Evidence-based dietary therapy for chronic aplastic anemia

I. Understanding chronic aplastic anemia.
  Chronic aplastic anemia is a disease characterized by a decrease in whole blood cells due to low bone marrow hematopoietic function caused by hematopoietic stem cell injury. The onset of the disease is slow, with anemia as the main clinical manifestation, and the bleeding is mostly limited to the skin and mucous membranes, and is not serious. The duration of the disease is more than 4 years, and can even be as long as 10 years. If treated properly and persistently, most of them can be cured, but there are patients who do not recover for many years.
  The main danger of chronic aplastic anemia is related to infections. A few patients may have acute attacks of infection, and their condition may deteriorate rapidly.
  Second, treatment of chronic aplastic anemia.
  The treatment of chronic aplastic anemia is divided into drug treatment and non-drug treatment. Among them, the basic contents of non-pharmacological treatment are “prevention of infection, reasonable diet, moderate exercise, and maintaining a healthy mind”, which can be used as the basic treatment of chronic aplastic anemia.
  However, did you know? Not all foods and exercises are suitable for you. For example, hot foods such as mutton are not suitable for patients with kidney yin deficiency, otherwise they may have a tendency to bleed. Therefore, non-pharmacological treatment also requires evidence-based treatment, in order to be able to target and get twice the result with half the effort.
  Third, the evidence-based dietary therapy for chronic aplastic anemia.
  Chronic aplastic anemia is mostly classified as “deficiency labor, deficiency loss, blood evidence, blood deficiency” in Chinese medicine. The general principle of chronic aplastic anemia diet should be easy to digest, high protein, high vitamin, low fat, less spicy food and no strong wine to avoid bleeding caused by vasodilation. For those with bleeding tendency, eat a semi-liquid diet without residue. Below, we introduce the following dietary treatment for each of the three common types of chronic aplastic anemia.
  (A) Kidney Yin deficiency type
  (1) Kidney yin deficiency type [general manifestations]: palpitation, shortness of breath, weakness, pale face, pale lips, pale nail bed. With low-grade fever, heat in the hands and feet, night sweating, thirst and desire to drink, dry stools, bleeding from the oral mucosa and gums, nose bleeding. Bleeding spots or purpura on the skin, heavy menstruation in women, fine pulse, and pale tongue.
  [Recommended Ingredients] Mulberry: sweet and cold in nature, belongs to the heart, liver and kidney meridians, tonifies the liver and kidney, nourishes yin and nourishes blood, used for blood deficiency of dizziness, darkness of the eyes, tinnitus, insomnia, constipation. Modern research, mulberry contains glucose, fructose, ellagic acid, vitamin A, B1, B2, C, etc.
  Zi He Che: Sweet, salty and warm in nature, belongs to the lung, liver and kidney meridians. It has the effect of nourishing essence, nourishing blood and benefiting qi. It is used for dizziness, tinnitus, lumbar soreness, impotence, wasting and weakness, withered face, palpitation and dizziness caused by deficiency of kidney energy and blood deficiency. Modern research: Zi He Che contains erythropoietin, fibrin stabilizing factor similar to coagulation factor VIII, blood coagulation related components, uricase inhibitor and fibrinolytic element activator, phospholipids, polysaccharides, proteins, etc.
  [Drink] Chinese wolfberry tea
  Recipe: 15 grams of Chinese wolfberry.
  Preparation: make tea and drink.
  Effects: Nourishing the liver and kidney, benefit the essence and brighten the eyes.
  [Food therapy] Garlic tofu
  Recipe: 400 grams of young tofu, 100 grams of green garlic, seasoning appropriate amount.
  Method: Heat vegetable oil, when it cools down to 60% heat, add garlic and stir-fry until soft, add tofu pieces, stir-fry while adding appropriate amount of yellow wine, soy sauce, salt, sugar and other seasonings, then add a little water to boil, thicken, and season with MSG.
  Effect: Tonic deficiency and detoxification.
  (B) Kidney Yang deficiency type
  [General manifestations] palpitation, shortness of breath, weakness, pale face, pale lips, fear of cold and warmth, cold hands and feet, lumbago, impotence, nocturnal urination, loose stools, fatness or swelling, no bleeding, thin and weak pulse, pale tongue, fat tongue with tooth marks on the side, white tongue coating.
  [Recommended Ingredients] Ginseng: Sweet, slightly bitter, slightly warm. It belongs to the spleen and lung meridians. It is a great tonic for vital energy, generates body fluid to quench thirst, calms the mind and increases intelligence. It is used for blood loss, blood deficiency and desire to lose, tiredness and weakness, palpitation and forgetfulness, restlessness of mind, insomnia and dreaminess. Modern research: Ginseng contains many kinds of ginsenosides, ginseng polysaccharides, ginseng hemiterpenes, ginseng flavonoid glycosides, ginsenosides, alkaloids, amino acids and a small amount of trace elements such as strontium and iron.
  Radix Rehmanniae: Sweet, slightly warm, belongs to liver and kidney meridian. Nourishing blood and nourishing Yin, tonifying marrow. It is used for blood deficiency and yellowing, dizziness, soreness of the waist and knees, fatigue, palpitation, insomnia, hot flashes, night sweating, etc. Modern research: Shu Di contains ? Glutathiol, mannitol, digitonin, alkaloids, fatty acids, vitamin A, etc.
  [Drink] Cinnamon tea
  Recipe: 10 pieces of cinnamon.
  Preparation: brew tea and drink.
  Effects: Benefiting Qi, tonifying the heart and spleen, nourishing the blood and calming the mind, and many other effects.
  [Food Therapy] Sheep Bone Porridge
  Recipe: 1000 grams of fresh sheep bones, 100 grams of rice, salt, ginger, onion appropriate amount.
  Method: Wash and pound the fresh sheep bone, add water and boil it to get soup, clean the rice, put it into the sheep bone soup, boil it into porridge, add salt, ginger and green onion before starting.
  Efficacy: nourish the spleen and kidney, benefit the essence.
  (C) Kidney Yin and Yang deficiency type
  [General manifestations] palpitations, shortness of breath, weakness, pale face, and kidney yin deficiency and kidney yang deficiency evidence, the lighter the yin deficiency, yang deficiency are not obvious, only the manifestation of qi and blood deficiency.
  [Recommended Ingredients] Astragalus membranaceus: sweet, slightly warm, belongs to the spleen and lung meridians, replenishes qi and enhances yang, benefits the guard and fixes the surface. It is used for deficiency of qi and blood with a yellowish complexion, palpitation, shortness of breath, dizziness, dizziness and other symptoms. Modern research: Astragalus contains 2,4-dihydroxy-5,6-dimethylisoflavone, arbutin, betaine, polysaccharide, folic acid, etc.
  Angelica: Sweet, pungent and warm in nature. It belongs to the liver, heart and spleen meridians. It is a blood tonic, blood activator, pain reliever and laxative. It is a good blood tonic and is beneficial to many blood diseases such as anemia and purpura. Modern research on angelica contains ligustrum endolipid, n-eicosanoid, ferulic acid, uracil, adenine, folic acid, etc.
  [Drink] Angelica Tea
  Recipe: Angelica sinensis 20g.
  Preparation: Make tea and drink.
  Effects: Tonifying blood, regulating menstruation and relieving pain, laxative.
  [Food therapy] black bean and jujube stewed pork bones with wolfberry
  Recipe: raw pig bone (or sheep bone) 250 grams, Chinese wolfberry 15 grams, black beans 30 grams, 20 jujube.
  Method: the above ingredients together in a pot, add water and stew until cooked, seasoning to serve.
  Efficacy: nourish yin and yang, nourish blood, stop bleeding.