Study On TCM Syndrome And Intervention Effect Of Chinese Medicine Treating Among Biliary Atresia After Kasai Operation

Objective1.The objective of this research is to investigate the regularities of distribution on TCM syndrome of biliary atresia after Kasai operation, and further to discuss Chinese medicine cause and pathogenesis and therapy method about biliary atresia after Kasai operation.2. The objective of the research is also to observe the clinical effect of the treatment with traditional Chinese medicine to biliary atresia after Kasai operation.Method1. Study on TCM syndrome of biliary atresia after Kasai operation:Firstly, We collect the clinical data on TCM syndrome of biliary atresia after Kasai operation through the investigation method by face to face. Secondly, we analyse the regularities of distribution on TCM syndrome of biliary atresia after Kasai operation, and then according to the result we try to discuss the Chinese medicine cause and pathogenesis about the disease. Lastly, we advance some Chinese therapy method about biliary atresia after Kasai operation.2. We treat the children of biliary atresia after Kasai operation with Chinese medicine by tonifying spleen and resolving dampness, warming yang and invigorate the circulation of blood. And then we record the integral of TCM syndrome, the index of liver function, height and weight before and after the therapy with Chinese medicine. Lastly, we can estimate the clinical effect of the Chinese medicine used to treat the children of biliary atresia after Kasai operation.Result1. Study on TCM syndrome of biliary atresia after Kasai operation:The main syndrome of biliary atresia after Kasai operation is that:abnormal liver function,jaundice,loose stool,fatigue,poor diet,phyma below the costal region,enlarged abdomen, etc. The tongue manifestation is pale tongue, or corpulent tongue with casts of the teeth; and with white or grey tongue fur. The characteristic of TCM syndrome about biliary atresia after Kasai operation: asthenia syndrome is mamily from qi deficiency type, yang deficiency type and spleen deficiency type; sthenia-syndrome is mamily from Stagnation of Qi, Stagnation of Blood, Cold and Dampness type.These types of syndrome are interrelated and influenced each other, and will appear simultaneously. The nature of this disease is deficiency and excess interlaced each other. The location of disease can be in liver,gall, spleen, kidney or lung.The key element of the nature about this disease is dampness, blood stasis, stagnation of qi.The most common type of syndrome is spleen dysfunction due to dampness, qi and blood stasis. The Chinese medicine cause and pathogenesis about biliary atresia after Kasai operation can be summarized by "dampness,stagnate,stagnate,asthenia".2. Chinese medicine through tonifying spleen and resolving dampness,warming yang and invigorate the circulation of blood can alleviate the symptom and the index of liver function. And the the symptoms like jaundice, anorexia, weary and stool will be better faster, but the the symptoms like abdominal distension, phyma below the costal region, blue veins stand out on belly will be alleviated slowly. The index of liver function like total bilirubin, direct bilirubin have delined after the third course of treatment. The index of liver function like alkaline phosphatase(ALP) decreased moe slowly. Most of the children of biliary atresia after Kasai operation can grow and live like normal children.Conclusion1. The characteristic of TCM syndrome about biliary atresia after Kasai operation:asthenia syndrome is mamily from qi deficiency type, yang deficiency type and spleen deficiency type. Sthenia-syndrome is mamily from stagnation of qi, stagnation of blood, cold and dampness type.These types of syndrome are interrelated and influenced each other, and appear simultaneously. The nature of this disease is deficiency and excess interlaced each other. The location of this disease can be liver, gall, spleen, kidney or lung. The key element of the nature about this disease is dampness, blood stasis, stagnation of qi. The most common type of syndrome is spleen sysfunction due to sampness, qi and blood stasis. The Chinese medicine cause and pathogenesis about biliary atresia after Kasai operation can be summarized by "dampness,stagnate,stagnate,asthenia".2. Chinese medicine through tonifying spleen and resolving dampness, warming yang and invigorate the circulation of blood can alleviate the symptom and the index of liver function, and then improve thelevel of grouth and life quality.