Can Traditional Chinese Medicine Improve Treatment for Hemolytic Anemia?

Traditional Chinese Medicine (TCM) can improve the treatment of hemolytic anemia?

Hello Doctor, I have been diagnosed with thalassemia, which has led to hemolytic anemia and jaundice.
My sclera and limbs are showing yellowing symptoms! I did not have jaundice symptoms before the age of 18, but they have become increasingly severe as I age.
My lab results are: Hemoglobin: 10.1, White blood cells: 5030, Platelets: 434,000, Total bilirubin: 4.0, Direct bilirubin: 0.34, MCV: 66.3, MCH: 17.87, MCHC: 26.95, GPT: 22, GOT: 25.
An abdominal ultrasound of the liver and gallbladder showed everything to be normal! Previously, I consulted a traditional Chinese medicine practitioner who informed me that I have a damp-heat constitution.
My symptoms fluctuate daily; when jaundice worsens, I tend to feel irritable, uncomfortable, and fatigued.
Later, the practitioner advised me to seek a more skilled physician, as they could not help me.
I understand that Western medicine may suggest splenectomy, but I have heard that removing the spleen can lead to increased susceptibility to infections! Therefore, I would like to explore traditional Chinese medicine treatments.
I have a few questions: 1.
Does traditional Chinese medicine have any treatment methods to improve hemolytic anemia? 2.
What dietary or lifestyle precautions should I take? 3.
Can you assist me with treatment or recommend a few traditional Chinese medicine practitioners who can address this condition? 4.
Additionally, I received a prescription from my traditional Chinese medicine practitioner that includes Yin Chen (Artemisia capillaris).
It seems ineffective in alleviating my jaundice! If I want to eliminate jaundice while also increasing hemoglobin levels, is it possible to do both simultaneously? The previous prescriptions I received included: Jia Wei Xiao Yao San, Da Fu Pi, Dan Shen, Di Gu Pi, Di Huang, Shao Yao, Huang Qin, Bie Jia, and Yin Chen.
Thank you for your response!

ERIC, 20~29 year old female. Ask Date: 2005/10/03

Dr. Lin Qingzhong reply Traditional Chinese Medicine

1.
Beta-thalassemia, based on your blood test results, shows a hemoglobin level of 10.1 g/dL, white blood cell count of 5030, and total bilirubin of 4.0 mg/dL, indicating hemolytic anemia.
This condition has a higher incidence rate of 1-2% in southern China.
Beta-thalassemia is a hereditary hemolytic anemia caused by the deletion or dysfunction of the beta-globin gene, leading to a deficiency or reduced synthesis of beta-globin chains.
This results in a decrease in hemoglobin A (HbA), which is composed of approximately 97% alpha and beta chains, causing impaired hemoglobin synthesis and subsequent anemia.
Concurrently, there is an increase in alpha chains, which can lead to: (1) destruction of red blood cells (RBCs) in the bone marrow before maturation, resulting in ineffective erythropoiesis; (2) destruction as they pass through the splenic sinusoids; (3) a shortened lifespan of RBCs.
2.
The current status of Western medical treatment for beta-thalassemia involves regular blood transfusions to maintain hemoglobin levels, along with iron chelation therapy to manage excess iron.
However, as patients age and require more transfusions, they are at risk of developing secondary hemochromatosis, which can be life-threatening.
Literature from abroad indicates that hematopoietic stem cell transplantation remains the only curative method for beta-thalassemia.
Splenic embolization may improve symptoms in some patients, reducing the need for transfusions without significantly impairing immune function.
Splenectomy is one treatment option for thalassemia, but it is more effective for alpha-thalassemia than for beta-thalassemia.
Additionally, post-splenectomy, the phagocytic function of peripheral blood granulocytes may decline, increasing the risk of infections.
Patients with mild and intermediate beta-thalassemia generally do not require transfusions; however, due to chronic mild to moderate anemia, their mental, physical, and cognitive abilities are significantly poorer than those of healthy individuals, and they often suffer from infectious diseases due to decreased immune function.
3.
The clinical efficacy of traditional Chinese medicine (TCM) in treating beta-thalassemia includes the use of kidney-tonifying and marrow-nourishing herbal formulas, such as raw and cooked rehmannia, cornelian cherry, tortoise shell gelatin, donkey-hide gelatin, and astragalus, among others.
These herbal medicines may improve immune function, potentially reducing the destruction of RBCs in the bone marrow and splenic sinuses, making beta-thalassemia patients less susceptible to infectious diseases.
TCM can be considered as an adjunct to Western medical treatment for beta-thalassemia.

Best wishes,
Dr.
Lin Ching-Chung,
Director of Traditional Chinese Medicine, Fengyuan Hospital
[email protected]

Reply Date: 2005/10/03

More Info

Hemolytic anemia, particularly in the context of thalassemia, can lead to significant health challenges, including jaundice, fatigue, and other systemic symptoms. Your inquiry about the potential role of Traditional Chinese Medicine (TCM) in managing this condition is both relevant and important, especially considering the complexities of your situation.

1. TCM Approaches to Hemolytic Anemia: TCM offers various strategies to address hemolytic anemia. The focus is often on restoring balance within the body, enhancing blood production, and alleviating symptoms. In TCM, hemolytic anemia may be viewed through the lens of "Qi" (vital energy) and "Blood" deficiency, as well as the presence of "Damp-Heat," which can exacerbate symptoms like jaundice. Herbal formulations may include ingredients that nourish the blood, such as Dang Gui (Angelica sinensis), and those that clear heat and resolve dampness, such as Huang Qin (Scutellaria baicalensis) and Yin Chen (Artemisia capillaris).
2. Dietary and Lifestyle Considerations: In terms of dietary recommendations, it is essential to focus on foods that support blood health. This includes iron-rich foods (like leafy greens, legumes, and lean meats), vitamin B12 sources (such as eggs and dairy), and folate-rich foods (like citrus fruits and beans). Avoiding overly greasy or spicy foods may help manage the "Damp-Heat" condition. Staying hydrated and maintaining a balanced diet can also support overall health and energy levels.

3. Finding a Qualified TCM Practitioner: It is crucial to consult with a qualified TCM practitioner who has experience in treating hemolytic anemia. They can provide personalized treatment plans based on your specific symptoms and constitution. You might consider seeking recommendations from local health centers or online directories that list licensed TCM practitioners.
4. Herbal Formulations and Jaundice Management: Regarding your concern about the efficacy of the herbs prescribed, such as Yin Chen, it is important to note that TCM often requires a tailored approach. The effectiveness of herbal remedies can vary based on individual constitution and the specific nature of the condition. While some herbs may help alleviate jaundice, others may focus on enhancing blood production. It is indeed challenging to address both jaundice and anemia simultaneously, as treatments may need to be adjusted based on your response to the herbs.
5. Spleen Removal Considerations: The decision to remove the spleen is significant and should be made with careful consideration of the risks and benefits. The spleen plays a vital role in filtering blood and supporting immune function. If surgery is being considered, it is essential to discuss potential complications, including increased susceptibility to infections, with your healthcare provider.

In conclusion, while TCM may offer supportive therapies for managing hemolytic anemia, it is essential to approach treatment holistically and in conjunction with conventional medical advice. Regular monitoring of your blood parameters and symptoms is crucial, and any changes in treatment should be made under the guidance of qualified healthcare professionals. Integrating TCM with Western medicine can provide a comprehensive approach to managing your condition, but it requires careful coordination and communication between your healthcare providers.

Similar Q&A

Integrating Traditional Chinese Medicine in Leukemia Treatment: A Patient's Inquiry

Dear Dr. Huang, My mother is 71 years old and is currently hospitalized for the treatment of leukemia. Her overall health condition is not ideal. Besides being weakened by the disease, the side effects of the medication have further contributed to her frailty. Therefore, I would...

Dr. Huang Zhongzhun reply Traditional Chinese Medicine
Hello: Acute Myeloid Leukemia (M5) can present with symptoms such as dizziness, fatigue, fever, gingival enlargement, and easy bruising. Modern medical treatments provide some relief but are prone to relapse and can have significant side effects. In Traditional Chinese Medicine, ...

Unexplained Low Platelet Count: Exploring Causes and Treatment Options

At the end of March, my health check revealed a platelet count of 50,000. I went to a large hospital for further examination, which included various blood tests, an abdominal ultrasound, and everything appeared normal. A bone marrow biopsy showed normal hematopoietic function. I ...

Dr. Chen Zhaoxun reply Traditional Chinese Medicine
Hello KK: The diagnostic methods of Traditional Chinese Medicine (TCM) differ from those of Western medicine. Western medicine is microscopic, meaning it breaks down diseases into smaller and smaller parts until they cannot be divided further; whereas TCM is macroscopic, viewing ...

New Approaches in Traditional Chinese Medicine for Chemotherapy Side Effects

On June 12, 2004, according to the Apple Daily, the Department of Health commissioned the Housheng Tumor Center of Taichung Hospital, China Medical University, and the Guangtian Hospital Cancer Center to jointly research a new method using traditional Chinese herbal medicine to a...

Dr. Huang Yicheng reply Pharmacology
The formula used should be "Sha Shen Mai Dong Decoction," which originates from the Qing Dynasty work "Wen Bing Tiao Bian" by Wu Ju Tong. The typical composition includes 9 grams of Bei Sha Shen, 9 grams of Mai Dong, 6 grams of Yu Zhu, 4.5 grams of Tian Hua Fe...

Managing Uremia: Can Traditional Chinese Medicine Help?

Hello, my mother has recently been experiencing vomiting and loss of appetite. After going to the hospital for examination, she was diagnosed with uremia, and the doctor recommended dialysis. However, my mother is reluctant to accept dialysis due to her conservative beliefs. She ...

Dr. Lin Qingzhong reply Traditional Chinese Medicine
Dear Pi Pi/1/41 user, 1. Your mother has recently been experiencing vomiting and loss of appetite, and after being examined at the hospital, she has been diagnosed with uremia. The doctor has recommended dialysis. You and your family, including friends, must find a way to persua...