Dialectical treatment of fatty liver

Xie Minqing FuLiRong Beijing hospital of traditional Chinese medicine

China's traditional Chinese medicine to

        The liver is the body's largest substantive organ, is one of the biggest, many functions of the body's glandular organs. It participates in the metabolism of digestion, excretion, detoxification, and processes, such as with metabolic function is most important. According to research, in the liver were about more than 500 kinds of chemical reactions. This suggests that the liver is a indispensable important organs to maintain life activities. Liver lipid digestion, absorption and oxidation, decomposition and transformation plays an important role, and make it balance. When some abnormal case, in the liver fat content increased, when the fat by more than 10% of the liver weight (wet weight) when is the fatty liver. More than 10% ~ 25% for moderate fatty liver, more than 25% ~ 50% for severe fatty liver.

        Fatty liver can reason caused by the liver itself, is a disorder of the liver lipid metabolic abnormalities, and some fatty liver is due to other diseases affect the results of the fat metabolism. Fatty liver is not a independent disease clinically, but various reasons caused a pathology liver adipose accumulation is overmuch, fatty liver, so to speak is purely from a pathological diagnosis.

        No fatty liver disease in TCM, but according to its clinical manifestations are relegated to "product certificate", "new", ", a pain ", "phlegm and blood stasis" and so on scope, disease and is associated with liver depression, phlegm dampness. Mr GuanYouBo in the treatment of fatty liver has a lot of valuable experience, are presented as follows.

        Etiology and pathogenesis

        Studies show that fatty liver disease etiology and pathogenesis is mainly: diseases with ease, pathogenesis is wrong, so that the person who block, unreasonableness makes the stomach, and blood gas disease, poor blood flow and cost; When the liver and spleen, spleen loss operation, and the water wet continued, long ShengTan, so that the phlegm wet alternating knot, depressive courage and cost card. Some pain (something) about the patient, due to overeating fat GanHou flavour, too much emphasis on rest, cause phlegm turbidity; And because threats, long pain, liver and spleen kidney weakness, phlegm turbidity is not discharge in time, leave the body, phlegm obstruction and blood stasis forms the disease.

        Evidence-based medicine

        Syndrome differentiation is one of the features of TCM. Fatty liver disease with a specific place, but pay attention to the combination of the primary disease, find out the key points of syndrome differentiation, according to our clinical experience for many years now divided it into several syndromes.

        1. The phlegm wet resistance winding type

        Clinical manifestations: body fat and fat, like eating fat, chest ache, abdomen bilges full, drowsiness fatigue, stay mouth stick, flattering shit or gooey uncomfortable, urine turbidity, white greasy tongue coating, pulse string and smooth.

        Treatment: qi phlegm, dispelling dampness turbidity.

        Agent: polyester phlegm decoction and stomach lingya tonga subtraction.

        Prescription: dried tangerine or orange peel 10 grams, qing pinellia 10 grams, 10 grams of poria cocos, bamboo shavings 10 grams, 10 grams of frutus aurantii immaturus and rhizoma atractylodis 10 grams, 10 grams of hopu, alisma 10 grams, 10 grams vinegar radix bupleuri, Bi Xie 10 grams, costus 10 grams, 10 grams of alum, born hawthorn 15 grams, 10 grams of cassia occidentalis.

        The Lord cure: the obese fatty liver, hepatitis, fatty liver disease.

        Add and subtract using: clinically, most with the certificate type and efficacy is best. If the phlegm hot clear south star and bravery, unibract fritillary bulb; If shit, gooey uncomfortable plus ChuanJun, Chinese bulbul, cortex fraxini; Lack of shortness of breath, plus astragalus, codonopsis; If see liver heat dizziness can add bitter butyl tea, gardenia, rough gentian; High blood pressure associated with headache and gypsum; Insomnia, much dream add Fried jujube kernel, the first black cane.

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