The reporter learned from the 302 Hospital of the People's Liberation Army that with the gradual rise of temperature, the number of patients with liver diseases in this hospital has gradually increased. According to Liu Shijin, M.D., seven subjects of infection in our hospital, besides physical therapy combining spirit, medicine and exercise, the most basic need of patients with liver disease is diet therapy.

Dr. Liu Shijin pointed out that the general principles of diet for patients with liver disease are: comprehensive nutrition, reasonable collocation and prevention of partial eclipse. Patients with liver disease should take enough vitamins, fats, carbohydrates and protein every day. Three meals a day should be reasonably matched, and meat and vegetables should alternate. Try to eat less spicy food and avoid the bad habit of partial eclipse. Drink a glass of milk every day, eat an egg, two or three pieces of lean meat (pig, cow, sheep, chicken, fish) and a piece of tofu, and exchange and match two kinds of vegetables (lentils, spinach, rape, celery, cucumber, mushrooms, fungus, etc.). Every day, eat two kinds of fruits (apples, pears, peaches and bananas). ). Try to avoid eating spicy hot pot, seafood, frying oil, animal offal and other indigestible foods. Meanwhile, we should give up drinking and smoking. Diet should eat some acidic vegetables and fruits, such as hawthorn, apricot meat, jujube, tomatoes and so on. In addition, mushrooms, fungus and other edible fungi are rich in polysaccharides, which is very beneficial to enhance the immune function of patients with liver disease. Green food is the best choice for protecting and nourishing liver. For fresh vegetables, patients can eat raw or cook soup and exchange it every day.

Dr. Liu believes that patients with liver disease should also follow the principle of personalized diet according to their own priorities. For example, patients with liver cirrhosis mainly eat soft, cool and digestible foods, such as steamed bread, noodles, noodles, egg soup, ham sausage and so on. So as to avoid eating hard and overheated food, avoid getting angry and constipation, and avoid eating fried food, hard food (such as pancakes and radishes) and barbed food (such as carp, crucian carp and grass carp), because barbed food is likely to scratch patients' varicose veins. Patients with liver cirrhosis should not eat a lot of high-protein food in a short time, so as to avoid a sharp rise in blood ammonia concentration and cause liver coma. In addition to the above matters, patients with esophageal or gastric varices should avoid eating hard, crude fiber, fried, spicy and other foods that are difficult to digest, and should not eat too fast. Keep the stool unobstructed, don't use too much force to prevent varicose veins from bleeding. Patients with advanced cirrhosis should also pay attention to controlling high-protein diet to prevent hepatic encephalopathy.

Liu Jiaoshou provided two simple prescriptions for nourishing liver and dietotherapy for patients with liver diseases.

1. Therapeutic prescriptions for soothing liver, regulating qi, invigorating spleen and nourishing stomach: Endothelium Corneum Gigeriae Galli 10g, Fructus Crataegi 9g, Poria cocos 10g, Coicis Semen 10g. One pair a day, after decoction, taken orally for 4 times, and the course of treatment is 2 months.

2. Therapeutic prescription for promoting blood circulation, nourishing yin, tonifying kidney and benefiting liver: Mulberry 10g, Ophiopogon japonicus 10g, Adenophora adenophora 9g, Placenta Hominis 9g and round meat 6g. One pair a day, after decoction, taken orally for 4 times, and the course of treatment is 2 months.

How to match the daily diet of patients with liver disease?

Common dietary collocation of patients with liver disease within 1 day.

60 grams of eggs-70 grams of eggs, quail eggs, and no more than 2 eggs containing essential amino acids.

Milk or dairy products 400 ml -500 ml low-fat milk, skimmed milk powder, yogurt and cottage cheese are rich in calcium, vitamins A and B2.

70 to 80 grams of lean meat, cattle, sheep, pigs, chickens, no meat, no skin, no bones. Protein and protein account for 0/6% to 25% of/kloc-.

70-90g of fish or shellfish, such as flounder, yellow croaker, shrimp, whitebait, cuttlefish, herring, carp, crucian carp, hairtail, clam snail and so on. , containing calcium, phosphorus, iron, vitamins A, B 1, B2, etc. , and contains 0.3%- 1 1% fat.

Beans or bean products tofu 159g-200g soybeans, cowpeas, peas, red beans, broad beans, etc. Dried beans, shredded beans, oily tofu, gluten and bean curd all contain plant proteins, and their unsaturated fatty acids are beneficial to lowering cholesterol. You must eat it every day.

Light vegetables add up to 350-400g of onion, cauliflower, bean sprouts, cabbage, aquamarine vitamins, mineral trace elements and fiber. Some fresh vegetables can be eaten raw after disinfection, while green beans and lentils should be cooked before eating.

Dark green vegetables such as spinach, string beans, lentils, rape, cauliflower, water spinach, green pepper, garlic sprout, celery, leek seaweed and Lentinus edodes, Undaria pinnatifida, laver, mushroom, Undaria pinnatifida, auricularia auricula, auricularia auricula, Hericium erinaceus, etc.

Potato 100g- 120g potato, yam, taro, sweet potato, calcium, phosphorus and vitamin B 1, c, etc. It is relatively stable after heating and should not be eaten too much.

400g-450g fruits, such as grapes, oranges, apples, pears, peaches, strawberries, pineapples and fragrant lychees, contain vitamin C, potassium and a lot of cellulose, so it is best to eat them fresh.

cereal

450 grams of rice

60 grams of bread

Rice, germ rice, millet, corn flour, dried noodles, flour, sesame and other staple foods needed for life provide calories and vitamin B groups, and are eaten regularly at each meal.

20 grams of sugar, white sugar, honey, maltose, take its sugar and sweeten it with it.

20 -30 grams of oils: soybean oil, peanut oil, vegetable oil, cream, salad oil, sesame oil, etc. can promote the absorption of vitamins A, D, E and K and make them pass the normal weight.

Should not be used more.

avocation

Appropriate amount of cakes, biscuits, chocolates, melon seeds, walnuts, peanuts, various drinks, etc. Will increase the fun of life or eat regularly every meal according to the doctor's advice.

Note: Daily recipes can be combined according to the above food types and their target measurements, and adjusted with reference to the materials of food examples. Emphasize that protein, vitamins and trace elements should be ingested more than ordinary people. Conditioning methods should pay attention to cooking skills and control animal fat.

Patients with liver disease have dietary taboos.

Patients with fatty, sweet and spicy liver diseases have poor digestive function, and there are some problems in daily diet digestion. After eating greasy, sweet and spicy things, it is more likely to cause food accumulation in the stomach, which will cause excessive internal heat after a long time. Coupled with the evil of damp-heat in liver disease, the combination of two heat can lead to the aggravation of liver disease symptoms and affect treatment.

Too much fat, sweetness and taste can also make people fat. The three main metabolism of human body are in the liver. Patients with liver disease have decreased liver function, excessive fat intake, and fat particles are deposited on the surface of the liver, causing fatty liver and aggravating the condition. Excessive sugar intake can also easily lead to diabetes after hepatitis. Therefore, patients with chronic liver disease should pay attention to reasonable nutrition, and pay more attention to the rationality of diet on holidays.

Eat scientifically. The diet of patients with chronic hepatitis should be mainly high-protein plant food, and eat less animal protein and fat. Eat more vegetables and fruits containing vitamin C, such as spinach, apples and pineapples. In addition, foods with high vitamin K content, such as green tea, radish sprouts, Chinese cabbage, lettuce and so on. And foods rich in vitamin e, such as sunflower seeds, almonds and peanuts. , should also eat together. Traditional Chinese medicine believes that the five flavors of sour, sweet, bitter, spicy and salty have their own affinity for the five internal organs. Acid enters the liver, bitter enters the heart, sweet enters the spleen, salty enters the kidney and pungent enters the lung. Long-term preference for a certain food will inevitably lead to the over-prosperity and over-decline of the corresponding viscera, as well as the over-prosperity or lack of nutrition between viscera, thus resulting in various diseases. If you eat some acidic food in moderation, it is good for your liver, but it also depends on your own situation. The dietary principle of traditional Chinese medicine is "tonic without stagnation", so it is very important for patients with chronic liver disease to have scientific diet aftercare.

Health Times Author: Wang Guowei, deputy chief physician of Beijing Hospital of Traditional Chinese Medicine.

@ @ Gan Bao Tea

Source "Good Chinese Medicine"

Is prepared from Herba Artemisiae Scopariae 15g, Radix Curcumae 9g, Radix Salviae Miltiorrhizae 9g and Radix Isatidis 12g.

Function of clearing away heat and toxic materials, promoting blood circulation and eliminating jaundice.

Indications: Acute and chronic hepatitis, yellow skin and sclera, general weakness, loss of appetite, spider nevus scattered on the head, face and neck, swelling or tingling in the liver area, red tongue with yellow fur, petechiae and slippery pulse. Laboratory examination: transaminase, alkaline phosphatase and other zymograms increased, bilirubin increased and hepatitis markers were positive.

Methods According to the proportion of the original ingredients, the amount was increased by 20 times, and * * * was coarse powder. Take 50 ~ 70g each time, put it in a thermos bottle, pour it into half a bottle of boiling water, cover it with 15 ~ 20min, and make tea frequently. 65438+ 0 ~ 2 doses per day.

Use with caution in patients with thrombocytopenia and severe disorder of coagulation mechanism.

According to the annotation of "Herbal Jing Shu", "Chen Yin's treatment of rheumatism, cold and heat, pathogenic heat, jaundice, yellow body, unfavorable urination and head fever are all caused by Yangming and the damp-heat of the sun." This prescription is based on Herba Artemisiae Scopariae for clearing away heat, promoting diuresis and eliminating jaundice, and is matched with Radix Isatidis to enhance its ability of clearing away heat and toxic materials and resisting hepatitis virus. Yujin can soothe the liver and relieve depression, and promote qi and blood circulation. Salvia miltiorrhiza nourishes blood, promotes blood circulation and cools blood. The ancients said, "Danshen always works with Siwu Decoction". Take care of the secondary symptoms of emotional depression, qi stagnation and blood stasis caused by chronic liver disease. Modern pharmacological research reports: Herba Artemisiae Scopariae has the functions of protecting liver and resisting virus, while Radix Curcumae and Radix Salviae Miltiorrhizae can significantly improve microcirculation, which is beneficial to the regeneration of liver cells. Patients with thrombocytopenia and serious disorder of coagulation mechanism should start with a small dose under the guidance of a doctor and generally take half a dose. If there is no adverse reaction, add it to the prescribed dose.

@ @ Qinggan Jiangenzyme Tea

Source "Good Chinese Medicine"

Comprises 30g of Sedum sarmentosum, 0/0g of Folium Isatidis/kloc-0 and 0/5g of Polygonum cuspidatum/kloc-0.

Function: clearing away dampness and heat, detoxifying and lowering enzymes.

Indications: viral hepatitis. After jaundice is not obvious or jaundice subsides, transaminase, alkaline phosphatase and lactate dehydrogenase remain high.

The preparation method increases the dosage by 20 times, and * * * is the last. Take 40 ~ 60 grams each time, put it in a thermos bottle, brew it with boiling water, cover it with 15 minutes, and drink frequently without tea. Every day 1 dose.

Avoid gastric and duodenal ulcers and drink after meals.

Sedum sarmentosum is the whole plant of Sedum, which is sweet and cool, and has the functions of clearing heat, promoting diuresis, detoxicating and eliminating carbuncle. Modern pharmacology reports that it mainly contains Sedum sarmentosum glycosides, amino acids, sugars, flavonoids and so on. Has the effects of protecting liver, reducing enzyme and resisting bacteria. Polygonum cuspidatum clearing away heat and toxic materials, promoting blood circulation and removing blood stasis, inducing diuresis and eliminating jaundice, and Folium Isatidis clearing away heat and toxic materials are all good medicines for treating infectious hepatitis. The combination of the three drugs can significantly enhance the anti-hepatitis virus, reduce enzyme and protect liver.

@ @ Lingzhi Gancaocha

Source "Food, Traditional Chinese Medicine and Convenient Prescriptions"

Comprises 6 grams of ganoderma lucidum and 5 grams of licorice.

Function of nourishing liver qi, protecting liver and strengthening body.

Indications are chronic persistent hepatitis, original history of hepatitis virus infection, persistent manifestations of liver function damage, repeated fluctuations of transaminase, normal gamma globulin, and liver biopsy rarely shows hepatocyte necrosis. The general symptoms are mental fatigue, fatigue, anorexia, abdominal distension, loose stool, palpitation, forgetfulness and poor sleep.

The preparation method increases the dosage by 40 times, and * * * is the last. Use 20 ~ 30g each time, put it in a thermos bottle, pour it into half a bottle of boiling water, cover it for 20 minutes, and drink it frequently instead of tea. Every day 1 dose.

Chronic active hepatitis should be avoided and it is not suitable for drinking.

Ganoderma lucidum belongs to the genus Ganoderma of Polyporaceae, which is a hard umbrella mushroom parasitic on the roots of broad-leaved trees such as oak trees. Its ganoderma lucidum and ganoderma lucidum are used as medicine. Sweet and non-toxic. Shennong's Classic of Materia Medica says it can "improve eyesight, tonify liver qi and soothe the nerves", while China's Illustration of Medicinal Plants says it can "treat chronic diseases such as neurasthenia, insomnia and dyspepsia". Chronic persistent hepatitis mostly belongs to the category of deficiency syndrome of traditional Chinese medicine, with deficiency of liver, spleen, heart and qi, and weak blood circulation, so this prescription mainly focuses on nourishing liver and qi, mind and body essence. Modern research shows that Ganoderma lucidum has the functions of protecting the liver, strengthening the heart, calming down and improving the hypoxia tolerance of animals. The clinical manifestations of chronic active hepatitis are jaundice, recurrent fever, spleen, hepatomegaly and spider nevus. Most cases are hidden, and only cases below 1/3 are acute, with severe liver function damage and frequent hepatocyte necrosis. Abdominal pain, joint pain, nephritis and other extrahepatic manifestations can also be seen Most of them are empirical or empirical, so it is not appropriate to treat them with this recipe alone.

Chicken bone grass tea

Source "Good Chinese Medicine"

30-50g of Abrus cantonensis and 9g of Eupatorium adenophorum. Decoct with water, daily 1 dose.

Function of clearing away heat and toxic materials, promoting blood circulation and soothing the liver.

Indications ① Acute hepatitis, yellow skin and sclera, bright color, loss of appetite, fullness of upper abdomen, yellow urine, or aversion to cold and fever. ② Chronic persistent or active hepatitis, recurrent hepatitis symptoms, increased zymogram in laboratory examination, immune insufficiency, abnormal protein pulse, signs such as liver palm and spider nevus, etc., and hepatitis B is contagious due to abnormal examination. ③ Cirrhotic ascites, decompensated cirrhosis after hepatitis, common ascites, liver palm, spider nevus, albumin, globulin ratio inversion, etc. It may also be complicated with portal hypertension and splenomegaly.

The preparation method increases the dosage by 20 times, and * * * is the last. Use 4O~50 ~ 50g each time, put it into a thermos bottle, pour in a proper amount of boiling water, cover it with 15min, and drink it frequently, instead of tea. 1 2 weeks a day.

Should avoid spleen and stomach deficiency and cold, and should not be taken for a long time.

Abrus cantonensis is the whole grass of the root of acacia kwangtungensis, a leguminous plant, which is a woody twining vine. It is a folk herb, which is not recorded in the ancient cursive script, and mainly contains effective chemical components such as acacia and choline. At present, it is widely used to treat hepatitis B and reduce enzymes. Its taste is sweet and cool, and it is non-toxic. Nanning Medical Journal says that it "relieves inflammation and detoxifies, cures infectious hepatitis ...". The Handbook of Common Chinese Medicines says this product: "Clearing away heat and promoting diuresis, soothing the liver and relieving pain. Treat acute and chronic hepatitis and ascites due to liver cirrhosis ... ". "Materia Medica" says that "it has the functions of relieving fever and diuresis, promoting blood circulation and relieving pain." This prescription is compatible with Eupatorium odoratum, which can eliminate dampness and strengthen the spleen. The medicine juice is convenient to take and has no peculiar smell. This prescription has certain curative effect on acute and chronic hepatitis and ascites due to liver cirrhosis. However, because of its slight cold, spleen deficiency and stomach cold, patients who often feel epigastric pain and chronic diarrhea should not take it for a long time

@ @ Gan Bao Tea

Materials: Flos Lonicerae, Semen Cassiae, Folium Mori and Radix Glycyrrhizae. , Pogostemon, etc.

Function: Promote metabolism, activate liver cells, detoxify and regenerate. Drinking liver-protecting tea at work can eliminate fatigue and make you more energetic.

References:

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