Greyish complexion

Introduction The face is light green or the complexion is dark and black, mostly cold and severe pain. The cold Lord received, its sexual yin, cold condensate qi stagnation, the meridians are in a hurry, the blood is not smooth, the ochre is exposed, so see cyan. Severe pain, resulting in acute meridians, bloody and visible cyan. Common causes are acute obstructive suppurative cholangitis, acute peritonitis (acute appendicitis perforation, perforation of gastric duodenal ulcer, perforation of acute gangrenous cholecystitis, perforation of small intestine and colon caused by various reasons), strangulated intestinal obstruction, Acute severe pancreatitis, perianal abscess, gas gangrene, abdominal abscess caused by various causes, suppurative renal pelvis abscess with urinary tract obstruction, large area burns, etc.

Cause

1. Pediatric arrhythmia (ventricular tachycardia).

2. Pediatric arrhythmia (paroxysmal supraventricular tachycardia).

3. Infectious shock.

4. Disseminated intravascular coagulation.

5. Bronchial asthma.

6. Heart and lung qi deficiency.

an examination

Related inspection

Skin smear microscopy skin color electrocardiogram

Self-sweat is weak, palpitations are short, and movements are intensified. Cough and wheezing, pale complexion, pale tongue, thin white fur, weak pulse. This card is caused by a serious illness, a loss of righteousness, and a heart and lung injury. Insufficient heart, poor blood, so see the heart, face gray. Lung Qi deficiency, lost in Qing, so see shortness of breath, asthma. Unsatisfactory emotions, liver qi stagnation or cold clotting of the liver, can lead to poor blood, blood stasis, sputum exposed and see the face color.

The complexion is gray, the lips are blue and purple, and the chest and sorrow pain are seen in the chest patients. Most of them are due to qi deficiency or heart-yang deficiency, promoting weakness, slowing blood, and causing obstruction. If the patient has heart palpitations, chest pain recurrent, sudden severe chest pain, complexion gray, cyanosis, cold limbs, is a heart-yang violent syndrome.

Differential diagnosis

Identification with Astragalus:

Because the primary disease of jaundice varies, the clinical manifestations are diverse, both caused by the primary disease and by the jaundice itself. In addition, only the common performance of patients with jaundice is briefly described.

(1) Yellow staining of tissues such as skin and sclera

Bilirubin has a greater affinity for tissues containing elastin, so the sclera, skin and mucosa containing the tissue are most prone to jaundice. When the jaundice is deepened, urine, sputum, tears and sweat are also yellowed, and saliva generally does not change color. The color of the yellow dye is different, which is related to the primary disease causing jaundice and the duration of jaundice.

(2) Color change of urine and feces

Hepatic and obstructive jaundice is darker, even dark brown, and the degree of dark urine is related to urinary bilirubin content. Some patients first noticed darker urine, while others first noticed yellow staining of the sclera, skin and mucous membranes. Although hemolytic jaundice has yellow staining on the sclera skin, the urine color is not deep. In acute acute hemolysis, hemoglobinuria appears in the urine and the urine is soy sauce color. When obstructive jaundice, the color of the feces becomes lighter and even completely gray.

(three) digestive tract symptoms

Cases of jaundice often have symptoms such as abdominal distension, abdominal pain, loss of appetite, nausea, vomiting, diarrhea or constipation, which are often slightly different due to different primary diseases.

(four) the performance of bile saltemia

Extrahepatic obstructive jaundice and intrahepatic cholestasis can be retained in the blood due to obstruction of bile salt excretion, which is called bile saltemia. Its main performance is:

1 skin itching, but the degree of itching and jaundice can be consistent;

2 bradycardia is seen in deep jaundice, which is related to bile salt stimulation of the vagus nerve and inhibition of cardiac conduction;

3 Intestinal due to lack of bile salts, affecting fat digestion and absorption of fat-soluble vitamins, resulting in abdominal distension, bleeding tendency, steatorrhea and night blindness;

4 fatigue, lack of energy and headache, and seems to be related to the toxic effects of bile salts on the central nervous system.

Self-sweat is weak, palpitations are short, and movements are intensified. Cough and wheezing, pale complexion, pale tongue, thin white fur, weak pulse. This card is caused by a serious illness, a loss of righteousness, and a heart and lung injury. Insufficient heart, poor blood, so see the heart, face gray. Lung Qi deficiency, lost in Qing, so see shortness of breath, asthma. Unsatisfactory emotions, liver qi stagnation or cold clotting of the liver, can lead to poor blood, blood stasis, sputum exposed and see the face color.

The complexion is gray, the lips are blue and purple, and the chest and sorrow pain are seen in the chest patients. Most of them are due to qi deficiency or heart-yang deficiency, promoting weakness, slowing blood, and causing obstruction. If the patient has heart palpitations, chest pain recurrent, sudden severe chest pain, complexion gray, cyanosis, cold limbs, is a heart-yang violent syndrome.

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