Spina anemia

　　Sung Yang Shiyin's 'Ren Zhai Xiao Er Fang Lun': 'Spina anemia is caused by worms eroding the spine and muscles, with body heat, emaciation, and yellowish skin, heat in the accumulation, thirst, diarrhea, the back feels like a drum, and the spine bones are like saw teeth; or all ten fingers have boils, frequently biting nails. It is caused by the consumption of bone and flesh due to the long-standing anemia disease.

　　Due to the complexity of the etiology and the variability of the condition, there are many different types of syndromes, and the names are also diverse. Clinically, the five internal organs are often used to differentiate syndromes, among which anemia of the spleen is particularly common. Anemia of the liver is characterized by boils on the left cheek, red and ulcerous eyes, limbs resembling scabies, tuberculosis in front and behind the ears, sides of the neck, hollows of the shoulders, and both thighs, or biting nails, shaking the head to the side, white membrane covering the eyes, aversion to light and fear of the sun, a large belly with blue veins, etc. Anemia of the heart is characterized by ulcerated mouth and tongue, feverish body, yellow face and red cheeks, or swelling and pain, abdominal fullness and chest oppression, or palm heat and dry throat, thirst for drinking, night sweats, and biting teeth with imaginary fears. Anemia of the spleen is characterized by a yellow and thin body, dry and rough skin, no hair growth on the head, or boils and scabs, or red and ulcerous mouth and chin, vomiting and regurgitation of milk and food, fondness for earth, a large belly with an umbilical protuberance, diarrhea with sour water, turbid and white urine, or closing eyes and drowsiness, etc. Anemia of the lung is characterized by boils outside the nose, difficulty in swallowing, neck swelling and toothache, shortness of breath and cough, feverishness and shortness of breath, wrinkles on the skin, itching and discharge of snot, nosebleed and yellow eyes, turbid and frequent urination. Anemia of the kidney is characterized by brain heat and expectoration of sputum, cold and clammy hands and feet, emaciated limbs, slight chills and fever at night, slippery diarrhea and abdominal pain, bad breath and thirst, ulcerated gums, boils on the buttocks and ears, etc.

　　1, Spleen consumption;Also known as疳积, often caused by improper feeding leading to spleen and stomach deficiency and malnutrition. In the early stage, symptoms may include yellowish skin, emaciation, alternating constipation and diarrhea, restless sleep, sweating, and a preference for prone position. Treatment should focus on reducing consumption and strengthening the spleen, using Fei'er Pill and Shenling Baizhu Powder. Liver consumption: also known as风疳, often caused by heat in the liver meridian. Symptoms include eye itching, head shaking, yellowish facial color, sweating, frequent diarrhea. Treatment should be to clear the liver and reduce heat, using the Bupleurum Decoction to clear the liver.

　　2, Heart consumption:Also known as惊疳, often caused by heat in the heart meridian. Common symptoms include yellowish cheeks, high fever, irritability, mouth ulcers, red and涩 urine, night sweats, or false fright. Treatment should be to clear the heart and reduce heat, using the modified Heart Guiding Red Decoction. Lung consumption: also known as气疳, often caused by heat injury to the lung due to depression. Symptoms include coughing, dysphonia, profuse sputum, or nasal ulcers, high fever, aversion to cold, etc. Treatment should be to clear the lung and reduce heat, using the modified Xie Bai Powder. Kidney consumption: also known as急疳, often caused by internal blockage of hidden heat or insufficient kidney Qi. Symptoms include emaciation, bleeding or ulceration of the gums, intermittent fever, sweating, and weakness of the limbs. Treatment should be to nourish the kidney and strengthen the spleen, using the Six Pillars Decoction as the main treatment.

　　Spinal consumption is caused by long-term consumption of bone and muscle, and is a sign of extreme deficiency of vital essence of the internal organs, seen in chronic severe patients. Prevention should focus on improving the body's immunity as the main measure.

　　In the early stage, symptoms may include yellowish skin, emaciation, alternating constipation and diarrhea, restless sleep, sweating, and a preference for prone position. Common symptoms include yellowish cheeks, high fever, irritability, mouth ulcers, red and涩 urine, night sweats, or false fright. Routine urine and blood tests can be performed.

　　In addition to routine treatment, attention should be paid to different dietary requirements according to different symptoms, and specific consultation with a doctor is recommended to formulate different dietary standards for specific diseases.

　　The treatment of spleen consumption should clear the liver and reduce heat, using the formula of Bupleurum Decoction to clear the liver. The treatment of heart consumption should nourish the kidney and strengthen the spleen, using the Six Pillars Decoction as the main treatment. For others, the treatment should focus on reducing consumption, using formulas according to the symptoms, such as Aloe Pill, etc.