The treatment on liver constipation

CuiJunBo ChenBaoGui doctor of Chinese medicine studio

Tianjin university of Chinese medicine qing affiliated hospital of traditional Chinese medicine

China's traditional Chinese medicine to

        With the improvement of living standards, people have enough to eat fat GanHou taste, coupled with a growing working pressure, lazy in sports factors, lead to constipation a disease common in clinic, and in young and middle-aged people growing incidence of a disease, especially in young and middle-aged women see more. Card see: constipation, and qualitative hard, or after the first hard soft, or even the whole YangShi such as dry and grains of clear, a few days a line, eduction is difficult. Usually fiery irritability, or worries too much, suspicious good safety, bosom is frowsty xi heave a deep sigh, chest threat less pain, belching frequency for abdominal distension. Tongue mass reddish, moss thin white, vein string. Professor ChenBaoGui after more than 40 years clinical practice, and realize the constipation and liver of closely related to drain, so use soothing the liver qi method treatment, clinical curative effect is distinct, introduce below.

        Pathogeny and pathogenesis

        Liver advocate drain, the main one of the gas, coordinate the qi lifting. Liver is the root of baji (endurance function, to colon transmission draffy movement has an indispensable influence. Lord of the liver/initiative, and Lord of the large intestine down the initiative, the two promote each other, common to participate in the body's normal functions of the bowels. If liver drain hypothyroidism, the gas kuo is obviously insufficient, the qi dredge and adjustable chang is obstructing the normal operation of the large intestine qi would also be affected, and appear conduction adverse, constipation of clinical symptoms. Ming · GongTingXian in the encyclopedia embodies the · big constipation "point out:" the secret of gas, gas lag heavy, irritancy expansion, full of shit "dry and impassability also." For qi stagnation in constipation alone as a door in, and clearly named "gas secret". Ming · king Ken hall "miscellaneous disease certificate to the criterion · move bowels impassability" and yue "gas secret, by gas don't lift, valley gas no, known Ai... more so pain, constipation plug. Use general agent and then the impassability. And so secret, though the strong pass through, complex secret. Or forced to pass, so the blood donors, under the ShunQi. When the gas is then since the pass, and when the agent for warm". TangZongHai in synopsis of shallow note correcting "have" liver advocate drain move bowels, etc. Is inverse, do not drain, the defecate difficulty ". The prime spirit micro aggregates · volume four "yue:" dung drowned drain, their posts in liver. To develop liver cirrhosis and dross filled, the cloth shu qi, the burst two cloudy, will have its drain, rush to wind, the transfer or shine. If feelings not free, and their anger depression do not stretch, I wish to, characteristic of, don't think the more worry unnecessarily, disease evil do not come loose, all can cause diarrhea stasis, qi stagnation, the clear air does not rise, oil and gas do not drop, the gas impassability, faeces inside stop, and cause constipation."

        ChenBaoGui, says professor fan is YiKe liver spleen soil, leading to liver and spleen feud, or soil YuMuWang. Spleen luck turn dross fail, scum shall not stay, light person among them lower segment moisture is absorbed, so first dry pond, the person that weigh moisture is absorbed idle do, such as YangShi dry. So, in emphasize spleen main shipping change food subtle function, can not be ignored its can also transport dross. Spleen soil this virtual prior, liver wood by the threat of, will cause the spleen luck change disorder, scum stagnation. Clinical characteristic as constipation pathogenic factor very highlight, therefore, vomiting stagnation is one of the important pathogenesis constipation, qi "shugan decoction" is the essential method of treating constipation. Because the liver drain function is storing blood function as the premise, only full HP reservior, drain function to normal play. Such as liver blood deficiency or blood stasis in stop, all can affect "liver with", add less blood loss to moisten, intestinal dry, so the occurrence of constipation, treatment the nourishing the liver blood to.

        For the law "shugan decoction" qi

        ChenBaoGui think, soothing the liver qi purge is applicable to anger, depression, for sorrow is hushed into mental stress caused by constipation, often accompanied by two threat stuffy pain, pain, mouth, bitter, insomnia and have many dreams card. Clinical application of treating constipation liver qi has 3: (1) the stasis etc., the gas impassability can lead to constipation, for the performance of the constipation impeded, not to out, belly for expansion, belching frequently, vein string. For when the liver qi, guide hysteresis through experiments of tong. Choose toosendan fruit, radix curcumae, rhizoma cyperi, green tangerine peel, fructus aurantii immaturus, radix bupleuri, etc drugs. Medicine your light, light to be real, and search the machine body and light dial the authority, then a drop of oil, the fateful can turn, especially "shugan decoction" gas and solution stasis, drug YouYi light spirit. Clinical often use Szechwan chinaberry, fructus aurantii immaturus soothing the liver qi. If qi long illness, aloes are good at "shugan decoction" qi, drop reverse adjustment, "compendium of materia medica" load "to QiNi take nasty, e. virtual closed". It can add a aloes 5 ~ 10 grams to strengthen the work of qi. (2) use tonic, because of its sex AIDS more greasy, should pay attention to the compatibility of soothing the liver qi medicine to make its "complement and not lag", exert better efficacy. (3) move bowels normal discharge, gas drive is essential, so for other treatment appropriate medicine compatibility qi, in order to enhance the strength of purgation.

        Typical cases

        Zhou, female, 32, constipation recurrent 5 years, because each characteristic is impeded aggravating, suit the remedy to the case purging only faster than time, irregular menstruation, has no regular, menstrual pain before and after double milk. XianZheng: chest threat expansion full, belching frequency, upset less food, night insomnia uneasy, defecate 3 ~ 5 days a line, secret and obscureness, quite thought bitter, coating on the tongue thin white, vein string powerful. Diagnostics for diarrhea stagnation, to "shugan decoction" in XieYu, qi through experiments of tong. Medicinal: radix bupleuri 10 grams, Szechwan chinaberry 10 grams, sweet with 10 grams, aloes 5 grams, turmeric 10 grams, green tangerine peel 10 grams, fructus aurantii immaturus 10 grams, radix paeoniae alba 30 grams, 15 g angelica. Take 6 agent will pass, and then into 12 agent to consolidate, the wood to HuShu liver pill close peripateticism pill rehabilitation regulate 2 months, constipation against more, the menstruation normal, menstrual pain before and after double milk basic disappear. Follow-up of 1 year constipation not again hair, before and after the menstrual double milk pain disappeared.

        According to: this is the article lost to the liver, influence e. conduction function, it is for "gas secret". Scholars have put forward "liver and e. interlinked, liver disease should drain e." theory, visible constipation adjustable liver and solution. Clinical common qi "shugan decoction" XieYu method, to be so smooth, the viscera qi elevator balance coordination, constipation from except. Qi unobstructed, blood supply also chang, therefore, irregular menstruation, before and after the menstrual pain breasts are more, li with catalpa "depressed disease, who are many, are poorly for gas flow, method when ShunQi first", is this evidence.

        ChenBaoGui stressed that many constipation patients every thought "hot heavy" seek a fast; And healers is unknown and syndrome differentiation, pure satisfy patients require, every encounter constipation a disease, is nitrate yellow, rhizoma coptidis, three pornographic movie, maren pills, rhizoma coptidis supernatant pill and bitter cold laxatives. Little imagine bitter cold cathartic long clothing, clothing, will hurt taste upright, even to its produce medicinal properties depend on; Clinical, not only diagram available, abuse from the bitter cold of the product. In addition to give drug therapy outside, should pay attention to cooperate with psychological treatment, patients relieve tension, to keep the good mental state, is also an important aspect of improving clinical curative effect.