The blood includes red blood cells, white blood cells, platelets and clotting factors, whose main functions are to carry oxygen, provide immunity and prevent bleeding and clot formation. You should see a hematologist when the following signs and symptoms occur
1.Anemia symptoms: dizziness and weakness, easy fatigue, palpitations and shortness of breath, aggravated by activity, pale face, loss of appetite, insomnia and dreaminess, weakness, sweating, hair loss, etc.
2, bleeding tendency: such as bleeding spots on the skin, bruises, nose bleeding, gum bleeding, vomiting blood, black stool, hematuria, excessive menstruation, bleeding under the conjunctiva of the eyes, should be highly alert to the possibility of blood disorders.
3. Fever: low fever, high fever or fever of unknown origin. Repeated infections, easy to catch a cold.
4, jaundice: yellow skin, yellow stained eyes, yellow urine or soy sauce colored, wine colored urine, etc.
5.hepatomegaly and splenomegaly: enlargement of liver and spleen, especially significant and significant, should be considered as possible hematological disease.
6.Lymph node enlargement: It is one of the common signs of hematological diseases, especially malignant tumors of hematopoietic system such as leukemia and lymphoma.
7.Bone, joint and related signs and symptoms: especially pressure pain in the sternum and long-term back pain need to be highly alert to the possibility of blood diseases.
8.Other symptoms and signs that may be related to hematological diseases: itchy skin, recurrent oral ulcers, blood hyperviscosity syndrome, recurrent thrombosis, etc.
9. Recurrent proteinuria: be alert to multiple myeloma.
Precise medication for anemia – iron deficiency anemia
1. The main manifestations of anemia are dizziness and weakness, pallor, panic and shortness of breath, decreased appetite, poor digestion with abdominal distension, hair loss, menstrual disorders, etc. In Chinese medicine, it is called blood deficiency. Iron deficiency anemia, megaloblastic anemia, aplastic anemia, myelodysplastic syndrome anemia, and chronic disease anemia are common types. The diagnosis and medication must be precise to obtain better results.
2. Iron deficiency anemia is a lack of available iron in the body, resulting in insufficient synthesis of hemoglobin, most often occurring in women, and the severity of iron deficiency anemia in male patients is more severe than that in female patients. The causes include insufficient iron intake due to partial diet, iron absorption disorders caused by gastrointestinal diseases, excessive iron loss due to gastrointestinal bleeding (e.g. ulcer cancer) and excessive menstruation (e.g. uterine fibroids), and long-term heavy drinking of strong tea affecting iron absorption. Therefore, iron deficiency anemia should not only take iron supplements, but also look for the causes of iron deficiency in order to get better results and prevent recurrence.
3, iron deficiency anemia is small cell hypochromic anemia in the blood routine, but not all small cell hypochromic anemia is caused by iron deficiency, small cell hypochromic anemia is also seen in thalassemia, iron granulocytic anemia and chronic disease anemia.
4.Iron deficiency anemia treatment is based on iron supplementation. After iron supplementation is used to normalize hemoglobin, it should be taken for another 4-6 months to replenish the stored iron in the body. Lean meat, pig blood, liver and black fungus contain more iron. Dates, angelica, agrimony and astragalus have the effect of replenishing qi and blood. In case of anemia, it is difficult to supplement the body’s iron needs by diet therapy alone.
Precise medication for anemia – nutritional megaloblastic anemia
1. Anemia is a common clinical symptom, mainly manifested by dizziness and weakness, pallor, panic and shortness of breath, loss of appetite, poor digestion, hair loss and menstrual disorders. In Chinese medicine, it is called blood deficiency. Anemia includes various diseases such as iron deficiency anemia, nutritional megaloblastic anemia, aplastic anemia, myelodysplastic syndrome anemia, and chronic disease anemia. Therefore, the diagnosis and medication must be precise in order to obtain better results.
2. Nutritional megaloblastic anemia is caused by the lack of folic acid or vitamin B12, and has common manifestations of anemia, such as dizziness and weakness, pallor, etc. Some patients with nutritional megaloblastic anemia have numbness of hands and feet, red tongue without moss and painful tongue, which is related to vitamin B12 deficiency. The common causes of nutritional megaloblastic anemia are patients who do not like meat, stomach disease, and long-term malnutrition often combined with megaloblastic anemia.
3. To treat nutritional megaloblastic anemia, supplementation with folic acid and vitamin B12 is the mainstay, and the method of supplementation is delicate.
4. To prevent vitamin B12 and folic acid deficiency, usually you can eat more green leafy vegetables and meat, and don’t be partial to food.
Precise medication for anemia – tumor-associated anemia
1.Anemia is a common clinical symptom, mainly manifested as dizziness and weakness, pale face, panic and shortness of breath, decreased appetite and poor digestion with abdominal distension.
2.Tumor-associated anemia refers to the anemia of malignant tumor patients, the causes of which are: poor appetite of tumor patients, insufficient nutritional intake, blood loss, secretion of factors inhibiting hematopoiesis by tumor cells, damage to bone marrow by chemotherapy and radiotherapy, and destruction of red blood cells due to hypercoagulable microthrombosis of blood in tumor patients.
3. To treat tumor-associated anemia, it is necessary to find and analyze the mechanism of anemia, to target the specific links that cause anemia, and to precisely use drugs, such as improving nutrition, applying erythropoietin, dialectically applying traditional Chinese medicine, controlling the course and intensity of chemotherapy/radiotherapy, generally combined chemotherapy should not exceed 8 courses, otherwise the patient will what weakness and obvious anemia. Giving Chinese herbal medicine to replenish qi and blood during the interval of chemotherapy and after the end of chemotherapy can help improve the anemia status of tumor patients.
4. Chinese herbs commonly used for tumor-related anemia include: Radix et Rhizoma Ginseng, Radix Astragali, Ganoderma Lucidum, Radix Angelicae Sinensis, Fructus Lycii, Radix Rehmanniae Sinensis, Radix Aconiti, Radix et Rhizoma Chasteberry, etc.
Precise medication for anemia – secondary anemia
1. Anemia is a common clinical symptom, mainly manifested by dizziness and weakness, pallor, panic and shortness of breath, decreased appetite, poor digestion with abdominal distension, hair loss, menstrual disorders, etc. In Chinese medicine, it is called blood deficiency. There are various kinds of anemia, such as iron deficiency anemia, nutritional megaloblastic anemia, aplastic anemia, myelodysplastic syndrome anemia, chronic disease anemia and secondary anemia. Therefore, the diagnosis and medication must be precise in order to obtain better results.
2.Secondary anemia refers to the anemia caused by non-hematological diseases, and the common ones are: anemia caused by chronic inflammation (such as anemia caused by rheumatoid arthritis), anemia caused by thyroid disease, anemia caused by hepatitis cirrhosis, anemia caused by tumor, chronic infection (such as chronic pelvic inflammatory disease, osteomyelitis), chronic colitis, etc.
3.The key to treat secondary anemia is to treat the cause disease, and then iron, multivitamins, erythropoietin and blood transfusion can be given according to the mechanism of hematopoiesis.
4.Chinese herbal medicines commonly used in the treatment of anemia have certain effect on secondary anemia, such as: Radix et Rhizoma Ginseng, Radix Astragali, Ganoderma Lucidum, Radix Angelicae Sinensis, Fructus Lycii, Radix Rehmanniae, Colla Corii Asini, Radix et Rhizoma Chasteberry, etc.
Why is anemia prone to relapse after being “cured”?
Many anemic patients think they are “cured” after a period of treatment, but many of them have anemia again after a period of time, what is the reason for this? Careful analysis of the condition is mostly related to the following factors.
1, chronic blood loss is not solved: for example, iron deficiency anemia, iron treatment anemia is obviously improved, but the causes of anemia such as hemorrhoids, excessive menstruation, etc. are not given appropriate treatment, blood loss still exists, if the amount of blood loss exceeds the amount of iron supplementation or iron supplementation stops and blood loss continues, anemia will occur again.
2.Uncorrected bad habits: Some patients have partial diet, diet, weight loss, excessive tea drinking, and after the anemia is corrected, these bad eating habits are not corrected, and the intake of hematopoietic raw materials (such as iron, folic acid, vitamin B12, etc.) continues to decrease and iron is poorly absorbed, and the anemia recurs for a long time.
3. Primary diseases that are difficult to lift: such as atrophic gastritis, major gastric resection, lack of gastric acid, lack of internal factors, coupled with the short stay of food in the duodenum, make the hematopoietic raw materials such as iron, vitamin B12 and folic acid not absorbed in sufficient amount for a long time, leading to the recurrence of anemia.
4 Stopping medication too early: If iron deficiency anemia, hemoglobin is restored to normal, at this time, the reserve iron in the body is still lacking, and many patients cannot understand this, and stop medication after the blood check is normal, due to the lack of iron storage depot, after a period of consumption, the anemia relapses. The recurrence rate of aplastic anemia is closely related to the length of maintenance treatment. If the drug is stopped immediately after the hemoglobin is normal, the recurrence rate is 20%, and the recurrence rate is significantly lower for those who adhere to the treatment for 2 years.
5 Irregular treatment: For example, in autoimmune hemolytic anemia, most patients can improve quickly after hormone treatment, and after the condition improves, the hormone should be gradually reduced and maintained for a period of time before stopping the drug. However, many patients (especially women) are afraid of hormone-induced obesity and other side effects, so they do not follow the doctor’s instructions and stop the medication quickly, resulting in a rebound, which is not only a relapse of anemia, but also a more serious condition than before, or even a danger.
Precise medication for anemia – hemolytic anemia
1. Anemia is a common clinical symptom, mainly manifested by dizziness and weakness, pallor, panic and shortness of breath, decreased appetite, poor digestion with abdominal distension, hair loss, menstrual disorders, etc. In Chinese medicine, it is called blood deficiency. Anemia includes various diseases such as iron deficiency anemia, nutritional megaloblastic anemia, hemolytic anemia, aplastic anemia, myelodysplastic syndrome anemia, and chronic disease anemia. Therefore, the diagnosis and medication must be precise in order to obtain better results.
2. Hemolytic anemia is the anemia caused by the premature destruction of red blood cells in the body. The life span of normal human red blood cells in the body is 120 days. If some reasons cause premature destruction of red blood cells, which exceeds the speed of blood production of bone marrow, it will cause anemia.
3. The manifestations of hemolytic anemia have common symptoms of anemia such as dizziness and weakness, pallor, panic and shortness of breath, etc. There are also its special manifestations such as yellowing of the skin, yellowing of the eyes, elevated lactate dehydrogenase in the blood, increased reticulocytes, elevated indirect bilirubin, and splenomegaly in laboratory tests. Therefore, it is generally considered that anemia, jaundice and splenomegaly are the triad of hemolysis.
4. There are more causes of hemolysis, such as destruction of erythrocytes by immune antibodies, destruction of erythrocytes by hypersplenism, mechanical destruction of erythrocytes such as marching hemoglobinuria caused by excessive exercise, and destruction of erythrocytes caused by thrombosis. Therefore, hemolytic anemia should be analyzed comprehensively by professional physicians for precise diagnosis and accurate drug use. Chinese medicine treatment for hemolytic anemia can be identified from Yin Huang and Yang Huang.