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Diagnosis and treatment of acute or chronic hepatitis

 

 

ZhangJingChun China's traditional Chinese medicine academy of sciences in the hospital

 

 

China's traditional Chinese medicine reported

 

 

 

        The liver, YueMeiZhong think "typhoid yellow" including icteric model contagious hepatitis. The main pathogenesis is hot and humid yellow yu evaporate. In the acute stage has hot heavy, heavy, and the hot and humid wet equal emphasis on three different types, is when to gall agent give priority to treatment. Hepatitis convalescence, pathogenesis is still not necessarily on the damp and hot, should be aimed at the prominent mingled symptom treatment, not glue holding the liver function in hepatitis a indicators. Of hepatic coma has the gall agent can retreat, should be different because of the card was wide-eyed, centralizer nourish "Yin" clear cognition to begin to understand and method, with Ann palace bezoar pill, JuFang his treasure Dan, violet snow and Sue and sweet pill, clinical have certain effect.

 

        Acute hepatitis

 

        etiology

 

        YueMeiZhong think, "typhoid yellow" including icteric model contagious hepatitis. The main pathogenesis is hot and humid yellow yu evaporate. YueMeiZhong put to acute hepatitis most are in the acute hepatitis convalescence, liver function for a long time one or a few can't recover, patients or have obvious symptoms or have mild symptoms or no symptoms. In the acute stage has hot heavy, heavy, and the hot and humid wet equal emphasis on three different types, and most are hot on wet.

 

        treatment

 

        On the basis of syndrome differentiation YueMeiZhong adopted the heat lishi retreat of the yellow ChenHao tonga bitter reduced treatment, also achieved satisfactory results, but there are still part of the symptoms don't disappear, or one or several liver function is not back to normal. YueMeiZhong in the hospital over a long period of time, the illness is stubborn cases in treatment, used to clear the give priority to, give consideration to the principle of syndrome differentiation. Mainly embodied in the following three aspects.

 

        The qing dynasty is primarily based method combined

 

        YueMeiZhong in therapy in a party or a law, not pure with the extreme qing, also adopted the GanHanQing and remove the centralizer, clear, clear the and so on many kinds of methods, the selected drug in addition to the common ChenHao bitter soup, feed ChenWuLing scattered outside, then such as a tonic liver soup diarrhea, three benevolence soup, bamboo leaves gypsum soup, four things with the soup of clear the gall, tuckahoe, white rhizome, etc.

 

        Keep the disease, does not treat liver and from the liver disease

 

        In the treatment of acute hepatitis, though YueMeiZhong to "clear the" give priority to, but not all the cases are clear and the law, according to the illness, and keep the disease, the company its genus, does not treat liver disease and from the liver disease. As in the cure useful in medical record was dry wet resolving phlegm and law of the qing dynasty, choose two ChenShang and feed ChenHao soup, or simply temperature resolving phlegm wet, choose sweet sand flat stomach two Chen to add and subtract, long-term treatment liver function abnormal persons mild, all get satisfied results.

 

        With different cure disease, manage different disease

 

        YueMeiZhong believes that in the recovery of liver function does not fall tardy, about three kinds: one for the original symptom is reduced, and the liver function index is not along with down; 2 the inclusion of other diseases symptoms, obstruct the liver function recovery; Three for no self-conscious symptom, and liver function is restored. At this time the original strategy to treatment or information, or to other inclusions Daniel disease, or seek clues carefully syndrome differentiation, grasp the characteristics, the difference treatment. The same kind of liver dysfunction, using a variety of treatments that can take effect; The different function of liver damage, with the same kind of treatment is also can take effect. This fully reflected in the treatment of acute hepatitis YueMeiZhong dialectic thought, not "glue holding the liver function in hepatitis a certain indicator", but weigh total patients condition, it takes their case history and pay attention to the changed now disease. Overall, comprehensive and dynamic analysis of illness, careful differentiation, making flexible, achieve such as drum should Fu effect. At the same time, YueMeiZhong also proposes the use of "stone drugs drop jaundice try, deserves further study.

 

        Chronic hepatitis

 

        YueMeiZhong think, should be in line with the liver of liver disease ZhuZheng appear in order of importance and urgency and seriousness, choosing to effect party. In short, the initial evil and are not filled empty, dispelling the evil that is the centralizer; For the middle of orthogonal evil, evil is filled and are will be hypodynamic, remove the evil and to the centralizer; The end is not the enemy away evil, then the centralizer and remove namely. As for save inverse, also should follow the universal law. But there are also mingled with cold, Yin and Yang intricate, false or true of disease like pure confuse the formulas are also appropriate complex changes, random condition.

 

        Pathogenesis symptoms

 

        Chronic hepatitis often repeated attacks, symptoms are different, or threat of pain, or abdominal distension, loss of appetite, or sick to vomit, or gastrointestinal symptoms such as bowel sounds diarrhea; Touch much liver splenomegaly. Laboratory tests can be expressed in a liver function abnormal. Much of traditional Chinese medicine "stalking, pain," "accumulation" and disease category. The etiology is more complex, or hot and humid miss not to, or qi stagnancy and moisture resistance, or qi stagnancy and blood stasis, or day long upright leads to loss of spleen and stomach disorders, courage and pathogenesis of duty, the appear afore-mentioned the disease.

 

        treatment

 

        YueMeiZhong in the treatment of chronic hepatitis, adopt "the dream open relief" and "the centralizer" of the law.

 

        Open discharge the dream

 

        "The dream" to have a clear heat removing stasis and clear eliminating phlegm to polluted meaning. "Open discharge" means by hard quality, essien with clear open phlegm turbidity effect. The party's "banxia xiexin decoction" and small trapped chest soup, ShuGan fumatory radix scattered, large soup, etc. A more common to use "banxia xiexin decoction" and small trapped chest soup, party all have in the XinWen sprouting, coptis chinensis franch of experience. We often plaint with Michael essien is open coptis chinensis franch bitter drop, cold and should transfer, coordinating other drugs, make taste lift and orderly, operation the often, to improve the gastrointestinal symptoms have immediate effect, also have restored the action of liver function.

 

        centralizer

 

        The treatment of chronic there more commonly concretion run smoothly to remove give priority to, in the beginning, middle is effective, if the disease electron long, even 3 ~ 5 years is not more. And the tendency of liver cirrhosis, should consider to whether take the long attack, the agent and wound blood thinning, damaged and Yin and Yang adverse reactions. Often a threat in the stuffy pain (more sting) stasis sluggish symptoms and liver function is normal, should also be weak for rehabilitation, or are virtual like evil, should be careful administer them. If a virtual image, from four things keep blood, corresponding to join his medicine, can remove the symptoms, restore liver function.

 

        Chronic hepatitis because years not more, and in long illness, or cure is undeserved, day long will hurt and blood, loss and Yin and Yang. Therefore, YueMeiZhong cure chronic hepatitis, besides consider "the long illness into venation" in the treatment of party to join the appropriate for activating blood circulation and eliminating stasis, dredging the quality, often pay attention to the centralizer treatment.