Treatment of diarrhea caused by liver parenchymal diseases with traditional Chinese medicine

Liver diarrhea (liver parenchymal disease) should protect the liver, soothe the liver, strengthen the spleen and tonify the kidney. On the basis of hepatitis, hepatic schistosomiasis, hepatosplenomegaly, liver cirrhosis, liver tumor and hepatic ascites, Chinese medicine should treat diarrhea caused by liver parenchymal diseases mainly by promoting diuresis and eliminating dampness, mainly by water channels.

Clinical diarrhea is mostly caused by disharmony of spleen and large intestine conduction, internal resistance to dampness, and with the increase of stool times, the quality is thin and watery.

Hepatogenic diarrhea is different from common diarrhea, accompanied by jaundice, hepatomegaly, ascites, intestinal purring, fullness, edema, abdominal pain, liver pain, greasy appetite, nausea and vomiting.

Characteristics of hepatogenic diarrhea: sticky and uncomfortable stool, mainly accompanied by rapid defecation or uncomfortable stool. Hepatogenic diarrhea refers to chronic diarrhea that excludes primary intestinal diseases and infection factors.

According to modern medicine, abnormal liver function, its transformation, metabolism, detoxification, ascending and descending turbidity function decline, causing gastrointestinal symptoms of the spleen and stomach. Pathology is mostly caused by intestinal flora imbalance, mesenteric edema loss, electrolyte imbalance and hepatotoxicity.

This paper focuses on the syndrome differentiation and treatment of diarrhea caused by liver diseases such as jaundice, hepatomegaly, ascites, fullness, edema and abdominal pain. Or this article can also be understood as all hepatic diarrhea except depression, anger and emotional tension.

Traditional Chinese medicine believes that the pathology of hepatic diarrhea is that the liver loses its function of conducting spleen qi, and the dampness and blood stasis stop, resulting in excessive dampness and blood stasis and discharge. For the health care of diarrhea caused by liver disease, Poria cocos, Chinese yam, Coicis Semen and Radix Puerariae can be taken with boiled water or fried with porridge.

Patients with chronic liver disease first show symptoms such as weakness of spleen and stomach and deficiency of middle qi. The TCM conditioning principles of hepatic diarrhea are: clearing heat and promoting diuresis, regulating qi and invigorating spleen, eliminating dampness and soothing the liver, warming spleen and yang, warming kidney qi, resolving food stagnation, and astringent essence and stopping astringency in severe cases.

type

1.

"Dampness leads to diarrhea", severe cold limbs, abdominal distension and diarrhea, and loose stools.

Treatment should be based on regulating qi, dispelling cold and eliminating dampness.

Prescription: Radix Aucklandiae, Fructus Amomi, Zingiberis Rhizoma, Rhizoma Cyperi and Rhizoma Atractylodis.

2. Stagnation of liver qi.

Abdominal pain, bowel sounds, diarrhea, liver depression and qi stagnation, emotional disorder, pain relief after diarrhea, chest tightness, hypochondriac fullness,

It is advisable to suppress the liver and support the spleen, and dry the dampness along the qi.

Prescription: Atractylodis Rhizoma, Radix Paeoniae Alba, Pericarpium Citri Tangerinae, Radix Aucklandiae, Radix Bupleuri and Pericarpium Citri Reticulatae Viride should be reused.

3. Deficiency of both liver and spleen.

The whole body is pale with qi deficiency, liver qi stagnation, greasy diarrhea, thin stool, abdominal pain and bloating is not obvious.

Zhang Yinan's "Materia Medica Chongyuan" said: "If you want to replenish the spleen, use Atractylodes macrocephala, and if you want to transport the spleen, use Atractylodes lancea; …"

It is advisable to soothe the liver and strengthen the spleen, replenish qi and eliminate stagnation.

Prescription: Radix Codonopsis, Poria, Atractylodis Rhizoma, Rhizoma Atractylodis, Fructus Amomi and Fructus Hordei Germinatus (or Pericarpium Citri Tangerinae and Coicis Semen).

4. Liver and spleen blood stasis type.

The complexion is dark, the abdomen is large and firm, and it hurts with anger. Lip-brown diarrhea is diarrhea, or the secret stool is black.

It is advisable to remove blood stasis and dredge the lower body, and promote qi and water.

Prescription: Ligusticum chuanxiong, Bupleurum chinense, Radix Aucklandiae, Plantago asiatica, Rhizoma Corydalis, a small amount of Angelica sinensis, Atractylodes macrocephala and Radix et Rhizoma Rhei.

5. Hepatotoxicity and spleen dysplasia.

It is characterized by diarrhea, burning sensation, endless defecation, foul smell and sticky diarrhea.

It is advisable to clear away dampness, detoxify and promote qi, and promote diuresis.

Prescription: Herba Artemisiae Scopariae, Radix Puerariae, Rhizoma Coptidis, Rhizoma Pinelliae, Fructus Aurantii Immaturus and Semen Plantaginis.

6. Liver, kidney and spleen yang deficiency type.

Less thirst in the mouth, indigestion after diarrhea, warm abdomen, cold limbs, abdominal pain and diarrhea in the morning, sore waist and knees at the door.

The treatment should be warming spleen and kidney, dredging wood and warming yang.

Prescription: Zingiberis Rhizoma, Radix Codonopsis, Atractylodis Rhizoma, Fructus Psoraleae, Radix Astragali and Radix Aucklandiae.

Traditional Chinese medicine (TCM) is based on hepatitis, schistosomiasis, hepatosplenomegaly, cirrhosis, liver tumor and ascites.

In the practice of benefiting water and eliminating dampness, it is appropriate to pass water through the meridians as the great method.

Re-use nourishing the liver, benefiting water and eliminating dampness, supplemented by benefiting water and eliminating dampness.

Spleen and stomach diarrhea is mainly based on eliminating dampness and promoting diuresis.

This article is for the appreciation of original cultural knowledge.

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