Folk folk remedies: the method of making common sense of traditional Chinese medicine and the experience of treating viral hepatitis in traditional Chinese medicine

? Viral hepatitis is a worldwide medical problem. Its etiology, pathogenesis and symptoms are complex and changeable, and the etiology is difficult to find and cure, which seriously harms people's health.

In order to overcome this problem, after more than 30 years of clinical practice, careful exploration and painstaking research, the author summed up a relatively complete theoretical system and had unique experience, and formulated a prescription for treating hepatitis B-Chen Shi Yiganling Capsule.

According to the author's years of clinical experience and symptom analysis, it is considered that hepatitis B belongs to the category of liver depression, hypochondriac pain, jaundice, febrile disease and stagnation in traditional Chinese medicine. The main clinical manifestations are fatigue, loss of appetite, nausea, abdominal distension, hypochondriac pain, jaundice and other symptoms. The etiology of viral hepatitis should be "poison" and "blood stasis" as the basic pathogenesis and infection as the way. The etiology and pathogenesis of viral hepatitis generally seems to be that the pathogenic factors of damp-heat epidemic poison suppress the spleen and stomach, the middle energizer stagnates, the damp stagnates, and the body fluid is consumed, resulting in yin deficiency of liver and kidney. Therefore, the pathological basis is yin-yang imbalance of liver, spleen and kidney, stagnation of pathogenic qi, damp-heat and blood stasis, qi stagnation and blood stasis.

The principle of treatment is detoxification, promoting qi circulation and removing blood stasis, combined with the evolution of the disease, combined with improving immune function, inhibiting virus, improving liver blood circulation, resisting liver fibrosis and promoting liver cell repair. The treatment methods are nourishing liver, softening liver, soothing liver, regulating qi and removing blood stasis, strengthening body resistance, clearing away heat, promoting diuresis and detoxifying.

Prescription: The self-made classic prescription "Chen's Yiganling Capsule" is effective in treating viral hepatitis, which can gradually make the clinical symptoms and positive reactions disappear and achieve the purpose of rehabilitation. It is a good medicine for treating hepatitis B virus in traditional Chinese medicine, which has brought good social and economic benefits to human beings.

Physiological function of liver

As the saying goes, the wind in the East gives birth to wood, and wood gives birth to acid, and acid gives birth to liver, which symbolizes the spring of season, and the yang begins to respond and conform to the trend of life; Born in spring, in the five elements, the wood tastes sour, and people grasp it and are born in the liver. The liver governs the ascending hair, and the liver has the function of regulating blood volume, and its meridians are connected to the brain. When the liver functions normally, it is as comfortable and full of vitality as a tree in spring. The liver body is yin and uses yang, "body" generally refers to entities or substances, and "use" refers to functions and functions. The liver is the viscera storing blood, and the blood is yin, so the liver body is yin. The liver governs drainage, and the internal fire is dirty wind wood, which is easy to move and fire-resistant. The liver is also responsible for muscle activity, these functions and pathological state. From the point of view of yin and yang, yang tends to be hot, so the liver has body yin and uses yang. The liver is just dirty, the liver is happy and comfortable, that is, it hates depression and avoids moving. The so-called just dirty liver mainly reflects the liver qi. When the liver is influenced by spirit, it is easy to make people irritable. This is called excessive liver qi. On the other hand, if the liver qi is insufficient, it will make people tremble with fear. The liver and gallbladder are both exterior and interior, and the rigid and dirty function of the liver often needs the cooperation of the gallbladder to be reflected. Tang Rongchuan said: the liver stores blood, blood is born in the heart, and the cells are reduced to a sea of blood. All the blood in the whole body is always regarded as the treatment of chaos, and the blood in the whole body will be safe and undisturbed. The liver meridian governs its parts, so the liver governs storing blood. The liver is the viscera storing blood, and it also controls the wind and wood, and the gallbladder is angry and communicates with the liver. It is known that there is blood and fire in the two meridians of liver and gallbladder, blood is born from the change of heart fire, and fire is bright from the sun. People's essence, qi and blood are peaceful, but they are angry. Because the liver is not depressed and the gallbladder fire is not excessive, it is necessary to adjust the blood first, especially the blood, and the blood is smooth. If it is pathogenic, the blood will burn and coagulate. Therefore, blood circulation is not stagnant, and dormant people rely on the peace of liver, gallbladder, qi and blood. If the stagnation of wood is defined as fire, the qi and blood are not harmonious, and the fire is angry, then the blood is horizontal: hematemesis, nosebleed, bloody stool and drowning. Tang Rongchuan said: the liver has depressed fire and tingling in the chest and hypochondrium, indicating that blood heat can cause disharmony between liver and gallbladder. Combined with the main functions of the liver:

(1) Purging qi: Purging qi means dispersing qi, which means that the liver has the function of dispersing qi. The ancients described the normal function of the liver with the image of wood-qi rushing freely. Therefore, Xiafa represents the soft and comfortable physiological state of the liver, that is, neither depressed nor excited. The purgative function of the liver is mainly related to the patency of human qi, which refers to the movement and change of qi and is related to the functional activities of human viscera. If the liver qi is not dispersed and the qi is not coordinated, it will cause abnormal changes in mood. Depression or hyperactivity disorder, in turn, mental disorder can also cause stagnation of liver qi and disorder of qi. Therefore, the liver likes to reach out and hates depression and anger.

② Soothing the liver and relieving qi can not only regulate qi, but also assist the ascending and descending of spleen and stomach qi and bile secretion. Stagnation of liver-qi affects the digestion of spleen and stomach and bile secretion, causing indigestion. Invasion of liver-qi into stomach will lead to abdominal distension and aversion to food. Normal liver drainage also has the function of dredging triple energizer and waterway. Poor liver qi, qi stagnation and blood stasis, unfavorable meridians, insufficient body fluid, ascites.

③ Liver governs storing blood: The liver has the function of storing blood and regulating blood volume. For example, liver blood deficiency can cause various diseases, and the operation of liver blood also depends on the smooth regulation of liver qi. If qi is out of balance, qi stagnation will occur.

Etiology and pathogenesis of hepatitis B

Viral hepatitis is mainly caused by viruses, with infection as the route. From the analysis of etiology, there are only internal and external causes. External factors are mostly due to pathogenic factors, plague and improper diet, while internal factors are mostly due to lack of healthy qi and emotional injury, which leads to imbalance of yin and yang and poor qi movement. Internal and external causes are causal and interrelated, and the evolution of diseases is more complicated.

First, when evil attacks.

Due to the abnormal climate change in nature, there are heat, wet fog, miasma, cold and humidity, bad environment, unclean diet and epidemic diseases. The human body feels that exogenous pathogenic factors go from the outside to the inside, or go straight into the inside, and are depressed but unable to stop, trapped in the middle jiao, and the spleen and stomach are out of balance, leading to liver failure, poor qi movement, ascending and descending disorders, bile overflow, external invasion of the skin and infection.

Second, the damage caused by diet fatigue:

Deficiency and cold of spleen and stomach or deficiency of vital qi, fatigue or damage of spleen yang after illness, loss of transport and utilization of body fluids, lack of biochemical sources acquired, overeating, abnormal hunger or excessive drinking or gluttony, damage of spleen and stomach, impaired health, metabolic weakness, stagnation of qi and heat, and liver and gallbladder fumigation, which lead to loss of liver yin or liver qi in liver blood deficiency.

Third, the epidemic situation

Epidemic febrile disease is a kind of disease, not wind, cold, heat and humidity, but a different feeling of qi between heaven and earth; The transmission route of "hostility" is that air and contact enter through the nose and mouth.

Fourth, stagnation of liver qi:

The liver is the official of the general, mainly responsible for discouragement, hope and depression. If you are depressed or angry and hurt your liver, it will lead to stagnation of qi, depression of fire, hyperactivity of liver fire, hyperactivity of gallbladder fire, hyperactivity of liver fire and hyperactivity of yang evil, which will disturb your nerves. The pathogenic fire is most likely to force the body fluid to leak out and consume the vaginal fluid, leading to the loss of nourishment of meridians and liver wind moving internally. Qi is the handsome of blood, and blood is the mother of qi. Qi moves with blood, and qi stagnation and blood stasis. If the liver fails to reach, the qi will be depressed for a long time, or the hypochondriac will be damaged seriously, which will lead to poor blood circulation, blood stasis, hypochondriac obstruction, hypochondriac pain, abdominal distension and ascites.

Understanding of diagnosis and treatment of viral hepatitis

The etiology of viral hepatitis should be based on "poison" and "blood stasis".

Traditional Chinese medicine believes that acute hepatitis is mostly jaundice, and jaundice is mostly caused by damp heat. Hepatitis A is more hot than wet, while hepatitis B has a longer course of disease than hepatitis A, and the disease is lingering and difficult to heal, so wet is more hot than wet. However, acute hepatitis is contagious, so it can't be explained by ordinary damp heat, but it is a feeling that heaven and earth are different. Therefore, we must use the concept of epidemic virus to understand and reveal the essence of acute hepatitis, that is, the cause of acute hepatitis; When toxic pathogens are dominant, most of them are damp-heat, so damp-heat pathogens are the basic cause of acute hepatitis. Damp-heat epidemic virus invades the middle energizer, and qi and blood stagnate, showing jaundice, hypochondriac pain and hepatomegaly. After the acute stage of hepatitis, although the damp-heat syndrome subsided, the pathogenic factors of the epidemic virus still lingered and were not eradicated, the qi movement was still blocked, the blood circulation was still blocked, the blood stasis persisted for a long time, the qi and blood were deficient, and the liver was drained, which became chronic hepatitis. Chronic hepatitis is persistent hepatitis, which gradually evolves into accumulation, swelling, liver depression, liver failure, liver cancer and so on.

Fumigation with pathogenic toxin can cause coma.

Pathogenesis transformation of viral hepatitis

Generally speaking, the pathogenic factors of damp-heat epidemic poison suppress the spleen and stomach, stagnation of middle energizer, damp stagnation of fire, consumption of vaginal fluid, leading to yin deficiency of liver and kidney, so the pathological basis is the imbalance of liver, spleen and kidney, stagnation of pathogenic qi, stagnation of qi and blood stasis. Chronic hepatitis virus carriers are in a state of persistent virus infection, mostly due to the deficiency of vital qi and liver yin, plus the invasion of epidemic virus and the consumption of qi and blood, resulting in deficiency of spleen and kidney yang, deficiency of liver yang and latent evil of epidemic virus. Therefore, liver disease has deficiency and reality. Deficiency syndromes are common, such as liver blood deficiency, deficiency of liver yin and deficiency of liver yang, while excess of qi and fire or disturbance of damp-heat evil are symptoms of substantial deficiency and substantial excess.

For the treatment of viral hepatitis, the author thinks that the etiology of hepatitis is "poison-based" and "blood stasis" is the basic pathogenesis, so its treatment is naturally based on detoxification, promoting blood circulation and removing blood stasis, combined with the evolution of the disease and syndrome differentiation. Clinically, it is combined with improving immune function, enhancing immune ability, inhibiting virus, improving liver blood circulation, resisting liver fibrosis, promoting hepatocyte repair and improving liver function, and finally achieving the purpose of improving immune function and eliminating virus. In short, Chinese medicine treats hepatitis B according to the function and nature of the liver and the pathogenesis of epidemic virus invasion. Its therapeutic principles are mainly nourishing the liver, softening the liver, soothing the liver, regulating qi and removing blood stasis, strengthening the body resistance, clearing away heat, inducing diuresis and detoxifying.

Diagnosis and treatment based on comprehensive analysis of diseases and patients' conditions

A, epidemic virus invasion:

Symptoms: pestilence fumigates the skin, weakness of limbs, fullness in chest and hypochondrium, silent reluctance to eat bitter taste, dry throat, dizziness, thready pulse and light coating.

Treatment: the head is big and the original pathogenic heat is lifted.

Prescription: Dayuanyin

Recipe: hawthorn slices, tsaoko, through the original evil heat; Scutellaria baicalensis Georgi and Anemarrhena asphodeloides Bge. Bupleurum relieves shaoyang, penetrates shaoyang and clears heat; Radix Paeoniae Alba and Radix Glycyrrhizae have analgesic and liver softening effects; Pu Chuan eliminates swelling and fullness.

Second, resistance to damp and heat:

Symptoms: fullness in chest and hypochondrium, aversion to oil, yellow eyes, bright color, sticky mouth and bitter taste, yellow urine, yellow greasy tongue coating and rapid pulse.

Prescriptions: Longdan Xiegan Decoction and Yinchenhao Decoction.

Treatment: clearing heat and promoting diuresis.

Fang Jie, bile grass diarrhea hepatobiliary damp heat is king; Gardenia jasminoides Ellis and Scutellaria baicalensis Georgi are ministers of clearing heat and drying dampness: Akebia Akebia, Plantago asiatica and Zexi, soaking in damp heat; Radix Rehmanniae, Radix Angelicae Sinensis and Radix Bupleuri are cooked together to nourish blood and soothe the liver; Glycyrrhiza uralensis Fisch harmonizes various medicines; Yinchen diuresis turns yellow.

Third, liver depression and spleen deficiency:

Symptoms: chest pain, chest tightness, abdominal distension, mental depression, loss of appetite, pale mouth, fatigue, thin stool, thin tongue coating and heavy pulse.

Treatment: soothing the liver, regulating qi and strengthening the spleen

Prescription: Xiaoyao Decoction

Fang Jie: Chaihu Shugan Jieyu: Radix Paeoniae Alba and Radix Glycyrrhizae relieve pain and soften the liver; Angelica supplements blood; Atractylodes macrocephala and Poria cocos strengthen spleen and promote diuresis; Cloth and surface penetrating muscle.

Fourth, liver and kidney yin deficiency:

Symptoms: dull pain in hypochondrium, increased fatigue, soreness and weakness in waist and hypochondrium, dizziness, dry eyes and throat, insomnia and dreaminess, vexation and fever, emaciation, gingival bleeding, red tongue and fluid loss, and weak pulse.

Treatment: nourishing liver and kidney.

Prescription: Yiguanjian

Solution: Lycium barbarum nourishes liver and kidney; Adenophora adenophora, Ophiopogon japonicus and Angelica sinensis nourish yin and soften liver; Fructus Toosendan soothes liver, regulates qi and relieves pain.

Five, liver, spleen and kidney yang deficiency:

Symptoms: the stomach is cold and warm, the limbs are not warm, mental fatigue, cold pain in the lower abdomen, soreness of the waist and knees, eating less loose stool, edema of the lower limbs, wet and cold scrotum or impotence, pale tongue with teeth marks, fat coating, thin or late white pulse.

Treatment: nourishing blood, dispelling cold and supporting yang

Prescriptions: Wengan Decoction and Danggui Sini Decoction.

Fang Jie: Ginger warms the heart and essence to dispel cold: Angelica, Radix Paeoniae Alba, nourishing blood and nourishing; Guizhi enters the liver, promoting blood circulation and promoting anger; Fuzi warms kidney and helps yang.

Six, blood stasis blocking collaterals:

Symptoms: dull complexion, or red silk thread, tingling on both sides, hepatosplenomegaly, hard texture, or spider nevus, liver palm, dark tongue or ecchymosis, and thin and astringent pulse.

Treatment; Removing blood stasis and dredging collaterals

Prescription: Inula decoction

Prescription: madder promotes blood circulation and unblocks collaterals; Salvia miltiorrhiza promotes blood circulation and removes blood stasis; Inula flower soothes the liver and relieves depression, regulates qi and relieves pain: scallion, warms channels and dissipates stagnation: Hua Shuang, Zhao Lian, Gongying, Rehmannia, clears away heat and toxic materials, and reduces swelling; Angelica sinensis and Paeonia lactiflora enrich blood, nourish liver and strengthen body resistance.

Abstract: After more than 30 years of clinical practice, the author has carefully explored and studied, and summed up the prescription for treating hepatitis B-Chen Shi Yiganling Capsule, with unique experience.

Treatment of hepatitis B can make the clinical symptoms and positive reactions gradually disappear and achieve the purpose of rehabilitation. It is a good medicine for the radical cure of hepatitis B virus in traditional Chinese medicine, which has brought excellent social and economic benefits to mankind.

Deputy Chief Physician: Chen Hua

Address: Old Chinese Medicine Clinic in Yanjing Community, lunan district, Tangshan, Hebei.

Tel: 03 15—2220343 Home Tel: 03 15—2565993

Remind you: Discussion on the Experience of Treating Viral Hepatitis in TCM This prescription comes from the Internet, please follow the doctor's advice before using it.