Jaundice is mainly caused by damp-heat accumulating blood, and the disease is in the pulse. White pulse refers to the blood vessels of the whole body, the liver is blood dirty, the liver and gallbladder are exterior and interior, blood stasis turns yellow, and jaundice divides blood. Blood vessels are affected by diseases, so the treatment of jaundice should start with treating blood, clearing away heat and promoting diuresis, warming up cold and dampness, adding blood-activating drugs, treating heat with cold, tonifying deficiency with blood-activating drugs, treating phlegm with phlegm, and returning jaundice.
1, cooling blood and promoting blood circulation
Cooling blood and activating blood circulation means clearing blood stasis and clearing heat, cooling blood without depressing evil, making blood circulation smooth, eliminating damp heat, clearing blood and removing blood stasis, and jaundice will easily subside. Commonly used drugs are: Radix Rehmanniae, Cortex Moutan, Radix Paeoniae Rubra, Lalang Grass Rhizome, Herba Cirsii, Nodus Nelumbinis, etc.
2, nourishing blood and promoting blood circulation
Jaundice is that blood is affected by diseases, damp-heat and blood stasis stagnate, turning into yin and yellow, and pathogenic heat consumes yin and blood, so people with blood heat and blood deficiency are more common. Use nourishing blood and activating blood drugs to nourish blood instead of helping heat, promote blood circulation and remove blood stasis. Commonly used drugs are: Salvia miltiorrhiza, Radix Paeoniae Alba, Radix Angelicae Sinensis, Herba Leonuri, Herba Lycopi, Carthami Flos, Radix Curcumae, Rhizoma Cyperi, etc.
Step 3 warm blood vessels
When the weather is cold, blood clots, blood vessels are blocked by cold coagulation and blood stasis, and hair color is yellow. It is necessary to use drugs that warm the yang and dredge the pulse, disperse the knot and dredge the pulse, and disperse the cold and dampness. Commonly used are aconite, cassia twig, turmeric and so on.
Treating jaundice with blood-activating drugs can accelerate the regression of jaundice and is beneficial to the retraction of hepatosplenomegaly; Promoting blood circulation can remove blood stasis, and removing blood stasis can regenerate. Therefore, the treatment of jaundice must treat blood, and blood can be removed by Huang Yi.
Second, there is no icteric viral hepatitis.
In acute stage, general weakness, anorexia, nausea, abdominal distension, shortness of breath, uncomfortable stool, yellow urine, discomfort in liver area, dull pain, fever, dull complexion and slow pulse. Liver function is slightly damaged, so it should be fragrant and turbid, clearing away heat and promoting diuresis. Prescription: Herba Agastaches, Cortex Magnolia Officinalis, Semen Armeniacae Amarum, Poria, Chenpi Massa Medicata Fermentata, Fructus Hordei Germinatus, Herba Artemisiae Scopariae, Pericarpium Arecae 15g, Rhizoma Atractylodis 16g, Radix Gentianae 10g, Herba Hedyotidis Diffusae 50g, Flos Lonicerae 20g and Radix Isatidis 20g.
Third, fulminant hepatitis.
Fulminant hepatitis is called severe hepatitis, which is dangerous and has a high mortality rate. Similar to acute yellow and plague yellow, the following methods are often used for treatment. Herba Artemisiae Scopariae 100g, Rhizoma Coptidis 15g, Flos Lonicerae 50g, Radix Gentianae 15g, Radix Angelicae Sinensis 25g, Herba Patriniae 50g, Radix et Rhizoma Rhei 15g, Poria 20g, Rhizoma Atractylodis Macrocephalae 20g, Radix Curcumae 15g and Radix Glycyrrhizae 65438+.
Fourth, hepatitis B.
Liver regulates qi, governs storing blood, loves everything, takes blood as the foundation, uses qi, and body yin uses yang. The evil of hepatitis B virus invades the human body and stagnates in the liver, causing stagnation of liver qi, prolonged heat stagnation, internal consumption of liver yin, loss of body yin, uncontrollable use, gloomy liver stagnation, leading to limb movement, spleen and soil movement disorder, and symptoms such as rib pain, dry mouth, dry throat and epigastric cavity. The treatment of hepatitis B should be based on the ancient teachings of strengthening the body resistance, regulating the body, keeping the feet upright and eliminating evil spirits, not just focusing on the virus. Clinically, it has been proved that the liver function has been improved while the condition is relieved. This statement does not rule out the application of commonly used heat-clearing and detoxification methods. Use the method if you have symptoms, otherwise it will be difficult to answer. The treatment of hepatitis B comes from practice and is gradually improved. Fangfang uses Salvia Miltiorrhiza combined with Yujin to promote blood circulation, dredge collaterals and regulate qi and blood. Covering qi is blood handsome, blood is the mother of qi, promoting qi is blood circulation, and qi stagnation is blood stasis. Qi stagnation interferes with blood flow and leads to blood stasis, which must be qi stagnation. Therefore, if hepatitis B has symptoms of blood stasis, it should be supplemented with Salvia Miltiorrhiza and Radix Curcumae to prevent problems before they occur and make good use of dirty blood. Isatis indigotica, assisted by Isatis indigotica, is good at understanding viruses, aiming at clearing away toxic evil. It is superior to other drugs for clearing away heat and toxic materials for hepatitis B..
Verb (abbreviation of verb) chronic hepatitis
Chronic hepatitis is often caused by untreated, improper treatment or recurrent viral hepatitis, and gradually evolved. The course of the disease is lingering and the symptoms are complicated. Some patients may also have symptoms such as cirrhosis and ascites in the later stage. Therefore, on the basis of syndrome differentiation and treatment, we should grasp the specific source of damp-heat, and legislate for dialectical medication according to the pathological characteristics of damp-heat stagnation and difficult drowning.
According to the theory that the fire disease must be deficient, it should be based on strengthening the body resistance, but it should not be treated accordingly without damp heat. Clinically, it is difficult to solve the problems of strengthening the body resistance without leaving evil, attacking evil without hurting righteousness, softening the liver and nourishing yin, helping dampness without leaving spleen, dispersing qi without hurting roots, and how to soften and nourish the liver. For example, stagnation of wood and qi, poor regulation of qi in the middle energizer, yin deficiency in the liver and yang deficiency in the liver, so the late stage of chronic hepatitis is yin deficiency, liver blood can not be nourished, liver cells are damaged and immune function is reduced. For a long time, qi stagnation, blood stasis, liver collateral stasis, local liver tissue sclerosis can be seen on both sides of the swelling, dull pain and tingling, yin deficiency is not easy to make a fire, fire floating. Men often have symptoms such as premature ejaculation, internal heat combined with spleen dampness, poor transport of middle energizer, and damp-heat stagnation, which can make the condition repeat, so the treatment must be based on proper syndrome differentiation. Clearing damp-heat is aimed at the evil of damp-heat, nourishing yin and softening the liver, and nourishing blood and liver yin is aimed at the body. Strengthening the spleen is an important rule in the treatment of liver disease.
Common syndrome types
1, damp-heat accumulation, liver disease can not be cured for a long time, due to improper treatment, the evil of damp-heat persists, and in the late stage of the disease, although the liver function is within the normal range, there is still damp-heat accumulation. Symptoms include weakness of upper limbs, loss of appetite, pain in liver area, yellow urine, thin pulse, thick and greasy fur, and phlegm caused by damp heat. The main treatment is clearing phlegm and clearing heat, and peach kernel and almond are the main drugs to disperse the lung. Due to the same disease of phlegm and dampness, Herba Artemisiae Scopariae, Herba Hedyotidis Diffusae, Fructus Gardeniae of Jiao Shan, Herba Taraxaci and Rhizoma Polygoni Cuspidati should be added. Treating dampness is more important than treating heat, and it is mainly composed of Epimedium, Crown, Epimedium and Polygonum cuspidatum. Anyone who is wet will have abdominal distension, so Radix Aucklandiae, Yujin and Xiangdui are essential drugs. Radix Achyranthis Bidentatae, Fructus Chaenomelis and Bombyx Batryticatus are added for patients with weakness of lower limbs. Hawthorn charcoal, burnt malt and burnt yeast can be added for those with bad stomach. Rhizoma Corydalis and Radix Curcumae are added for patients with liver pain, and Semen Plantaginis, Poria and Rhizoma Alismatis are added for diuresis for those with wet weight.
2. Main symptoms of disharmony between liver and stomach: dull pain in liver stage, abdominal distension, indigestion in stomach, loose stool, and white pulse. Treatment should soothe the liver and stomach. Uses: Rhizoma Cyperi preparata, Radix Aucklandiae, Radix Curcumae, Fried Winter, Shell, Gold, Radix Isatidis, Radix Paeoniae Alba, Herba Artemisiae Scopariae, Rhizoma Polygoni Cuspidati, Achyranthis Radix, Coicis Semen and Glycyrrhrizae Radix. This is liver qi invading the stomach, and liver and stomach are not harmonious. At this time, it is not suitable for tonic, mainly to soothe the liver and stomach. Radix Isatidis, Herba Artemisiae Scopariae, Rhizoma Polygoni Cuspidati, Coicis Semen, etc. It can dispel dampness and detoxify, accumulate shells, atractylodes macrocephala, and tonify one and eliminate one. Paeonia lactiflora is the main medicine for soothing liver and relieving pain, and there is no second medicine to replace Paeonia lactiflora. Hypochondriac pain is not a cure for the liver. Together with licorice, it is called Shaoyao Glycyrrhiza Decoction. Licorice. It can relieve liver anxiety and stop pain in liver area. In particular, Radix Curcumae has the functions of soothing the liver and regulating qi, promoting blood circulation and cooling blood, and has the function of relieving pain. It is an important drug for treating hepatitis B. For patients with excessive stagnation of liver qi and severe pain in the liver area, Rhizoma Corydalis and Pericarpium Citri Reticulatae Viride can be added to soothe the liver and regulate qi and disperse the stagnation. This method has many spices and is harmful to liver yin, so peony should be reused and limited by gold.
3. The main symptoms of deficiency and qi stagnation in the middle: mental fatigue, loss of appetite, fullness in the abdomen, dull pain in the liver area, thin stool, thin pulse, thin greasy fur and pale tongue. Treatment should be healthy and regulate qi. Drugs: Pseudostellaria heterophylla, stir-fried, Poria, Rhizoma Cyperi preparata, Radix Aucklandiae, Radix Curcumae, Radix Paeoniae Alba, Herba Artemisiae Scopariae, Rhizoma Polygoni Cuspidati, Coicis Semen, Radix Isatidis, Radix Glycyrrhizae, etc.
This method is spleen-invigorating, and the spleen likes warm and dry, so Radix Aucklandiae and Rhizoma Cyperi are used to regulate qi and awaken the spleen, Herba Artemisiae Scopariae, Rhizoma Polygoni Cuspidati and Radix Isatidis are used to clear away heat and toxic materials and promote blood circulation, and the moss is greasy and turbid, while Herba Agastaches, Eupatorium odoratum, yellow moss, Rhizoma Phragmitis, Semen Benincasae and Scutellariae Radix are used to clear away damp heat.
4, the main symptoms of liver and kidney yin deficiency are dull pain in the liver area, sore limbs and low back pain, hot hands and feet, slight fever in the afternoon, dizziness and fatigue, dry mouth and drinking, thin pulse, knowing red and little fur. Treatment should nourish liver and kidney, and Polygonatum sibiricum is used in this syndrome.
5. Long-term illness causes collateral obstruction and blood stasis, characterized by tingling or channeling pain in the liver area, scapulohumeral periarthritis in the right rib, dull complexion, red lips and purple tongue, hepatosplenomegaly, tingling in the liver area plus pulse string, turtle shell, oyster, burnt hawthorn, zedoary in the case of severe tingling, and astragalus in the case of physical weakness. Chronic hepatitis B patients, long-term positive, lingering. In the treatment, we can't ignore strengthening the body resistance and eliminating pathogenic factors.
Astragalus membranaceus and Codonopsis pilosula are drugs for invigorating qi. Astragalus as the main medicine, supplemented by Codonopsis pilosula and Schisandra chinensis, can enhance human immunity and improve disease resistance. For the treatment of virus, toxicity should be eliminated, and medicinal melon wilting and sheep hoof root should be detoxified. Clinically, drugs can be used to aggravate the damage according to the patient's deficiency and excess and the degree of toxicity.
Chronic hepatitis B has both deficiency of positive energy and excess of evil energy. Pathological changes of insufficient positive energy can lead to insufficient positive energy or excessive pathogenic factors. Therefore, in the treatment, we should comprehensively consider the syndromes of human body and pathogens. Strengthening the body resistance and treating people can enhance the patient's disease resistance, adaptability and palliative ability, increase the human body's disease resistance due to the disappearance of disease symptoms, and treat pathogens to eliminate symptoms, so that they will no longer damage the patient's body. The three are interrelated and influence each other, and what is the main contradiction?
Sixth, the treatment of ascites due to cirrhosis
Liver cirrhosis is due to the fact that the evil of damp-heat has not been completely eliminated, and it is gradually solidified and persists for a long time, hurting the blood of viscera, resulting in the damage of viscera essence. In the acute and chronic hepatitis stage, the spleen is weak, the healthy qi is not good, the turbid qi does not change, and the wet turbid phlegm is coagulated and sticky. On the other hand, heat toxin divides blood, which hurts yin and consumes blood. Due to qi deficiency and blood stasis, blood stasis is retained, and coagulation and phlegm are not removed. If the blood collaterals are blocked, it will become a hard lump (hepatosplenomegaly), and then it will shrink hard and push hard. When the meridians are blocked, the collaterals are full and the veins are exposed. So qi deficiency and blood stasis are the basis of liver cirrhosis. However, due to damp-heat, blood leakage is classified as standard, and the acquired stagnation is passive, so the yin essence of liver and kidney is useless. Moreover, due to internal friction of damp-heat, the yin essence of liver and kidney dries up, the liver can't be nourished by blood, and the kidney can't be moistened, resulting in yin deficiency of liver and kidney, which is endogenous to deficiency heat, and deficiency heat combined with damp heat of blood leakage leads to yin deficiency and blood heat, because qi and blood can't resist evil. Therefore ... liver and kidney yin deficiency, yin deficiency and blood heat, spleen and kidney yang deficiency are three common syndromes of this disease.
Clinically, syndromes can appear at the same time or interweave, and cannot be completely separated. It is mainly to master its pathological essence, treat it according to syndrome differentiation, and replenish qi and promote blood circulation from treatment. Based on nourishing blood and softening liver, according to its syndrome types, it focuses on nourishing liver and kidney, nourishing yin and clearing heat, or nourishing spleen and kidney with dampness. If we see the symptoms of residual evil, we should add products to eliminate evil.
Yin deficiency of liver and kidney, qi deficiency and blood stasis are mainly manifested as dull complexion, listlessness, emaciation, dizziness, tinnitus, insomnia and dreaminess, upset and hot, soreness of waist and legs, bilateral dull pain, hypochondriac swelling, red tongue, white fur and thready pulse. The exhaustion of kidney water leads to dull complexion and insufficient kidney essence. Modest qi, deficiency of liver and blood, deficiency of essence and blood, so the whole body is weak, the body is emaciated, yin deficiency and yang hyperactivity, deficiency and heat are disturbed, so string dizziness and tinnitus, insomnia and dreaminess, anxiety and impatience. The waist is the kidney house, and the kidney governs the bone. Because of kidney deficiency, backache and leg pain. Red tongue with little fur and thin pulse are all signs of yin deficiency, and the treatment principle is to invigorate qi and promote blood circulation, invigorate kidney and soften liver.
Once ascites occurs in liver cirrhosis, it shows that the disease is in the advanced stage. Ascites due to liver cirrhosis, at the stage of severe liver disease, is not too much. If liver disease erodes the spleen and the spleen is damaged, ascites will be aggravated, and then it will develop into kidney-qi deficiency, and ascites will be more serious. From the amount of ascites, we can also measure the damage degree of liver, spleen and kidney. The key to treating the liver is to nourish the liver to remove blood stasis and eliminate its lump. Tonifying liver is different from tonifying liver qi and blood, and liver qi deficiency is common in clinic. Deficiency of liver-qi refers to the weakening of qi-relieving function, liver imbalance, general weakness, mental fatigue, discomfort in chest and hypochondrium, shortness of breath, anorexia and fullness in chest and hypochondrium, which leads to loose stool, thready pulse, greasy tongue coating, dark red tongue or purple lining, etc. Danggui Buxue Decoction can be used for treating liver and kidney, soothing liver, removing blood stasis and strengthening spleen. Astragalus membranaceus is an important drug for nourishing liver qi, and its dosage is 60g. Angelica sinensis has the function of nourishing liver and blood, and cooperates with Bupleurum to soothe the liver and promote yang, gather qi and reduce turbid yin, Paeonia lactiflora softens the liver and nourish yin, Glycyrrhiza uralensis, tonify liver qi, help the liver, regulate ascending and descending, relieve depression and promote yang. Deficiency of liver qi is often a precursor of deficiency of liver yang. If yang deficiency and cold coagulation occur, add Radix Aconiti Lateralis Preparata and Zingiberis Rhizoma to dispel cold, add Placenta Hominis and cornu Cervi Pantotrichum cream to replenish essence and blood, eat less loose stool, and add Radix Paeoniae Alba and Endothelium Corneum Gigeriae Galli to replenish spleen to help transport. Because the physiology and pathology of the liver are complicated, this product must be used properly to clear heat when cold and heat are mixed.
From the point of view of the relationship between qi and blood, it is necessary to restore healthy qi and relieve stagnation, but the stagnation of blood stasis is resolved, and liver qi has the right to disperse, ascites disappears without water treatment, and liver qi is extremely deficient, so Bupleurum should be abandoned. It can benefit qi and remove blood stasis, and is commonly used in Radix Astragali, Radix Pseudostellariae, Corni Fructus, Fructus Lycii, Radix Salviae Miltiorrhizae, Rhizoma Dioscoreae Septemlobae, Endothelium Corneum Gigeriae Galli, Rhizoma Curcumae, Radix Angelicae Sinensis, Fructus Crataegi, Herba Lycopi, Carthami Flos, Ginseng Radix Rubri, and glutinous rice root. , are quite effective.
Liver-blood deficiency is characterized by dizziness, headache, dry eyes, general fatigue, numbness of hands and feet, hypochondriac pain and abdominal distension, and is prone to gum bleeding or epistaxis, thin pulse, weak string, red tongue and thin yellow fur. Women can see irregular menstruation, amenorrhea or metrorrhagia. This syndrome is characterized by blood deficiency and blood stasis, and pathogenic water is insoluble. Focus on nourishing blood and removing blood stasis, nourishing yin and promoting diuresis. Medicinal materials: Radix Rehmanniae, Radix Glehniae, Radix Asparagi, Fructus Lycii, Fructus Broussonetiae, Carapax Trionycis, Concha Ostreae, Alismatis Rhizoma and seaweed. Among them, oysters and seaweed not only have the function of softening and resolving hard masses, but also can remove moisture, killing two birds with one stone. If the gums or blood stasis are cultivated frequently, the afternoon fever is low, the tongue is red, and the coating is thin and Huang Gan, it is damp and hot, and the liver is depressed. It is advisable to use rhinoceros horn, which is expensive and difficult to obtain. Add 60g of Radix Rehmanniae, Cortex Moutan, Radix Paeoniae Alba, Gypsum Fibrosum, Talcum, Flos Lonicerae, Radix Scrophulariae and Herba et Gemma Agrimoniae instead of rhinoceros horn.
The spleen is mainly treated with qi and yin, and Atractylodes macrocephala and Eupatorium adenophorum are reused. Liver disease spreads to the spleen, and ascites is aggravated, which can lead to yellow distension and fatigue, abdominal distension like drum, loss of appetite, especially after eating, abdominal distension, short urine, false stool, thin or greasy fur, toothmarks on the edge, slow or late pulse and other symptoms. Treatment should be based on strengthening the spleen and transporting the middle energizer. Give priority to the liver and spleen, give attention to both blood and water, and collect the functions of nourishing spleen, diuresis, blood and liver. In the prescription, 50 grams of Atractylodes macrocephala is reused to strengthen the spleen, and 50 grams of Eupatorium adenophorum and 0/20 grams of Leonurus japonicus/kloc-are added to remove blood stasis, ventilate water vapor, transport spleen and liver. If there is not much ascites, 50 grams of Astragalus membranaceus should be used to supplement spleen-qi deficiency, and the sour liver of papaya should be added to increase the number of peppers. It is often tested that ginger juice has the effect of clearing yang water, eliminating dampness and benefiting water. Achyranthes bidentata not only tonifies liver and kidney, but also tonifies essence, and also has the function of promoting blood circulation and promoting diuresis. The combination of Achyranthes bidentata and Salvia miltiorrhiza can eliminate the stagnation of lower energizer and promote diuresis. Plantain seed is a cold and sweet lubricant, which can be slipped away without consuming gas or hurting the body. Ginseng Radix Rubri can replenish qi and dredge collaterals, Placenta Hominis can replenish essence and blood, Eupolyphaga Seu Steleophaga can break blood stasis, Curcuma longa and Curcuma longa can soothe the liver and relieve depression, regulate qi and promote blood circulation, grind Endothelium Corneum Gigeriae Galli to remove blood stasis, strengthen the spleen and help transport, eliminate former deficiency, preserve health and eliminate pathogenic factors, which has certain curative effect on improving liver function.
The expansion develops to the stage where kidney qi is seriously damaged and true yin is exhausted, and ascites is particularly serious. Symptoms are as big as a drum, less urine in umbilical process, waist folding, shortness of breath, inability to lie down, and edema of lower limbs. At this time, the kidney qi is seriously damaged and can't be broken, and the kidney water will be exhausted and can't be discharged. It is dangerous to attack it, but it is useless to remove it. If your abdomen is big, you can't attack it. Otherwise, it will easily lead to hepatic coma or massive bleeding and mutation. Treatment should be based on strengthening the body resistance and eliminating pathogenic factors. Only by strengthening the lower part of the spleen to relieve it, can the spleen open the kidney, expel evil water and slow down its expansion to maintain its vitality. Tonifying yang and invigorating qi are commonly used in clinic, such as Radix Aconiti Lateralis Preparata, Cortex Cinnamomi, Radix Astragali, Radix Codonopsis, Herba Epimedii, Herba Cistanches, Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Poria, etc. Be sure to fill up the gas rapidly, then go up to the middle, the coke in the middle will solidify, stagnate and dredge, the coke in the middle will disappear by itself, and the coke below will be empty. If the true yin is exhausted, it will show the luster of the tongue without moss, and secondly, it is difficult to love and life is difficult to recover. Radix Rehmanniae Preparata 150g can be used in combination with Cornus officinalis, Cistanche deserticola, Polygonum Multiflori Radix, Rhizoma Dioscoreae, Carapax et Plastrum Testudinis, etc., which can nourish yin and turn qi into qi, and often achieve the effect of removing Coicis Semen.
Abdominal distension is the most painful symptom of patients. 2 grams of radish powder and 2 grams of endothelium corneum gigeriae galli powder can be swallowed three times a day, or 60 grams of mirabilite, cinnamon powder 10 grams, or croton shell powder can be inhaled into cigarettes, which is expected to relieve temporarily. If there is pleural effusion, it can be used with sputum to purge lung and promote diuresis. If gastrointestinal bleeding occurs, take Bletilla striata powder, Radix Paeoniae Alba powder, Radix Notoginseng, etc., and take it with warm water several times.
A syndrome of fullness gradually recedes in the afterlife, but chronic illness, liver and kidney blood loss, does not involve strange classics, so it is necessary to master the actual situation of the specimen, the essence of which is to prepare essence and blood loss, so the purpose of tonic is to nourish essence and blood and regulate yin and yang, while water blocking blood stasis, qi stagnation and cold coagulation are standard diseases, so palliative products should be used. Zeng, female, 26 years old, suffered from chronic hepatitis for three years and ascites for more than half a year. After repeated treatment, ascites is light and heavy. When she saw a doctor, her abdomen was as big as a drum, her abdomen was painful, her face was dull and tired, her feet and tibia were swollen, her gums were bloodshot, and she had been dripping blood for half a month, and her tongue was thin and purple. This disease is poor in kidney and impairs abnormal menstruation. Medicinal antler cream 15g, tortoise plastron 40g (fried first), Radix Rehmanniae 60g, buffalo horn 15g, Radix Rubiae 15g, Rhizoma Osmundae 15g, Herba Cistanches 15g, Eucommiae Cortex 15g, and Semen Cuscutae.
Ascites appears in liver cirrhosis, which is virtual in essence and solid in essence. This deficiency can only slow down the picture, but the standard must be dealt with urgently, so it is urgent to remove water. In the method of eliminating water, the agent of light osmosis has no effect, while the robbed products, such as Sui Ji and Daphne genkwa, have the effect of eliminating water, but when the liver function fails, they are suspected of being deficient, so the initial use often has some effect, but the effect is not obvious after the robbery, and finally they are cured. As for protecting the liver, it is necessary to warm and nourish the liver and dredge it. Therefore, the medication should be gentle, and the hardness score can be improved, at least so that the lesion will not continue to develop. Clinically, several people were cured with the formula of rotten pig bile, and some ascites did not recur for several years. The prescription is as follows: a fresh pig bile and a large bowl of bean curd paste are mixed with pig bile after heating. If there is no fresh pig bile, it can also be soaked in warm water. Tofu pulp is rotten, which refers to the water filtered out when bean juice is soaked in salt water and squeezed in a basket. It can moisten the intestines and relieve constipation, remove phlegm, dirt and greasy, and clear away heat except for people with salt water spots and high stones. Haloalkali can poison the five internal organs, nourish the stomach, suppress the heat and qi, and strengthen the heart. Bile is born in the liver, so it should have affinity for the liver. In addition, those who rot in brine have the power to leave water without attacking or robbing. However, after the water disappears, it does not mean recovery. To nourish the liver, you don't need strict tonic, you should use sour and warm products, such as ebony and papaya, instead of Bupleurum to soothe the liver, you should use raw malt. This is because raw malt has the function of promoting hair growth and eliminating stagnation. To remove blood stasis, raw hawthorn is used instead of powder, because hawthorn tastes sour, nourishing the liver and removing blood stasis is not intense. Every medicine that moistens the liver and nourishes blood, once it has cassia twig, will turn yin stagnation into yang harmony, and every time it is used to treat ascites due to liver cirrhosis due to yin deficiency, it will receive good results. Eupatorium adenophorum should be taken to promote blood circulation and remove blood stasis to treat abdominal edema. Leguminosae and Glycyrrhiza uralensis Fisch, belonging to Noctuidae, can promote blood circulation and promote diuresis, dispel wind and detoxify, dispel wind and dredge collaterals, promote diuresis and remove dampness, and search for water. Broussonetia papyrifera is sweet in taste and cold in nature, and can tonify kidney, treat fatigue and eliminate water vapor edema and ascites due to cirrhosis. However, if the water is high, ascites will be accompanied by pleural effusion, and triple energizer is unfavorable.
To sum up, the pathogenesis of ascites due to liver cirrhosis is qi deficiency-based, blood stasis-based and ascites-based, and its pathological changes are centered on liver, spleen and kidney, and its treatment is mainly to strengthen the body resistance and eliminate evil. It is a commonly used method in clinic, which can supplement the lower part to enlighten the middle and replenish the strange meridians. It is a clinical change, and the method of treating collaterals can be described as a brilliant clinic.