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It may
also be a clinical manifestation of a disease from another
system. As a disease, it is defined in terms of total RBC
count in the peripheral blood. The standard for normal adult
women is defined as a hemoglobin level lower than 115g/L,
and a hematocrit level lower than 36%, and for adult men,
125g/L and 40%, respectively. Clinical symptoms can include
fatigue, heart palpitations, dyspnea, low appetite, nausea,
abdominal fullness, and headache. In traditional Chinese
medicine, anemia belongs to the category of "consumptive
disease."
Etiology/Pathogenesis
Congenital defect or postnatal malnutrition may lead to
hypofunction in transportation and transformation of blood
and essence deficiency in the spleen and stomach, or yin
insufficiency in liver, kidney, and poor liver hematopoiesis.
Consequently, symptoms such as pale complexion,
weakness, heart palpitations, and dizziness can occur.
Primary Treatments with Chinese Medicinal Herbs
Gui Pi Tang
86 cases of senile anemia were treated with modified Gui Pi
Tang. The herbs used were: Dang Shen (Codonopsis),
Huang Qi (Astragalus), Fu Ling (Poria), Dang Gui (Chinese
Angelica Root), Da Zao (Zizyphus), Tu Si Zi (Cuscuta), Wei
Ling Xian (Clematis), Bai Zhu (Atractylode), Yuan Zhi
(Polygala), Long Yan Rou (Longan Aril), Mu Xiang (Saussea),
E Jiao (Gelatin), Gan Cao (Licorice), Rou Gui (Cinnamon
Bark), Sheng Jiang (Ginger), and Da Zao (Jujube). One dose
of the decoction was taken per day. One course of treatment
comprised of 30 days. The results were as follows: 45 cases
had fully recovered, 33 cases showed some effectiveness,
and 8 cases had no effectiveness. The total effectiveness
rate was 90.7%.(1)
One case of macrocytic anemia was treated with Gui Pi
Tang. The formula contains the following herbs: Dang Shen
(Codonopsis), Huang Qi (Astragalus), Bai Zhu (White
Atractylodes), Long Yan Rou (Longan Aril), Dang Gui
(11)