Syndrome of disharmony between liver and spleen is due to liver-qi imbalance, which invades the spleen, causing abdominal distension and pain in chest and hypochondrium, and qi stagnation causing abdominal distension and loose stool. The disharmony between liver and stomach is due to stagnation of liver qi, prolonged stagnation of fire and stagnation of heat in liver and stomach, which leads to stagnation of liver and stomach. Mainly manifested as hypochondriac pain, noisy acid swallowing and other symptoms.
The cause of disease
Syndrome of liver and spleen disorder
If you are depressed, your liver will be drained and your liver qi will stagnate. If the deviant invades the spleen, the liver and spleen are out of balance. As Dialectics records, "Although the husband is in the liver position, the liver will suppress the spleen, and the spleen will suppress the liver, so the spleen can also be painful with the liver. If you are hungry and tired, internal injuries can also lead to spleen deficiency, dereliction of duty in transport and transformation, confusion between turbidity and turbidity, stagnation of qi and dampness, stagnation of liver wood, and loss of liver qi, that is, "stagnation of civil works." "
Syndrome of disharmony between liver and stomach
Emotional disorder, liver depression, liver qi stagnation, invasion of the spleen and stomach. "Uneven dirty qi is better than illness, such as anger hurting the liver, liver blocking the spleen, and wrong temper; It will swell in the stomach, and it is called Ke Sheng. Heat accumulation in the liver and stomach is caused by stagnation of the liver and fire for a long time.
pathogenesis
Syndrome of liver and spleen disorder
The liver belongs to wood, which is responsible for ascending and discharging; Spleen belongs to soil and is mainly transported. Wood can dredge soil, and soil can nourish wood, so the two affect each other physiologically and are inseparable, which is mainly reflected in the drainage of liver and the transport of spleen. Because the normal function of spleen transport depends on the function of soothing liver and regulating qi, only when the function of soothing liver and regulating qi is normal can the function of spleen transport be carried out normally. Strengthening the spleen and nourishing the liver can enrich the liver and exercise its normal antidiarrheal function. If the liver loses the function of dispersing qi, it will affect the transport and transformation of the spleen, resulting in the syndrome of liver depression and spleen deficiency, which is what Zhang Zhongjing said: "See the disease of the liver, know that the liver transmits the spleen, and strengthen the spleen first." If liver-qi stagnation, qi stagnation and blood stasis, liver stagnation and spleen multiplication, spleen does not produce water, and water overflows, the soil will be defeated by equisetum, liver and spleen blood stasis, qi stagnation and moisture resistance, and qi and blood will cross and stay in the body, which will become the pathological result of abdominal distension. So the holy book of Shen Shi says; "bulging ... or hurting the liver because of anger, gradually eroding the spleen and spleen deficiency, so yin and yang do not cross, turbid gas is mixed, and the tunnel is impassable. Depression is heat, heat stores dampness, and damp-heat coexist, so its abdominal distension is large. Stagnation of liver qi, stagnation of qi and blood stasis, stagnation of spleen fluid, and blood accumulation over time, as stated in Jingyue Quanshu: "Stagnation of blood stasis is a kind of disease, only women have it ... or anger hurts the liver, qi goes against but blood stays, or sadness of the spleen, qi deficiency and blood stays ..." If spleen deficiency leads to stagnation of middle energizer due to dampness and stagnation of liver wood, liver qi is lost in excess of qi and blood stasis.
Syndrome of disharmony between liver and stomach
The liver governs the drainage and ascending and descending, and the stomach governs the intake and decline of Shui Gu, descending and ascending and descending, and regulates the ascending and descending balance of qi. Exhausting gas contributes to the normal function of the stomach. The liver loses qi, the stomach loses harmony and falls, and the stomach qi goes up. If the liver and stomach accumulate heat, and the heat hurts the blood collaterals, there is a danger of vomiting blood and bleeding, which is always caused by liver fire invading the stomach and burning the stomach collaterals. "hematemesis, every spit is blood, but this blood comes from the liver, with a bluish blue color, with a fire, wrong and rash, and it is angry." The Classic says: Anger against qi, even vomiting blood, should lead blood into the liver (the purpose of traditional Chinese medicine). Therefore, excessive liver fire burns stomach collaterals, and it is easy to form the pathological outcome of vomiting blood and hematemesis.
identification point
Syndrome of liver and spleen disorder
Chest pain, breast pain, abdominal distension, dyspnea, emotional depression or irritability, aggravated by anger, abdominal distension, loose stool discomfort, abdominal pain after diarrhea, loss of appetite, increased bowel sounds, white or greasy tongue coating, and thready pulse. The clinical features are hypochondriac pain and liver depression, abdominal distension, diarrhea, anorexia and spleen deficiency.
Syndrome of disharmony between liver and stomach
Abdominal distension, abdominal distension and pain in the chest and hypochondrium, abdominal distension and pain, impatience and irritability, acid regurgitation, noisy anorexia, hiccups and belching, red tongue, thin yellow fur and slightly rapid pulse. The clinical manifestations are hypochondriac pain, pantothenic acid, irritability, red tongue with yellow fur.
discriminant analysis
Syndrome of liver and spleen disorder
The liver pulse connects the ribs, the diaphragm and the abdomen, so the liver qi stagnates and the menstrual qi is unfavorable, so the chest and hypochondriac breasts are less distended and painful; When discussing the etiology and pathogenesis of liver depression and hypochondriac pain, the case of Dan Taiyu, an introduction to medicine, holds that "the liver is hidden inside, and the outside depends on the hypochondriac, where the hypochondriac is, and where the liver is". Hidden blood is the master's anger. ..... or have the anger of external contact, want to vibrate but can't stretch, stagnate, hide in the liver, although there is no blood stasis and pain. On abdominal pain due to qi stagnation, The Theory of Pulse says: "Abdominal pain due to qi stagnation is characterized by fullness in the chest and abdominal distension, and the pain should be felt in the back of the heart, while qi stagnation is very painful. The medicine that breaks qi is slightly reduced, and the medicine that tonifies qi is more painful. " . Sighing is the solution of liver depression, and abdominal distension is comfortable, so sighing is good; Depression of the liver can not be reached, so the mood is depressed; If you lose your flexibility, you will become irritable. This is what Su Wen in Huangdi Neijing said: "Patients with liver disease have pain under their sides, which makes people angry. Anger is more severe, so the symptoms are aggravated; Liver depression due to spleen deficiency, clear and turbid, dereliction of duty in ascending and descending, obstruction of circulation of qi, food turbidity due to dampness, abdominal distension, abdominal pain, diarrhea, loose stool upset, and rising bowel sounds. Therefore, Zhang Jingyue thought: "Anyone who has diarrhea in anger will eat in anger first, which will hurt the spleen and stomach, so if he commits it, it will follow the touch.". The disease of liver and spleen is also covered by liver and spleen. "The Essentials of Syndrome and Treatment" holds that "diarrhea due to qi leads to bowel sounds, qi leaves the chest diaphragm, and the abdomen is stuffy and painful, while diarrhea leads to acute abdomen, and there are also people whose abdomen is blocked by qi. This is due to the stagnation of epiglottis, qi stagnation and Shui Gu's indifference. Qi stagnation can pass after defecation, so the pain is relieved after diarrhea; Spleen deficiency and stomach, poor appetite, so loss of appetite; The coating is white with no obvious thermal image. The greasy fur is spleen deficiency and dampness resistance, and the pulse string treats liver disease.
Syndrome of disharmony between liver and stomach
Anger hurts the liver, the liver loses its function, the qi is depressed, the stomach is against the wind, and the stomach qi is out of harmony. If it doesn't work, it hurts. Therefore, the epigastric pain, that is, Shen Zunsheng said: "epigastric pain, epigastric dryness is also ... especially the liver-qi multiplication, violent and intense." "Give inferences" also thinks: "Stomach pain due to qi stagnation will inevitably lead to full attack. Liver depression is irritable and irritable; The liver and stomach are depressed and full of qi and fire, so they are full of sour water murmurs; Liver qi attacks the stomach, and the stomach loses harmony and falls, so it is stupid; As "The Secret Book of Stone Chambers" said: "People with stomachache or bad temper can't eat, or they can eat but can't melt. If they are not full, they will feel pain, and vomiting and diarrhea are also caused by the liver meridian. Liver calming will nourish the spleen and stomach, and the former symptoms will be cured. If the stomach loses its balance and falls, and the stomach qi goes up, it is belching; If the stomach qi moves against the diaphragm, it will cause hiccups. "Feng Mi Ji" holds that: "Most people who suffer from belching are due to insufficient stomach gas, and choking gas falls instead of rising. If the stomach is too extreme, it will relax, and turbid gas will come out of the stomach ... If the stomach gas is stagnant, but there is no sour taste, it is advisable to regulate the stomach and the middle. Red tongue, thin yellow fur and slight pulse are all symptoms of liver and stomach stagnation.
As far as clinical symptoms are concerned, liver-spleen disharmony syndrome and liver-stomach disharmony syndrome all have common symptoms, that is, chest pain, dysphoria, loss of appetite and heavy pulse, which are caused by stagnation of liver qi, irregular menstruation, excessive lifting and rising yang qi. The clinical manifestations of disharmony between liver and spleen accompanied by spleen losing health, qi stagnation and dampness resistance: abdominal distension, loose stool discomfort, diarrhea and abdominal pain, relief of pain after diarrhea, and increase of bowel sounds. Syndrome of disharmony between liver and stomach also includes epigastric pain caused by disharmony between stomach and qi, hiccup, belching, impatience caused by stagnation of liver and stomach, acid regurgitation, noisy tongue, thin yellow fur and thready pulse. Among them, the symptoms of epigastric pain, hiccup and stagnation of liver and stomach are stagnation of liver and spleen.
Syndrome of disharmony between liver and spleen and syndrome of disharmony between liver and stomach are characterized by stagnation of liver-qi and irregular menstruation in terms of their pathogenesis. The difference is that the former has spleen deficiency, while the latter has deficiency of stomach qi and stagnation of qi. Specifically, the disharmony between liver and spleen is: stagnation of liver qi, stagnation of liver qi, stagnation of spleen qi, stagnation of Shui Gu, stagnation of qi and damp heat. Syndrome of disharmony between liver and stomach is: the liver loses the function of dispersing qi, the stomach goes against the stomach, the stomach loses harmony and falls, the qi goes against the upper side, the qi stagnates and turns into fire, the liver and stomach accumulate heat, the liver and stomach stagnate qi and lose appetite. Both of them are located in the liver, the former in the liver and spleen and the latter in the liver and stomach, both of which belong to qi stagnation syndrome. The former is liver depression and spleen deficiency, that is, liver qi deficiency, as Wu said: "The spleen is responsible, the liver is painful, the liver is responsible, the spleen is responsible, and spleen deficiency and liver excess cause pain and diarrhea. Syndrome of disharmony between liver and stomach refers to syndrome of qi stagnation and heat depression in liver and stomach. Syndrome of disharmony between liver and spleen can often be caused by qi stagnation, water stagnation and blood stasis, which leads to blood stasis, swelling, accumulation of soil and defeat of equisetum. Syndrome of disharmony between liver and stomach can often lead to the pathological results of vomiting blood, which is caused by qi stagnation in stomach meridian.
As far as the etiology and history of liver-spleen disharmony syndrome and liver-stomach disharmony syndrome are concerned, they all have the common cause of emotional failure and liver-qi stagnation. The former often has a history of dietary strain and spleen injury, while the latter has a history of qi stagnation and damp heat.
For the disharmony between liver and spleen, clinical treatment should be based on soothing the liver and regulating qi, strengthening the spleen and regulating the stomach, supplemented by Tongxie Yaofang (Jingyue Quanshu). "For those with qi stagnation, soothing the liver and strengthening the spleen is the main way, and the pain can be stopped by regulating qi (Zheng Yitong Pulse Book Life Book); For the disharmony between liver and stomach, the treatment should focus on clearing heat and regulating qi, clearing liver and regulating stomach. The prescriptions are Huagan Decoction (Jingyue Quan Shu) and Zuojin Pill (Danxi Xin Fa). The treatment of similar syndrome thinks: "... those who suffer from epigastric pain because the liver occupies the stomach will be made from bitter fruit, Evodia rutaecarpa, white peony root, green tangerine peel and papaya." ..... fire depression leads to pain, hair is continuous, pulse must be counted, when bitter and bitter relieve summer heat, Rhizoma Coptidis and Fructus Gardeniae are decocted in ginger juice, purging fire is king, Rhizoma Cyperi, Rhizoma Chuanxiong, Pericarpium Citri Tangerinae and Fructus Aurantii relieve depression, and fried ginger is the guide.
How to recuperate the liver?
1, eat scientifically, avoid overeating, and don't eat too much fatty food. Excessive consumption can easily lead to fatty liver.
2, avoid smoking and drinking, alcohol is very harmful to the liver, and it can also lead to alcoholic hepatitis. Cigarettes contain toxic substances and are easy to hurt the liver.
Keeping a happy mood is the best way to regulate the liver.
4, the liver is not easy to fatigue, so it is necessary to strengthen exercise. It is very important to adjust daily life when you are old.
At midnight 1: 00-3: 00, the liver actively eliminates toxins, so it is necessary to put the body to sleep before the liver can finish metabolizing waste. Detoxification of the liver needs to be carried out in deep sleep, so you should fall asleep at this time and don't stay up late. If you don't sleep at this time, your liver will be very tired and will be damaged over time, so you should pay attention to ensuring adequate sleep at night.
Friends with bad liver should not blindly use drugs. Clinically, the cause of liver disease is still complicated. Therefore, when the liver has an adverse reaction, you should go to the hospital in time to find out the exact reason, and you should not take it lightly and blindly use drugs to alleviate the condition.