Traditional Chinese medicine treatment of fatty liver: avoiding the four causes and treating it according to six types of syndrome differentiation.

Fatty liver is a kind of liver disease closely related to obesity, fat metabolism disorder and excessive drinking. Due to people's living habits, many people will be told that they have fatty liver during physical examination. But don't think that the high incidence of fatty liver can be ignored. In fact, if fatty liver is not treated and treated in time, the condition will be further aggravated, leading to hepatitis, cirrhosis and eventually liver cancer! At present, there is no special treatment in modern medicine, but Chinese medicine has accumulated rich experience in the prevention and treatment of fatty liver!

Because Chinese and western medicine have different concepts of viscera, Chinese medicine has no concept of fatty liver. However, according to the manifestations and pathological mechanism of fatty liver, it can be attributed to the accumulation of diseases in traditional Chinese medicine.

Through clinical observation and clinical treatment practice, TCM believes that the occurrence of fatty liver is closely related to improper diet, excessive drinking, emotional disorder, restlessness, chronic illness and physical weakness, leading to food accumulation, obesity, qi stagnation and so on.

1. Improper diet

Chinese medicine believes that the spleen and stomach are the viscera responsible for digestion and absorption. If you don't eat properly, eat too greasy, or drink too much alcohol and tobacco, it will damage your spleen and stomach. After spleen and stomach injury, it will lead to abnormal water and moisture transport and moisture storage. After phlegm-dampness is endogenous, it will stop gathering in the liver and gallbladder of the middle energizer, thus forming fatty liver.

2. Emotional abnormality

The so-called emotional abnormality mainly means that modern people are under great pressure in their work and life, and many people always feel unlucky and unhappy. It will lead to stagnation of liver qi and loss of liver qi. After stagnation of liver qi, it will lead to poor circulation of qi and blood, qi stagnation and blood stasis, and liver and gallbladder will stop gathering, thus forming fatty liver.

3. The combination of work and rest is lost.

The so-called burnout mainly refers to the changes of modern people's work and lifestyle. There are more mental workers and fewer manual workers, and many mental workers sit still all day. Of course, they don't exercise, maybe they don't have time to exercise, because many people's jobs are 996/007, and they really don't have extra time to exercise except eating and sleeping.

However, lack of exercise will lead to poor circulation of qi and blood in meridians, stagnation of phlegm and dampness, transformation into fat, accumulation in the body and stopping in the liver, thus leading to fatty liver.

4. Deficiency of kidney qi

Spleen is an important viscera, which absorbs water and spreads it to the whole body. Spleen deficiency will stop the accumulation of water dampness and form phlegm dampness. Kidney is an important viscera for excreting water and dampness. Deficiency of kidney qi can also lead to water and dampness stagnation, forming fat and staying in the liver.

In short, this disease is mostly caused by emotional injury, fatty sweets, excessive drinking, ease and so on, and it is mostly a syndrome of insufficient essence and excessive essence. Its basic pathogenesis is the love of righteousness and evil, based on spleen deficiency and kidney deficiency, and marked by liver depression, phlegm-dampness and blood stasis.

1. Liver depression and qi stagnation type

Symptoms: B-ultrasound showed fatty liver, hypochondriac discomfort and even pain, accompanied by physical symptoms such as belching, acid regurgitation, abdominal distension and loss of appetite.

Treatment principle: soothing the liver, regulating qi and relieving depression.

Prescription: Xiaoyao Powder or Chaihu Shugan Powder with Bupleurum, Fructus Aurantii, Radix Paeoniae Alba, Radix Angelicae Sinensis, Rhizoma Cyperi preparata, Fructus Citri Sarcodactylis, Fructus Crataegi, Curcuma Rhizome, Radix Curcumae, Fructus Toosendan, Rhizoma Corydalis, Rhizoma Pinelliae, Pericarpium Citri Tangerinae, etc.

2. Damp-heat type of liver and gallbladder

Symptoms: B-ultrasound showed fatty liver, accompanied by chest pain, dry mouth and bitter taste, irritability, chest tightness, obesity, loss of appetite and abdominal distension. Severe cases may be accompanied by jaundice, yellow urine and other symptoms.

Treatment principle: soothing liver and benefiting gallbladder, clearing heat and promoting diuresis.

Prescription medication: Xiaochaihu decoction is modified with Bupleurum, Scutellaria baicalensis, Pinellia ternata, Coptidis Rhizoma, Fructus Aurantii, Alismatis Rhizoma, Semen Cassiae, Herba Artemisiae Scopariae, Radix et Rhizoma Rhei, Fructus Gardeniae, Rhizoma Polygoni Cuspidati and Fructus Toosendan.

3. Phlegm-dampness internal resistance type

Symptoms: fullness and discomfort in the right rib, loss of appetite, lethargy, fatigue, listlessness, even nausea, vomiting, irregular stool, abdominal distension, obesity, etc.

Treatment principle: eliminating dampness and resolving phlegm, regulating qi and regulating middle energizer.

Prescription medication: Wei Ping powder and Erchen decoction were used. Use dried tangerine peel, Poria, Rhizoma Atractylodis, Coicis Semen, Rhizoma Pinelliae, Cortex Magnolia Officinalis, Rhizoma Alismatis, Rhizoma Atractylodis Macrocephalae, seaweed, Radix Aucklandiae, Rhizoma Arisaematis Preparata, Semen Sinapis Albae, etc.

4. Blood stasis internal resistance type

Symptoms and manifestations: B-ultrasound showed fatty liver, swelling, tingling and swelling in the right flank, especially at night, chest tightness, loss of appetite, dry and dull skin, and even dark and blue.

Treatment principle: promoting blood circulation, removing blood stasis, dredging collaterals and resolving hard mass.

Prescription medication: Gexia Zhuyu decoction uses angelica sinensis, Ligusticum chuanxiong, peach kernel, safflower, red peony root, peony bark, trogopterori, corydalis tuber and Cyperus tuber as therapeutic drugs.

5. Yin deficiency of liver and kidney

Symptoms and manifestations: hypochondriac fullness and discomfort, dizziness, backache and fatigue, irritability and irritability, dry mouth, insomnia, sweating after sleep, impatience and irritability, poor eyesight and less tongue coating.

Treatment principle: tonify kidney and yin, nourish blood and soften liver.

Prescription: Zishui Qinggan Decoction for treatment includes Radix Rehmanniae Preparata, Radix Paeoniae Alba, Rhizoma Dioscoreae, Fructus Lycii, Cortex Moutan, Radix Angelicae Sinensis, Radix Curcumae, Bupleuri Radix, Semen Cassiae, Fructus Ligustri Lucidi, Ecliptae Herba, etc.

6. Deficiency of both spleen and kidney

Symptoms: B-ultrasound showed fatty liver, accompanied by fullness in chest and hypochondrium, discomfort, loss of appetite, weakness, listlessness, irregular stool or chronic diarrhea, cold hands and feet, soreness of waist and knees, edema all over the body, and dysuria.

Treatment principle: invigorating spleen and kidney, promoting diuresis and eliminating dampness.

Prescription: Ginseng, Atractylodis Rhizoma, Poria, Ginger, Radix Aconiti Lateralis Preparata, Polyporus, Alismatis Rhizoma, Rhizoma Dioscoreae, Radix Rehmanniae Preparata, Ramulus Cinnamomi, etc.

In short, after getting fatty liver, don't be too afraid and don't ignore it, because fatty liver will continue to deteriorate, leading to steatohepatitis, cirrhosis and even liver cancer!

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