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