Leukopenia (leukopenia) is a common blood disease. When the number of white blood cells in the peripheral blood continues to be lower than 4×10∧9/L, it is collectively called leukopenia. If the total number of white blood cells decreases significantly, it is less than 2×10∧9/L, and the absolute value of neutrophils is less than 0.5×10. ∧9/L, or even disappeared, the former is called agranulocytosis. The main clinical manifestations are fatigue and dizziness, often accompanied by anorexia, sore limbs, insomnia and many dreams, low-heat palpitations, chills and backache. Most of them are sudden onset, chills and fever, and sore throat. The disease can affect both sexes of any age. Agranulocytosis is a manifestation of the development of leukopenia to a severe stage. The etiology and pathogenesis of the two are basically the same, so they are discussed together. The clinical reduction of leukopenia is divided into two types: unexplained and secondary, the former is more common. The latter are mostly chemical factors, physical factors, drugs and certain diseases, or can be seen in various solid tumors after chemotherapy, a variety of blood diseases, serious infections and unknown causes. In my country, the prognosis of leukopenia and agranulocytosis is good. If the treatment of agranulocytosis is not timely, patients with older age or other organ diseases still have a higher mortality rate. Leukopenia has no such name in Chinese medicine. According to its main symptoms, there are fatigue, dizziness, heart palpitations, and exogenous fever, etc., which are attributed to “qi and blood deficiency”, “failure”, “warm disease”, and “fake deficiency” in traditional Chinese medicine. Insufficient” and other categories. Diagnostic test 1. Examination: In addition to the blood routine and platelet count, attention should be paid to whether there is a change in white blood cell count (when the white blood cell count continues < 4.0×109/L is called leukopenia. The absolute value of neutrophils is less than 2.0×109 /L is called neutropenia). 2. Adrenaline test: after subcutaneous injection with 0.1% epinephrine 0.2ml, count the absolute value of granulocytes at 15min and 30min respectively, if it reaches normal or doubles to the original, suggesting that the peripheral blood leukocytes decrease is due to the circulation pool and the edge The granulocytes in the pool are abnormally distributed. The adrenaline test should be conducted when the white blood cell count is the lowest. Use with caution in patients with hypertension and heart disease. 3. Hydrocortisone test: hydrocortisone succinate 100mg intravenous injection, check the total number of white blood cells and classification counts immediately before injection and 3h after injection, the absolute value of neutrophils should be increased after administration of the drug in normal subjects >.2.0×109/L. Below this value, the bone marrow release function is not good. 4. Other examinations: if necessary, serum and urine lysozyme determination, bone marrow aspiration examination, bone marrow hematopoietic cell culture and granulocyte lifespan determination. Acupuncture and moxibustion have a good effect on the treatment of leukopenia. Acupuncture therapy treats the card under the principle of nourishing qi and nourishing blood, nourishing yin and helping yang, and selects Geshu, Gaoyu, Zusanli, Xuehai, Sanyinjiao, Dazhui, Spleen, Shenshu, Xuanzhong. Methods The patient was placed prone on the treatment bed and the back and waist were fully exposed. Acupuncture was placed on the points of Geshu, Jiaoyu, Dazhui, Spleu and Shenshu for about 5 mm thick and about 4 cm in diameter. A pair of needle-shaped fresh ginger slices, then put the moxa column made of half-grain peanuts on the fresh ginger slices, and use the incense to burn the upper part of the moxa column to make it spontaneously ignite until it becomes ash. Ai Hui, then apply moxibustion as before until the patient has a sense of warmth that penetrates into the local muscles, but does not cause burning pain or burns. After the desired effect is achieved, the fresh ginger tablets are removed and the patient is placed in a supine position, exposing one side of the lower limbs below the knee joint. After routine disinfection, the needle is punctured 1.5 inches in Zusanli. The blood sea, Sanyinjiao and Xuanzhong are punctured 1 inch. Twist, flatten, fill, and bleed, 1 minute each, leave the needle for 30 minutes, and strengthen the twisting needle every 10 minutes. The left and right acupuncture points are alternately operated every other day, once a day, 10 times a course of treatment. Fangzhong Zusanli is a traditional strong main point, which can tonify qi and produce blood. Sanyinjiao is the meeting point of the three meridians of liver, spleen and kidney. It has the function of strengthening spleen and strengthening the liver and nourishing the kidney. Xuehai, Geshu nourishing blood and promoting blood circulation 、Blood-enriching and blood-enriching, combining the four points to play the Qi and nourishing blood. Back Shu points with spleen and kidney can strengthen the spleen and warm the middle, nourish the kidney and yin. Xuanzhong acupoint is also known as boneless bone. It is the medullary society of Bahui acupoint. According to modern research, this acupoint is related to the generation of red blood cells. It is a necessary point for the treatment of anemia. It is a sensitive point for eosinophils. It has specificity. Dazhui is the meeting point of the Sanyang Meridian and Dumai of the hands and feet. It is also known as Bai Lao.
Chronic myeloid leukemia (CML) is a malignant myeloproliferative tumor that occurs in pluripotent hematopoietic stem cells. Progress is usually slow and occurs mostly in the middle-aged and elderly population. The increase in the number of white blood cells is a significant feature of the disease. At the time of diagnosis, the number of white blood cells in most patients is above 25, and the increase in the number of white blood cells is positively correlated with splenomegaly. Director Shi Shurong’s micro-signal xueyeke999 Most patients have no obvious symptoms at the time of treatment, or only have non-specific symptoms such as fatigue, low fever, and night sweats. They are diagnosed because of increased white blood cells or enlarged spleen during physical examination. The main elements of clinical diagnosis of chronic myeloid leukemia: 1) white blood cells are significantly increased, while red blood cells and platelets are basically normal; 2) accompanied by a significant increase in spleen; 3) without obvious symptoms of high fever, bleeding, etc., slow granules can be highly suspected. At the same time, the diagnosis of chronic myeloid leukemia requires bone marrow aspiration and complete bone marrow cytology, chromosome, and BCR / ABL fusion gene testing. It should be emphasized that chromosomal examination reveals the Ph chromosome (ie, t (9; 22) chromosome translocation) and / or the detection of the BCR / ABL fusion gene in order to finally confirm the diagnosis of slow granuloma. The Ph chromosome, the Philadelphia chromosome, is a characteristic chromosome of chronic myeloid leukemia, which is essentially formed by the translocation of the ends of the long arms of chromosomes 9 and 22. It is a definite indicator of slow-grain and the cause of slow-grain. Experts remind that some slow-grain patients have abnormal blood routine results, but the body has no obvious symptoms, and they can even live and work normally. They often do not take the condition seriously, and I hope that everyone can look squarely at the condition and actively treat it. Do n’t wait The symptom of the disease is aggravated and you can’t regret it! Welcome to pay attention to the WeChat public account of Chronic Disease Patients Association: mbxb120
Shi Shurong’s studio WeChat xyk261 blood analysis five classification refers to the white blood cells in the blood routine are divided into five categories. Whether the blood routine is three or five categories, it will detect red blood cells, white blood cells, and platelets. White blood cells are divided into lymphocytes, neutrophils, eosinophils, basophils, and monocytes. The five-class blood routine is to detect the five types of white blood cells-each type of cell has a different meaning, neutrophils account for the majority, and the increase in the number of cells generally indicates infection. 1. Lymphocytes are a type of white blood cells, the smallest white blood cells. It is produced by lymphatic organs and mainly exists in the lymphatic fluid circulating in the lymphatic vessels. It is an important cellular component of the body’s immune response function. It is the main executor of almost all immune functions of the lymphatic system. A line of “soldier”. If the lymphocytes decrease, it is considered to be caused by exposure to radiation, certain drugs, and severe suppurative infections. When lymphocytes increase, consider that it is caused by acute infectious diseases such as rubella, Baiyang cough, mumps, etc .; it may also be caused by chronic infectious diseases such as tuberculosis; blood diseases such as lymphocytic leukemia; In the absence of cells and rejection after kidney transplantation, lymphocytes may also increase. 2. Monocytes (monocytes) are the largest blood cells in the blood and the largest white blood cells. They are an important part of the body’s defense system. Mononuclear cells are derived from hematopoietic stem cells in the bone marrow. They are the precursors of macrophages and dendritic cells. They have obvious deformation movements and can engulf and remove injured and aging cells and their fragments. Monocytes are also involved in the immune response. After phagocytosis of the antigen, they carry the antigenic determinants to the lymphocytes to induce specific immune responses of the lymphocytes. If mononuclear cells increase, it is mostly caused by bacterial infections, such as tuberculosis, typhoid fever, malaria, subacute bacterial pericarditis, etc. In addition, lymphoma, myelodysplastic syndrome, etc. can also lead to mononuclear The situation of increased cells. The increase of eosinophils is mostly caused by parasitic diseases, skin diseases, malignant tumors, allergic diseases, hypereosinophilic syndrome and so on. 3. Eosinophils are a type of chromophile cells in the distal part of the adenohypophysis, also known as Hiirthle cells or Askanazy cells. About 15% of normal thyroid cells are this cell. The number is large, accounting for about 40% of the total number of distal gland cells. If eosinophils are increased, it is mostly caused by parasitic diseases, skin diseases, malignant tumors, allergic diseases, hypereosinophilic syndrome, etc. . The basophilic cells are mostly caused by allergies, inflammatory diseases, leukemia, etc. 4. Neutrophils are derived from bone marrow and have lobulated or rod-shaped nuclei. The cytoplasm contains a large number of neutral fine particles that are neither basophilic nor acidophilic. Most of these particles are lysosomes, which contain abundant enzymes such as myeloperoxidase, lysozyme, alkaline phosphatase and acid hydrolase, which are related to the phagocytic and digestive functions of cells. If neutrophils are reduced, it is considered to be caused by bacterial infection, chronic physical and chemical damage, autoimmune diseases, hypersplenism, etc. Neutropenia may be caused by pregnancy, exercise, diet, etc., or it may be caused by inflammatory infections, tissue necrosis, blood diseases, acute blood loss, malignant tumors, drug use, etc. Therefore, the five main categories of blood cell analysis are mainly to clarify the specific type of infection. If it is a bacterial infection, it usually causes an increase in the proportion of neutrophils. If it is a viral infection, it may cause an increase in the proportion of lymphocytes and monocytes. If it is Allergic factors may cause eosinophils to rise.