Traditional Chinese medicine to cured infant biliary atresia in 1 cases

Qin Maple，Qin Xiaokang

Abstract  baby biliary atresia is a liver, bile duct Obstructive Disease.Can lead Cholestatic cirrhosis of liver，Eventually liver failure,The majority of patients because of liver failure while death within a year.Cause has not yet entirely clear, there are still a lot of controversy on the treatment], High mortality rate.Authors used Qin quan powder cure a case, and the cause was discussed. The author believes the disease is Since biliary biliary Hypoplasia fetal and postnatal nutritional deficiencies caused by failure to continue to develop

[Key words] icterus；The whole body itch；Defecate white clay color；infant biliary atresia； Traditional Chinese medicine（TCM）

Case data: Ma Li Ting，female baby, age the nine months twenty-one days, Luochuan County, Shaanxi Province, China, 2013-05-27 14:00. Request treatment.

Chief complaint: The deep jaundice, white feces，whole body itch， cough and dysphoria，The be critically ill  five day，Request treatment.

Medical history: Deep yellow color of urine in front of the four months found. more than Ten days since The skin sclera become yellow and diaper yellow, The stool becomes white clay color and accompanied by mucus or aleatory pale yellow. The whole body itch，the head and face more itch how. The Two months ago, the emergence of intractable cough, at night more. Breast feeding, refused to add the diet. Since to the onset，By Many times Diagnosis and treatmen，disease Gradually aggravate. A few days ago in a provincial hospital inpatient treatment "diagnosis: 1 biliary obstruction；2 nutritional anemia".。Leave hospital is the two day， jaundice rapidly deepened, The whole body itch,  dysphoria:  disease is increasing rapidly。The medical history was provided by parents of the sick child

Laboratory check：Liver Function check： gamma-glutamyl transferase γ-（GGT）33～42 ～43U/L，alanine transaminase （ALT）23～36～31 U/L，Aspertate aminotransferase（AST） 82～105～90 U/L， Indirect bilirubin （IBIL）57.81～123.0～121μmol/L，alkaline phosphatase（ALP）417～401 ～363U/L，Direct bilirubin （D-BIL）2.1.65～245.1～250 µmol/L， total bilirubin（TBIL）289.46～368.1～371.8 µmol/L and total biliary acid（TBA）521.6μmol/L；

The Hepatitis B five，intrauterine infection series return negative，Blood clotting returns  Roughly normal，Thyroid function tests normal to returned, Renal function, electrolytes, myocardial enzymes were to Roughly normal，A fetal protein Return 25.25ng/ml, showed slightly higher，  the  before transfusion examination was negative (-)，Hepatitis A virus antigen (HAV) antibody negative return, Blood ammonia is Roughly normal and the test blood HCMV-DNA   returns do were negative.

99mTc-EHIDAinspection report：99mTc-EHID Check see: 99mTc-EHID 1millicurie Intravenous injection, Immediate abdominal collection, Blood perfusion phase was 1 /2 seconds, a total of 30 seconds; The dynamic phase of the liver and gallbladder is 1 /2 minutes, and a total of 30 minutes. 3 hours, 6 hours and 24 hours after injection, respectively, were collected, the results are as follows, 3-5 minutes of liver without  Show shadow; pyelo and bladder were clearly;30 minutes when the liver was not radioactive distribution, double kidney and bladder radioactive highly concentrated, of Left and right hepatic duct, liver  duct, Gallbladder，Common bile duct， been without  Show shadow. 3 hours and 24 hours, of  liver without  Show shadow; No radioactive distribution in the intestine：Diagnostic opinion: Liver and gallbladder dynamic imaging, of liver without  Show shadow. due to high levels of serum bilirubin. suggestion system treatment later follow-up to.

full-term pregnancy. A  brother in good health. Parents and other family members do not have a hepatitis disease, nor had a history of infectious and genetic diseases,

Treatment process:

1 Qin Quan powder, takes orally. Daily dose: 10 grams of powder. how to take medicine: powder 10 grams and water 30ml mixing uniform, slow fire simmer 15 minutes with gauze filter can be prepared medicine juice 15 ~ 20ml, take orally  4- 5 second / day..

2 vitamin B12 fifty mg, folic ten mg， compound liver extract 2 tablets, two times a day.  By its mother Orally administered. After January, stop drug.

Observation curative effect:

2013-05-28 start medication, to 2013-12-09 Watch Efficacy the medication, except for growth to lag behind children of the same age, everything else is normal. Continued Treatmentto to 2014-8-13 cure, no Sequela. Follow -up to 2016-1-11 growth and development of good