Falling into the abyss of blood transfusion, it happens once a week. Where do the patients with aplastic anemia go?

Xiebeilu studio WeChat add369456 Aplastic anemia is generally very long and will recur. Therefore, it is necessary to take medicine to maintain, but long-term use produces drug dependence, which in turn hurts the liver and kidneys. And some patients are also prone to bleeding, often need continuous blood transfusion, trapped in the abyss of blood transfusion, what should I do? Long-term use of hormone drugs, common adverse reactions can be seen in Cushing’s syndrome, hyperlipidemia, hypertension, hyperglycemia, atherosclerosis, gastrointestinal ulcers, bleeding, weakened immunity, easy infection, delayed skin wound healing , Erythema, perioral dermatitis, femoral necrosis, muscle atrophy, osteoporosis, cataracts, glaucoma, sodium water retention, hypokalemia, hypogonadism, delayed puberty, oligomenorrhea or amenorrhea.   In fact, in order to treat patients, some doctors will abuse antibiotics. Not only does it not improve, but it has a negative effect on the patient’s condition and affects the recovery of the condition. Therefore, while using conventional Western medicine, Chinese medicine can be used as an auxiliary. Many Chinese herbal medicines have the effects of nourishing kidney and filling essence, benefiting marrow and blood, strengthening spleen and qi, clearing heat and detoxifying. The treatment of aplastic anemia can reduce the toxic and side effects of Western medicine on the body and regulate Liver and kidney, better cure aplastic anemia.

Shi Shurong’s Medical Talk: Summary of Inventory: TCM Classification and Medication for Chronic Aplastic Anemia!

At present, for the treatment of aplastic anemia, the intervention of traditional Chinese medicine has obvious advantages. Applying Chinese medicine to treat aplastic anemia can help patients adjust the immune system, improve the micro-hematopoietic condition, and repair hematopoietic stem cells. Director Shi Shurong’s consultation with WeChat zkxk9999 Chinese medicine believes that the essence of chronic aplastic anemia is “kidney deficiency”. During clinical diagnosis and treatment, the syndrome is further differentiated into kidney yin deficiency type, kidney yang deficiency type, kidney yin and yang deficiency type according to the patients’ symptoms of partial yin and yang. . For chronic aplastic anemia, traditional Chinese medicine is based on syndrome differentiation and treatment. The specific methods and medications are as follows: Yin deficiency and fire exuberance, blood pressure and delirium type: Syndrome characteristics: dizziness, paleness, two cheeks flushing, five upset fever, night sleep and dreams , Waist and knees are sore, hot flashes and night sweats, thirst and drink, skin petechiae, bleeds, fresh bleeding color, tender purple red moss thin shaojin or less moss, pulse count. Remedy: Nourishing Yin and reducing fire, cooling blood to stop bleeding Prescription: Buffalo horn tablets, raw peony, white peony root, Phellodendron chinense, Rehmannia glutinosa cornus, Huaishan medicinal herbs, Xiejiang turtle, Biloba root, Agrimonia spp., and bleeding if obvious: according to different bleeding parts Echinacea purpurea, white gerbera, small thistle, raw ground elm, arborvitae leaves, pistil, etc. Kidney-yin deficiency type: Syndrome characteristics: hot flashes and night sweats, hot hands and feet, white cheeks and red face, less sleep and more dreams, soft back and legs, palpitations, panic, fresh bleeding, tender red tongue and thin moss or less moss, pulse count. Governing Law: Nourishing Yin and Kidney, Yiqi and Regenerating Marrow. Prescription: Rehmannia glutinosa, Cornus officinalis, Huaishan medicine, Radix Polygonum, Ligustrum lucidum, Ligustrum lucidum, Dodder, Psoralen, Poria cocos, Angelica, Heliotrope, Hedyotis, Astragalus, Radix, Chia, Hawthorn, Astragalus, Astragalus, Lycium chinense, Ejiao (Xiang), Kidney-yang deficiency type: Syndrome characteristics: pale complexion, cold limbs, pale lips, shortness of breath, lazy breath, soft waist and legs, soft bowel movements, pale bleeding, pale tongue and white fur with dents and weak pulse. Governing Law: Warm the kidney and aphrodisiac, benefit Qi and regenerate the marrow Prescription: Radix Cornus officinalis, Huaishan medicine, Radix Polygonum, Radix, Dodder, Psoralen, Radix Sinensis, Morinda officinalis, Radix Angelicae, Radix Angelicae, Hedyotis sibiricum, Coriander, Hawthorn, Cinnamon, Raw Radix Astragalus, Ginseng, Antler Gum (Closed). If the appetite is weak: add orange peel, pinellia, radish seed, chicken inner gold, Jiao Liuqu and other kidney yin and yang deficiency type: syndrome characteristics: pale complexion, cold and hot, spontaneous sweating, sweating and sweating Sour and soft, nocturnal emission is slippery, pale tongue with thin white or no coating, pulse thin and weak or thin. Governing Law: nourishing yin and aphrodisiac, replenishing qi and regenerating marrow. Prescription: Radix Rehmanniae Preparata, Radix Cornus officinalis, Ligustrum lucidum, Prunus sibiricum, Psoralen, Antler, Cistanche, Cistanche, Spleen, Huaishan, Poria, Heliconia, Radix Angelica, Radix Angelicae, Radix Astragali, and Hawthorn. Finally, aplastic anemia is a benign blood disease. As long as the patient is detected early and actively treated, the prognosis is generally better. As for the choice of treatment method, patients should not rely too much on Western medicine, and should choose the treatment method that suits them according to their own condition. For more aplastic disease knowledge or patient help, you can follow the WeChat public account: skg120

Xie Bielu’s medical remarks: What conditions can cause the suppression of bone marrow hematopoiesis and cause aplastic anemia?

Aplastic anemia is a group of syndromes in which the total volume of red bone marrow is reduced due to bone marrow hematopoietic failure caused by various causes and replaced by fatty marrow. The occurrence of aplastic anemia is often caused by certain factors. Director Shi Shurong’s consultation on WeChat zkxk9999 At present, the main causes of aplastic anemia caused by the suppression of bone marrow hematopoiesis in common life are mainly as follows: tuberculosis: In addition to showing symptoms such as dyspnea, cough, bronchopneumonia and lymphadenopathy, the patient gradually loses weight, Bone marrow hematopoietic function is suppressed, showing aplastic anemia. Necrosis: The patient gradually loses weight, the hematopoietic function of the bone marrow is suppressed, and aplastic anemia occurs. According to the characteristic symptoms of various types of burkholderia, the burkholderiac test and the positive complement binding reaction can be identified. Arsenic poisoning: there is a life history of exposure to arsenic-containing pesticides (diarsenic trichloride, etc.), and the illness often occurs when the arsenic-containing pesticides are swallowed for several hours. The main symptoms are severe gastrointestinal symptoms and neurological symptoms, such as severe diarrhea, or alternating diarrhea and constipation, chronic cases such as visual impairment, ataxia, and blood changes in aplastic anemia. Liver and kidney arsenic content exceeding 10-15ppm can be used as reference for diagnosis. Mercury poisoning: Chronic mercury poisoning can inhibit bone marrow hematopoietic function and cause aplastic anemia. There is a life history of exposure to organic mercury pesticides. Gastrointestinal and neurological symptoms such as persistent diarrhea and ataxia appear. Renal mercury increased, and mercury repelling treatment was effective. Chloramphenicol poisoning: there is a history of long-term application of chloramphenicol, especially excessive application. The first is to inhibit erythropoiesis, and then other bone marrow cell lines are also suppressed, inducing aplastic anemia. Sulfa poisoning: It can cause aplastic anemia, which can be identified based on the history of long-term use of sulfonamides. In summary, some poisoning phenomena or diseases in life may cause aplastic anemia. For these causes, remind everyone to stay away from toxic and harmful substances, ionizing radiation, viruses and other factors. If the above symptoms occur, diagnose as soon as possible. Clarify the condition and treat symptomatically. For more aplastic disease knowledge or patient help, you can follow the WeChat public account: skg120

Farewell: How long will it take to get rid of blood transfusion?

Xiebeilu studio WeChat add369456  Severe aplastic anemia is an acute and severe disease in the hematology department, which is manifested in the severe reduction of whole blood cells, and the clinical manifestation is more serious. The neutrophils are less than 0.5×10^9/L and the hemoglobin is less than 60×10^9/ L, platelet is less than 20×10^9/L, it is severe aplastic anemia. Symptoms are pale, anemia, and fatigue. Those with severe bleeding usually receive blood transfusions to maintain the bleeding. Generally, slow-acting drugs cannot quickly improve the patient’s condition. For suitable patients, anti-human thymoglobin plus cyclosporin A immunosuppressive treatment is considered. After treatment, 70%-80% of patients can get better Relief, that is, blood can reach normal levels. Allogeneic hematopoietic stem cell transplantation treatment is also effective for patients with suitable conditions, that is, patients who are younger than 40 years old and have siblings.   And for blood transfusion board, it can quickly raise blood platelets in a short time, leaving the patient with first-line vitality. However, subsequent treatment requires individualized treatment.   So how can we get rid of the blood transfusion barrier? According to the patient’s condition, blood transfusion can be used as an emergency method for the patient to temporarily relieve the bleeding. If other treatment methods are used to reduce the number of blood transfusions and adjuvant treatment, for the diseased group that is not controlled by targeted treatment, blood transfusion treatment It can last up to several years. Therefore, the traditional Chinese medicine combined with ATG/ALG method for the treatment of severe aplastic anemia, easy to obtain reticulocyte counts, easy to promote clinical, good repeatability, can effectively reduce the number of blood transfusions, from internal conditioning to aplastic anemia, to increase efficiency Attenuated effect.

Shi Shurong, Beijing Institute of Hematology: Is aplastic anemia a leukemia?

Aplastic anemia is a bone marrow hematopoietic failure caused by a variety of reasons. After hearing this, many people will think that aplastic anemia is similar to leukemia, but in fact, there is an essential difference between the two. Leukemia is a kind of Malignant neoplastic disease of the hematopoietic system, and aplastic anemia is a benign disease. Director Shi Shurong consulted WeChat zkxk9999 So, as the name implies, is it “anemia”? Hematologists tell you that whether aplastic anemia is equivalent to leukemia or anemia is anemia, this is a wrong perception. In the human body, bone marrow is equivalent to a factory for making blood cells, and its function is to make blood. Aplastic anemia refers to a disease in which bone marrow hematopoietic dysfunction caused by various causes leads to a decrease in pancytopenia to varying degrees, often manifested as paleness, dizziness, shortness of breath, bleeding from the nostrils and gums, fever and infection. Very few aplastic anemias are congenital, they are born, and most of them are acquired after birth. They are not genetic diseases and have no effect on future generations. May be caused by environmental pollution, exposure to toxic chemicals, viral infections, or the use of certain drugs, but more than 70% of patients have unknown causes, and the incidence is closely related to autoimmune disorders. The condition of aplastic anemia is serious, but it is not incurable. The current understanding of aplastic anemia by patients and relatives and friends is easy to go to two extremes-either think that the aplastic anemia is leukemia and has not been cured, or that the aplastic anemia is a general “anemia”. It doesn’t matter. According to the severity of cytopenia, the disease can be divided into severe (including very severe) aplastic anemia and non-severe aplastic anemia, which is not “untreated” or “doesn’t matter if treated slowly.” The acute and severe disease may be killed within three to six months. However, the medical community has now found a mature treatment. As long as the treatment is timely and standardized, the 10-year survival rate can reach 70%-80%. The treatment effect is better. The reason why people think that aplastic anemia is “not cured” is not only a problem of treatment difficulty, but also a restriction of treatment technology, and it has a great relationship with the high treatment cost. The high cost of medicine restricts regular or timely treatment. The treatment cost of severe aplastic anemia will be several hundred thousand yuan, some will reach 300,000 yuan, and most medicines are at their own expense. This is not something ordinary families can afford. All in all, as long as timely diagnosis and early standard treatment, aplastic anemia has the opportunity to recover a healthy body. Therefore, we must correctly recognize aplastic anemia, and choose the appropriate treatment according to their own conditions, and actively cooperate with treatment. For more aplastic disease knowledge or patient help, you can follow the WeChat public account: skg120

Shi Shurong’s medical words: Can aplastic anemia be cured? How to prevent recurrence?

Aplastic anemia is caused by multiple causes (physical, chemical, biological, or unexplained) and multiple pathogenesiss that cause serious damage to bone marrow hematopoietic stem cells and microenvironment, leading to the failure of bone marrow hematopoietic function and the main manifestation of the reduction of whole blood cells. The clinical manifestations are progressive anemia, bleeding, and infection, the severity of which is related to the degree of blood cell reduction and the speed of development. Can Director Shi Shurong consult with WeChat zkxk9999 to treat chronic aplastic anemia? At present, the overall treatment efficiency of chronic aplastic anemia can reach 80%-85%, and the remission rate is mostly around 50%. Its occurrence obviously affects the quality of life of patients, making it difficult for some patients to avoid repeated attacks of the disease, even The possibility of turning into a serious aplastic anemia. Difficulties in treatment: how to further improve the efficacy and prevent relapse? First of all, insisting on treatment to achieve this step requires the patient’s understanding and active cooperation. Persistently insisting on long-term treatment can receive better clinical treatment results. In the treatment of chronic aplastic anemia, patients often fail to adhere to treatment: First, due to the use of androgen, cyclosporine and other immunosuppressive drugs during treatment, patients with aplastic anemia have a longer course and long-term recurrence With the use of medicines, side effects gradually appeared, increasing the patient’s pain, and some patients could not persist to cause the recurrence of the disease to aggravate; Second, because of the long treatment cycle of chronic aplastic anemia patients, some patients require long-term blood transfusion to improve the condition, and after long-term treatment, the patient’s family economy The ability to withstand is limited, making treatment unsustainable and giving up treatment. In this way, there are many factors that cause the patient with aplastic anemia to repeat the condition and fail to improve the condition. Whether or not to continue the treatment can play a decisive role in the recovery of the patient’s condition. Secondly, the combination of Chinese and Western medicine can improve the efficacy. For patients with aplastic anomalies, abnormal autoimmune mechanisms often become the root cause of the disease. Whether it is pure Chinese medicine or Western medicine treatment, most of them will only temporarily control the symptoms and cannot avoid the disease. Repeated or aggravated, and the combination of Chinese and Western medicine treatment, “the symptoms are urgent, the symptoms will be cured”, can improve the efficacy of aplastic anemia and prevent repeated attacks. In summary, integrated Chinese and Western medicine has more advantages in the treatment of aplastic anemia, and targeted Chinese medicine can improve the bone marrow hematopoietic microenvironment of patients with aplastic anemia, improve the immunity of patients, and thus improve the quality of life of patients. For more aplastic disease knowledge or patient help, you can follow the WeChat public account: skg120

Can chronic aplastic anemia recover? How to shorten the course of the disease?

Among patients with chronic aplastic anemia, there are cases with a history of several years, more than ten years, or even more than two decades. For patients who have been accompanied by chronic disease and aplastic anemia for a long time, how to shorten the course of the disease? Is there any chance to recover? A chronic disease-chronic aplastic anemia, how to shorten the course of the disease? For patients with chronic aplastic anemia, the longer the course of disease has lost the advantages of the best early treatment period, stabilizing the disease to prevent development (avoiding hematopoietic failure stagnation or rapid failure) and reducing side effects to improve the quality of life are the main goals, especially for elderly patients Speaking. The longer the course of chronic aplastic anemia, the lower the hope for cure. But it is not without the possibility of recovery! Most patients with chronic aplastic anemia have the clinical characteristics of being weak, susceptible to other diseases or changing. Any single mode of diagnosis and treatment, such as Western medicine and traditional Chinese medicine, is particularly tricky and difficult to deal with because of their respective defects, because they all prescribe medication from different angles and ways to recognize chronic disease, and each has its own focus on solving clinical problems. If they cooperate and cooperate with each other, it is naturally better than individualism. This is also the main point of treatment for patients with aplastic anemia how to shorten the course of the disease. If you have any questions about this article or the disease, please feel free to follow us on WeChat and find out more: xuf120

Shi Shurong’s words: Self-management of patients with aplastic anemia, it is very important to do these four points well!

Clinically, most patients with aplastic anemia have a long course of disease and the disease is prone to repeated attacks. Patients taking medicines for a long time also have to bear the adverse reactions caused by some medicines, which seriously affects their lives. For this reason, it is particularly important for patients with aplastic anemia to do a good job of self-management in their lives. Director Shi Shurong consulted with WeChat zkxk9999 on self-management of aplastic patients, which needs to be done from four aspects: first: leukocyte reduction is easy to be infected, to actively prevent the occurrence of infections, living and living environment should be clean and hygienic, keep the air fresh, and properly restrict the number of visitors, To reduce the chance of infection. Try not to have a crowded public place to avoid cross infection. Clean masks can be worn in daily life. Pay attention to food hygiene, cookware and tableware must be sterilized during cooking, and do not eat raw, too spicy, unhygienic and overnight food. Wash your hands before eating the fruit, wash the fruit under running water, and peel it before eating. For edible fruits, fresh fruits with smooth skin without damage, such as watermelons, apples, pears, oranges, bananas, etc.; it is best not to eat fruits that are not easy to clean, such as peaches, grapes, and strawberries; do not eat rotten and spoiled fruits. Avoid eating too hard food, be careful of fish thorns, ballast and other damage to the gums and oral mucosa to avoid ulcer infection. Patients are prone to colds and other diseases when the weather changes and the temperature rises and falls. In this case, the clothes should be changed in time according to the temperature difference. The patient’s skin should be kept clean, and do not grasp it when there are local boils or acne, to avoid infection and suppuration. Pay attention to oral cleanliness, insist on gargle after eating and before going to bed to prevent oropharyngeal ulcers, you can choose to use different mouthwashes alternately gargle. In particular, patients with bleeding gums should be rinsed in time if there is blood in the mouth. Keep your bowel movements smooth without straining your bowels. If your stools are hard and difficult to loosen, you can use laxatives to soften them to avoid anal fissures. Pay attention to the hygiene of the perineum and develop regular bowel habits. Severe patients with extremely reduced neutrophil counts should undergo protective isolation. Second: low platelets and high risk of bleeding, should reduce bleeding to avoid eating too hot, too hard food (such as bones, fish thorns, etc.), and slow down the chewing speed, to avoid damage to the oral mucosa or gums, causing bleeding. Patients with aplastic anemia can perform appropriate activities based on their platelet levels and under the guidance of specialists, to avoid excessive and strenuous exercise, and to prevent bruising or falls during activities. Brush your teeth with a soft-bristled toothbrush. If the platelet level is too low, it is best to use a clean gauze to clean the mouth, gums and tongue. Do not dig nostrils, such as dry nasal mucosa can be lubricated with erythromycin ointment. If you have itchy skin, you can use body lotion in an appropriate amount to avoid scratching itching and causing bleeding. Third: Hematopoietic disorders lead to moderate to severe anemia. It should be noted that resting patients should avoid fatigue, rest in bed, reduce activities, and reduce oxygen consumption. In the diet, eat more blood-enriching foods to improve the blood. Fourth: In terms of spirit, we must be positive, overcome the disease, establish confidence and courage to overcome the disease, avoid self-burdening excessive psychological burden and mental pressure, communicate with the doctor in time, cooperate with the doctor’s treatment, clinical experience tells us that optimistic, Patients with low mental stress who actively cooperate with doctors will get better soon. Scientific self-management of patients with aplastic anemia can help relieve the condition as soon as possible. In addition, attention should be paid to the daily diet of patients with aplastic anemia. Do not eat irritating foods and drugs that affect the bone marrow. Appropriate nutritional supplements and more “hematopoiesis” “Substance” can play a role in adjuvant therapy. For more aplastic disease knowledge or patient help, please follow WeChat public account: skg120

How can transplantation treat aplastic anemia be completely cured?

Transplantation is one of the means to cure aplastic anemia. The treatment process is smooth and the effect is immediate. However, because of the high sensitivity stage after transplantation, patients may have a certain recurrence rate. To what extent should this be considered a complete cure? One question-how long after transplantation of aplastic anemia? Generally speaking, even if it is cured without recurrence within 5 years after transplantation, the longer the normal duration after transplantation, the lower the relapse rate will be, and there are very few cases of aplastic anemia recurring after five years. In addition, aplastic anemia is not a malignant hematological tumor. Once this time is reached after successful transplantation, there will be very few cases of recurrence in the future. For aplastic patients who are ready to transplant, during and after transplantation. Can only be psychologically prepared, listen to doctor’s advice, do a good job of prevention and a reasonable life. Regulate the influence of medication and anti-rejection drugs before and after the transplantation process to ensure good disease resistance, so that the recovery rate after transplantation will be much higher! Although the treatment of aplastic anemia can not be as common as common cold and fever, it is believed that with the advancement of science and the development of medical technology, more and more patients with aplastic anemia will recover their health and completely get rid of drug dependence. If you have any questions about this article or the disease, please feel free to follow us on WeChat and find out more: xuf120

Medical Shu Shirong: Patients with aplastic anemia have a cold and fever, how to deal with it correctly?

Colds and fevers are common diseases in life and can occur all year round. For the average person, taking some medicine may be fine, there are not too many taboos. However, for patients with aplastic anemia, fever may be fatal. Director Shi Shurong’s micro-signal zkxk9999 aplastic anemia patients have fever, which may be a fever caused by the disease itself, or it may be because the white blood cells are too low and there is an infection that causes fever. So, how do we deal with aplastic fever patients? Fever, nothing more than physical cooling and drug cooling. Generally take physical cooling within 38.5 degrees, including drinking water, wiping bath and so on. The details are as follows: 1. Appropriately add enough water, preferably 2000 to 3000 ml, to avoid excessive water use. 2. Scrub the patient’s armpits, neck, chest, etc. in order with warm water, and place an ice pack on the head to effectively help the patient to lower body temperature. 3. Scientific medication, do not take antipyretic drugs on your own, you must strictly follow the doctor’s guidance. 4. During the cooling process, pay attention to observe changes in body temperature, pay attention to replenishing water to prevent collapse, and change the clothes soaked in sweat in time to avoid colds. Hematology experts reminded that the physical cooling is temporary, and patients may have repeated fevers, so the key is timely and effective treatment. If physical cooling is not effective, you need to take medicine to relieve the fever. It is recommended that patients with aplastic anemia should consult the doctor in time, and avoid self-medication to prevent the risk of complications such as high fever, serious infections, and bleeding. Patients with aplastic anemia once or repeatedly have fever and high fever may cause aggravation of the condition. It is recommended to pay attention to the patient’s condition in time and be admitted to the hospital if necessary. At the same time, the condition of patients with aplastic anemia is not healed repeatedly, which is also closely related to the unsatisfactory treatment effect. Therefore, I hope that patients with aplastic anemia can choose their own treatment methods and actively treat them according to their own conditions. For more aplastic disease knowledge or patient help, please follow WeChat public account: skg120

Shi Shurong’s Medical Talk: Why is aplastic anemia ineffective? What should I do?

The human bone marrow is like a hotbed for producing blood cells, which can develop into red blood cells and other blood components through the proliferation and differentiation of white blood cells and platelets, and hematopoietic stem cells. However, due to factors such as chemical poisons, physical radiation, viral infections, or unknown reasons, it can cause damage to the hematopoietic stem cells in the bone marrow or damage to the hematopoietic microenvironment, resulting in the decline of the bone marrow hematopoietic function, which leads to aplastic anemia. Director Shi Shurong’s micro-signal zkxk9999 and after treatment with ATG + cyclosporine immunosuppression, 60%-70% of patients with severe aplastic anemia can be relieved, but the remaining patients still have no improvement after treatment, the whole blood cells are reduced, and even the treatment is ineffective. Hematology experts said that the possible reasons for ineffective treatment are: very few hematopoietic stem cells remaining in the patient’s body: very few hematopoietic stem cells remaining in the body. The most typical disease is extremely severe aplastic anemia. This disease has very few hematopoietic stem cells in the body. Even if standard or even high-intensity immunosuppressive treatment is applied, it is difficult for the few hematopoietic stem cells to proliferate; even if it can proliferate, the speed is very slow, which is why some extremely heavy regeneration Obstructive anemia requires blood for 1 year or more to recover gradually. The cause of the patient’s disease is not abnormal immune function: if the cause of aplastic anemia is not abnormal immune function, the application of immunosuppressive therapy is of course not effective. This includes defects in the patient’s hematopoietic stem cell genes (such as DNA repair defects, telomere/telomerase abnormalities, etc.), which may lead to abnormal replication and differentiation of the stem cells, and eventually the stem cells gradually die (called apoptosis in medicine); this may also occur in the future Abnormal stem cells will evolve into leukemia cells, which is why a small proportion of patients with aplastic anemia will evolve into MDS or leukemia. The treatment intensity of ATG + cyclosporine is not enough. The immunosuppression is not strong enough. Although the cause of the patient is mediated by immune factors, if the treatment is not regular, the treatment of ATG or cyclosporine is not standardized, and it will also lead to treatment failure. This situation is relatively rare in regular hospitals. Due to the complex causes of aplastic anemia and the poor treatment effect of some patients, other methods besides allogeneic hematopoietic stem cell transplantation and ATG+cyclosporine treatment have appeared, such as integrated Chinese and Western medicine. At present, the combination of traditional Chinese and western medicine is used to treat aplastic anemia. Targeted Chinese herbal medicine can improve the patient’s bone marrow hematopoietic function, improve the patient’s body immunity, reduce toxic and side effects, improve the overall efficacy, stabilize the blood picture, and help the patient recover as soon as possible. For more aplastic disease knowledge or patient help, please follow WeChat public account: skg120

Shi Shurong’s Medical Talk: How long will it take to cure the aplastic anemia?

Many patients with aplastic anemia will be treated with androgens and immunosuppressive agents, and the course of aplastic anemia is relatively long. In the process of long-term medication, the toxic and side effects of the drugs have caused further harm to the patients and seriously affected Patient’s life. When does Director Shi Shurong’s WeChat signal zkxk9999 cure aplastic disorder? When can the medicine be stopped? Experts in hematology say that although hormone drugs are ideal in the treatment process and can help patients to control their conditions, their side effects are large, which increases the patient’s pain, and the patient can’t get rid of the medication, otherwise the condition will be repeated or even worse. Therefore, we recommend that patients with aplastic anemia can take integrated Chinese and Western medicine treatment as soon as possible. While Western medicine controls the disease, it assists targeted TCM syndrome differentiation treatment, stimulates the bone marrow to gradually restore normal hematopoietic function, and gradually eases the recovery of the disease. Aplastic anemia has a relatively long course, especially chronic aplastic anemia. It usually takes about a year to treat, and it may take longer for the hemogram to gradually return to a safe range. At the same time, even if the hemogram recovers, it is required that the patient can continue to consolidate the treatment for a period of time. Time to avoid relapse. Patients with aplastic anemia should have their bone marrow reexamined after the recovery of blood. The bone marrow can be gradually reduced after the hematopoietic function is basically restored. Consolidation therapy for 1-2 years. The patient’s condition improved significantly. Even after recovery, the drug can be discontinued, but to avoid fever and infection When corresponding symptoms, you should go to the hospital in time, seek the advice of a specialist, and avoid self-treatment. All in all, patients with aplastic anemia want to recover as soon as possible, the choice of treatment method is critical, and secondly, pay attention to follow the doctor’s advice, reasonable treatment; and take good protective measures in life. For more aplastic disease knowledge or patient help, please follow WeChat public account: skg120

What should I do if patients with severe aplastic anemia take medicine to treat and blood recovery is not ideal?

The second session of the question for patients with aplastic anemia: the wife’s severe aplastic anemia did not reach the ideal range, what should I do? Consultation status: patient’s family age and sex: 34-year-old female disease question: My wife is a patient with severe aplastic anemia, was discharged from the hospital at the beginning of August to resume medication, the platelet was 26 when discharged. Today’s blood test routine platelets are 60, white blood cells 3.0, red blood cells 3.32, hemoglobin 99. The kidney function test sheet shows that creatinine 98, urea 10.3, prealbumin 500 (platelet reached 80) what to do! ! —Must read—In order to better help each patient/family understand the disease and overcome the disease. To this end, set up the [Sick Questions Collection] channel. Regularly extract the questions mentioned by the patients for detailed answers. Due to different disease deviations, the answer cannot be generalized, and individualized guidance is needed. Follow the patient’s WeChat public account to get answers: xejb120

Hu Guisheng: The “number one enemy” of aplastic anemia is infection, prevention is the most important

Hu Guisheng Assistant WeChat: dd326751 is a huge hidden danger for patients with hematological diseases, especially patients with aplastic anemia. Patients with aplastic anemia have disordered immune function and reduced resistance, especially when the whole blood cells are reduced. Once infected, the condition is difficult to control, and serious infections are likely to be life-threatening. Infection also affects bone marrow hematopoiesis, further aggravating the condition. Especially in the summer, the microorganisms will be active, and patients with aplastic anemia will prevent infection. The preparations for daily life are as follows:    1. Oral prevention develops the habit of gargle before and after meals, before bed, and in the morning. Patients with impaired oral cavity and gum problems are caused by improper diet. Try to eat soft or liquid food. When cooking, they should be cooked, simmered, and reduced chewing to prevent gum damage.   2. Skin prevention    Keep skin clean and dry, bathe frequently, change clothes and change bedding. Cut nails frequently and handle mosquito stings properly to avoid scratching your skin. During intramuscular and intravenous injections, local disinfection should be strictly performed. In particular, female patients should pay attention to the cleanliness of the perineum and increase the frequency of local skin cleaning.   3. Intestinal prevention    Pay attention to food hygiene, do not eat raw and cold food, and do not eat leftovers. Personal tableware should be high temperature sterilized before use, and should not be mixed with others. Strengthen hand hygiene.  4. Respiratory system prevention   Keep the air fresh in the sick room, keep the items clean, regularly wipe the furniture and floor with disinfectant, and sterilize with ultraviolet light or dynamic disinfection machine, once a day, 20-30 minutes each time. Prevent colds and avoid going to places where people gather or coming into contact with people with upper respiratory tract infections.  Currently in the case of coronavirus transmission. Patients with aplastic anemia have generally low immunity, so do not go to places with many people when they recover. Try to keep quiet at home as much as possible, do not walk around. If you need to go out, remember to stay away from the crowd, and don’t move around in places with intensive breathing and heavy traffic.   Go to shopping malls, shopping, restaurants and other places, you must wear a mask! Go to the hospital too! Do less contact with people during the inspection and avoid cross-infection! In addition, in the stage of hospitalization, if it is anti-infection, low immunity, if necessary, refuse to visit, communicate with people to maintain a distance of 1-1.5 meters, and stay in the upper hand.

Shi Shurong’s Medical Talk: Can Traditional Chinese Medicine Treat Aplastic Anemia? What kind of Chinese medicine is good?

Now, more and more patients with aplastic anemia choose to use traditional Chinese medicine for treatment of aplastic anemia. Traditional Chinese medicine can not only alleviate the toxic and side effects of hormone drugs, but also improve the body’s immunity, and its efficacy has also been affirmed. Director Shi Shurong’s micro-signal zkxk9999 Chinese medicine treatment of aplastic anemia also needs to be treated according to syndrome differentiation, according to the patient’s symptoms and signs, targeted medication. Irritation and myelopathy, premature poisoning [Symptoms] Rapid onset, short course, pale complexion, geothermal, repeated high fever, dizziness of the head, shortness of breath, difficulty in movement, purple spots on the body, teeth, nosebleeds, or bloody urine, bloody stools, heavy menstruation , Dripping constantly, bloody smell in the mouth. It even continued to have high fever, sweating and fever, dizziness and delirium, dangerous and changeable condition, pale tongue and yellow and greasy fur, and many pulses. [Treatment] Cooling blood and detoxifying [Recipe] Antelope Horn Powder 1 (Chong), paeonol 12, Kwanzhong 12, Habitat 24, Ophiopogon japonicus 24, Geoderm 24, Raw Keel 24, Raw Oyster 24, Rubia 15, Banlangen 15, Huangling 10, Xanthium sibiricum 10, Panax notoginseng 2, Amber 1 (punch) [Usage] One dose a day, decoction, take twice. Deficiency blood syndrome, spleen and kidney Yang deficiency [Symptoms] The onset is slow and the course is longer. Yellowish complexion, fatigue, lack of food, loose stools, abdominal distension, cold limbs, waist and knees, soreness, dizziness, spontaneous sweating, bleeding, heavy menstrual flow, pale tongue, thin pulses, or slippery weakness. [Treatment] Strengthen the spleen and kidney, strengthen the blood and improve the blood. [Prescription] Codonopsis pilosula 60, Coprinus chinensis 18, raw astragalus 60, mulberry parasite 15, dodder seed 15, antler gum 30, agrimony 60, betel nut 6, magnolia 6, Motherwort 24, Chicken Inner Gold 9, Hawthorn 9, Fried North Schisandra 12, Longan Meat 24, Amber Minced 6, Natural Copper 3 (Vinegar Quenching, Capsule Swallowing) 【Usage】One dose per day, decoction, divided into two 6 times a week. At the same time, diet therapy uses black fungus, red dates, brown sugar stew. Liver and Kidney Yin Deficiency [Symptoms] Dizziness, sore waist, soft legs, tinnitus, spontaneous sweating, night sweats, nocturnal emission, heart palpitations, zygomatic red, often bleeding, less tongue fur, pulse count. [Treatment] Nourish liver and kidney, nourish qi and nourish camp. [Prescription] Astragalus 40, Radix Ginseng 15, Polygonum multiflorum 25, Atractylodes 15, Longan 30, Habitat 30, Cornus 15, Chinese Yam 25, Wolfberry 20, Ejiao 10, Roasted licorice 7.5, 10 jujubes [Usage] Add 800 ml of water, decoction 400 ml of medicinal juice, and take three times a day. Ejiao dissolves into the medicine. Deficiency of heart and spleen [symptoms] dizziness, weak voice, palpitations, shortness of breath, insomnia, dullness, pale face, pale lips and nails, bleeding, pulsed or weak pulse. [Treatment] Strengthen the spleen and nourish the heart, benefit qi and nourish the blood. [Prescription] Astragalus 50, Codonopsis 40, Atractylodes 15, Poria 20, Angelica 20, Zao Ren 15, Polygala 15, Longan 20, Shouwu 25, Cuscuta 15, Shudi 20 , Licorice 10 [Usage] One dose a day, decoction, take twice. Note: Patients with aplastic anemia need to combine their own detailed symptoms with traditional Chinese medicine. Follow the doctor’s advice and avoid self-medication. In the treatment of aplastic anemia, most patients have a considerable effect of applying traditional Chinese medicine, but for patients with acute or severe aplastic anemia, the effect of traditional Chinese medicine is too slow to control the condition in time. At this time, combined traditional Chinese and western medicine treatment is often more advantageous. Therefore, patients with aplastic anemia should choose a suitable treatment method according to their own condition. For more aplastic disease knowledge or patient help, please follow WeChat public account: skg120

Shi Shurong’s words: Can simple Chinese medicine cure aplastic anemia?

At present, for the treatment of aplastic anemia, androgen drugs, immunosuppressants, ATG/ALG, and bone marrow transplantation are mostly used. For these patients, these treatments must not only bear the harm caused by the side effects of drugs, but also bear the financial pressure, and even the efficacy is not ideal. Director Shi Shurong’s WeChat signal zkxk9999 At this time, many patients will think of Chinese medicine, hoping to achieve better efficacy by taking Chinese medicine. So, can simple Chinese medicine cure aplastic anemia? For patients with severe aplastic anemia, severe anemia, infection, and bleeding symptoms are more common. In this case, timely and effective treatment is needed to alleviate and stabilize the disease. This is difficult to achieve with simple Chinese medicine. Although traditional Chinese medicine has a long history, its slow onset is its main disadvantage, and ultimately it cannot keep up with the treatment of severe aplastic anemia! So, how effective is traditional Chinese medicine in the treatment of chronic aplastic anemia? It is undeniable that Chinese medicine can indeed play a more active role in the treatment of aplastic anemia, especially through the differentiation of Chinese medicine, which can improve the phenomenon of low blood levels of patients, and through patented prescriptions, from the patient’s immune function The adjustment started, gradually improving its hematopoietic function, so that the patient’s condition can be improved. However, whether it is chronic aplastic anemia or acute aplastic anemia, the condition is constantly evolving, and the slow-acting traditional Chinese medicine treatment plan is difficult to keep up with the development of the condition and has never been able to achieve a satisfactory effect. So, how is traditional Chinese medicine used in the treatment of aplastic anemia? In fact, for patients with aplastic anemia, you can incorporate Chinese medicine as an “assistant” into the treatment. Although the effect of Western medicine treatment is fast, traditional medicines inevitably cause various adverse reactions. At this time, you can use Chinese medicine The role of traditional Chinese medicine, the combination of treatment and nutrition, alleviate the effects of side effects, while consolidating the therapeutic effect. In summary, for the treatment of aplastic anemia, integrated Chinese and Western medicine has more advantages. Western medicine’s advanced diagnosis and treatment technology, combined with targeted Chinese medicine, starts with immune lesions to improve the patient’s bone marrow hematopoietic microenvironment and steadily improve the patient. Blood, the effect is more ideal! For more aplastic disease knowledge or patient help, you can follow the WeChat public account: skg120

Farewell: The biggest enemy of anemia is not anemia!

Xiebeilu studio WeChat add369456 Aplastic anemia is generally caused by low white blood cells causing infections, all parts can be, especially respiratory infections are common, low red blood cells cause anemia, severe heart failure, thrombocytopenia can cause bleeding, especially the brain Bleeding or bleeding from the digestive tract. Therefore, the biggest enemy of anemia of anemia is infection and bleeding. Some patients with aplastic anemia have always had fever, which may be caused by factors such as physical cold, decreased physical fitness, bacterial invasion or over-matching, and may also be caused by immune dysfunction. Then, what should happen to aplastic anemia? Patients with aplastic anemia can have a decrease in white blood cells, and at the same time the immune function of white blood cells decreases, so patients are prone to various infections. Sometimes even uncontrollable high temperatures can occur, especially for patients with acute aplastic anemia. Failure to deal with root causes due to infectivity is troublesome and can lead to septic shock. Go to the hospital for emergency treatment in a timely manner. Rechecking the body temperature every half an hour can’t really drop to the hospital emergency department. You can only physically cool down at home, not necessarily back down, and apply a cold towel to your forehead. Patients with aplastic anemia have repeated fevers, and they must be treated with broad-spectrum antibiotics. The appropriate antibiotics can also be selected based on the results of drug sensitivity experiments. Antibiotics can also damage the human body while killing pathogenic bacteria. Cause allergic reactions, such as anaphylactic shock, hearing, vision, peripheral nervous system lesions, and neuromuscular blockade. Therefore, it is recommended to cooperate with the conditioning of traditional Chinese medicine to reduce the toxic and side effects of western medicine to prevent the condition from worsening.

Shi Shurong’s medical words: Patients with aplastic anemia have fever, we must be alert to “infection”!

Once patients with aplastic anemia have a fever and infection, the three series are successively reduced, which may aggravate the disease, repeated or frequent fevers, and even worry about life. Many times, when patients with aplastic anemia face an infection, they will have a fever, and this time it is necessary to pay attention. Director Shi Shurong’s micro-signal zkxk9999 hematopoietic failure of bone marrow leads to abnormal hematopoiesis of hematopoietic stem cells and decrease of whole blood cells. Clinically, anemia, bleeding and repeated fever infections are the main manifestations of aplastic anemia. The occurrence of infection in patients with aplastic anemia is often accompanied by fever of varying degrees. How do frequent infections occur in patients with aplastic anemia? Patients with aplastic anemia have reduced granulocyte production and reduced resistance to external pathogens. After infection, the body’s lethality to pathogens is weak, so it is prone to repeated and serious infectious diseases. Common infections include oral mucosal infections and upper respiratory tract. Infections, tracheobronchitis, pneumonia, urethritis, pyelonephritis, acute gastroenteritis, skin and soft tissue infections, etc. In severe cases, systemic inflammatory reactions may occur, complicated by sepsis, sepsis, and septic shock. Infectious diseases often cause fever, and patients with acute severe infections often have persistent high fevers. Even mild infections, because of low immunity to aplastic anemia, can not completely control the infection, and sustained low fever. Fever is an important indicator for judging the infection status of patients with aplastic anemia. Because the white blood cells of aplastic anemia patients are reduced, the severity of infection cannot be judged by checking the number of white blood cells. Fever becomes an important indicator for judging the infection status of patients. When patients with aplastic anemia have fever, even if there is no symptom of an infectious disease, the presence of infected lesions needs to be considered, and if necessary, active anti-inflammatory treatment should be taken. In short, fever infection is very harmful to patients with aplastic anemia. Therefore, when fever occurs, the necessary treatment measures should be taken actively. In addition, in life, it is also very important to actively prevent infections. For more aplastic disease knowledge or patient help, you can follow the WeChat public account: skg120

Shi Shurong’s Medical Talk: Is Aplastic Anemia Really That Terrible?

Aplastic anemia, although it is not a malignant blood disease like leukemia, but its damage to patients is also quite serious, especially after a period of treatment, it is found that the condition always repeats, and if you are not careful, you will get anemia Exacerbated, infection fever, bleeding phenomenon. Director Shi Shurong’s WeChat account zkxk9999 So, is the barrier so serious? For patients with aplastic anemia, without active treatment, most patients will develop severe infections, bleeding, and anemia that are difficult to control, and die quickly. The early mortality rate of acute aplastic anemia can reach about 15%! The condition of chronic aplastic anemia is relatively slow, but due to poor treatment response of some patients, it will eventually turn into acute aplastic anemia, and the condition will become dangerous! At the same time, because the symptoms of aplastic anemia have many similarities with leukemia, in clinical practice, it is inevitable that some patients will confuse it with leukemia and think that aplastic anemia is an incurable disease and respond negatively. In fact, as long as the disease is discovered early and the disease is actively treated scientifically, the condition of patients with aplastic anemia can easily improve, ease, or even recover! At present, the treatment of aplastic anemia is still dominated by Western medicine. However, during the treatment of Western medicine, although the effect is significant during the treatment period, the long-term effect is not satisfactory, and the timely intervention of traditional Chinese medicine and dialectical treatment can often be To achieve a better treatment effect, the bone marrow hematopoietic function is gradually relieved and restored, and the phenomenon of repeated attacks is reduced. Therefore, it is recommended that patients with aplastic anemia should be treated with Chinese and Western medicine as early as possible. The application of drugs with different mechanisms of action can produce synergistic effects, which can not only reduce the dose of some drugs, reduce toxic and side effects, but also help to improve the efficacy. For more aplastic disease knowledge or patient help, you can follow the WeChat public account: skg120

Farewell: Rehmannia glutinosa can repair aplastic spleen and stomach deficiency, delay the disease!

Xiebeilu studio WeChat add369456 chronic aplastic anemia is a disease with a long course of treatment, difficult to treat, and easy to relapse. It is closely related to the spleen and kidney, and is mainly tonic in clinical practice. Chronic aplastic anemia is a loss of essential qi in the kidney, insufficient spleen and stomach metaplasia, and eventually a lack of qi and blood biochemistry, which is manifested as a deficiency syndrome of deficiency of qi and blood. Treatment should be based on supplementing deficiency and warming qi. Rehmannia glutinosa does not have the disadvantage of excessive coldness, and has the effect of nourishing yin and nourishing blood, and moisturizing dryness. Commonly used for chronic aplastic anemia with symptoms of blood deficiency fever and yin deficiency fever. Rehmannia glutinosa is compatible with nourishing yin medicine, nourishing kidney and nourishing yin, Dayin yin pill in “Danxi Heart Method”, fried phellodendron chinensis, Anemarrhena, radix rehmanniae, turtle shell is the end, pig spinal cord and honey are pill, treating liver and kidney Yin , The evidence of the fire on fire. When rehmannia glutinosa nourishes the kidney and yin, it is often compatible with peony skin. Peony skin diarrhea matches with each other to reduce the heat. One nourishing and clearing with rehmannia glutinosa can nourish the effect of nourishing Yin and diarrhea. Peony skin diarrhea fire, reduce the deficiency of heat, one and one clear with Rehmannia glutinosa, can be nourishing Yin and diarrhea fire effect. Peony skin can spread blood circulation, so that Rehmannia glutinosa can be nourished. Rehmannia glutinosa with staghorn gum, yin and yang double tonic, kidney filling essence; radix rehmanniae and aconite, cinnamon compatible, one by one, one yin and yang mixed, for mutual use, so that radix rehmanniae nourish the yin without stagnation, aconite, Cinnamon warms the sun and turns the fire. Rehmannia glutinosa benefits kidney filling essence, has the effect of tonifying kidney water, filling bone marrow, and benefiting yin and yin. Commonly used for chronic aplastic anemia and kidney, causing evidence of yin and yang deficiency. Rehmannia glutinosa with staghorn gum, yin and yang double tonic, kidney filling essence; radix rehmanniae and aconite, cinnamon compatible, one by one, one yin and yang mixed, for mutual use, so that radix rehmanniae nourish the yin without stagnation, aconite, Cinnamon warms the sun and turns the fire. Commonly used compatibility is Rehmannia glutinosa with Poria, Poria can remove dampness and spleen, diuresis and moisture without hurting righteousness, compatibility with Rehmannia glutinosa, one to one diarrhea, nourishing and nourishing, nourishing yin and not helping wet, Poria to help nourishing Dedication to prevent greasy spleen and stomach; Rehmannia glutinosa is compatible with Angelica sinensis, and Rehmannia glutinosa is compatible with Angelica sinensis. It is designed to nourish blood, combine two medicines, benefit qi and nourish blood, and manage blood qi to reconcile qi and blood; Rehmannia glutinosa is compatible with astragalus and ginseng, radix rehmanniae radix and blood, astragalus and ginseng qi, qi and blood double supplement, complement each other. Zhang Jingyue said, “Ginseng has the power of good fortune, and the virtue of calmness and smoothness. This familiar place is for ginseng. It is a yin and a yang. It looks like the inside and the outside. After being steamed, Rehmannia glutinosa is endowed with water and fire. It is sweet, warm and thick. It is a medicine for kidney and spleen. It can nourish yin and blood, nourish yin and nourish the bones. It is suitable for chronic aplastic anemia. Proof. Modern studies have confirmed that with the increase of the processing times of cooked Rehmannia glutinosa, sucrose, raffinose, stachyose and verbascum showed a downward trend during the processing, while the contents of fructose, glucose, dense disaccharide, mannose, and digoside D Significantly increased. Can enhance immunity and memory, while delaying cell aging and apoptosis, inhibiting tumors, anti-inflammatory, and lowering blood sugar and blood lipids. It is widely used in patients with chronic aplastic anemia. It is greasy in the ground, which has the disadvantage of hindering the spleen and stomach Qi machine. Patients with chronic aplastic anemia have weak spleen and wet or sputum, should be used with aromatic stomach medicine to strengthen the stomach, promote digestion and absorption, and enhance the power; Those with excessive phlegm, abdominal distension and pain, and those who have less food and loose stools should use with caution. [1] He Jianguo, Chen Jinglian, Wang Ruichao, etc. Research progress on the treatment of chronic aplastic anemia with traditional Chinese and Western medicine [J]. Hebei Traditional Chinese Medicine, 2017, 39 (8): 1277-1288. [2] Pan Qiwei, Shen Yiping. Shen Yiping’s experience in treating chronic aplastic anemia [J]. Zhejiang Journal of Integrated Traditional Chinese and Western Medicine, 2017, 27 (1): 1-3. [3] He Jing, Mu Ting. Professor Mi Liehan’s clinical practice of treating aplastic anemia [J]. Shaanxi Chinese Medicine, 2018, 39 (8): 1132-1134. [4] Zhang Yunfei. Analysis of traditional Chinese medicine treatment of chronic aplastic anemia [J]. Asia-Pacific Traditional Medicine, 2017, 13 (7): 67. [5] Yang Guobin, Liu Yufang. Discussion on the etiology and pathogenesis of chronic aplastic anemia in traditional Chinese medicine [J]. Guangxi Chinese Medicine, 2016, 39 (3): 48-49. [6] Chen Binqiang, Cheng Zhi. Progress in the diagnosis and treatment of chronic aplastic anemia in traditional Chinese medicine [J]. Clinical Research of Traditional Chinese Medicine, 2016, 8(4): 147-148. [7] Xuan Xianghu, Shan Lijuan. Aplastic anemia and TCM syndrome differentiation and the status quo of integrated Chinese and Western medicine treatment [J]. Xinjiang Chinese Medicine, 2015, 33 (1): 66-68.