The essence of Chinese medicine on the identification and treatment of liver disease (for reference and exchange)

Jaundice is mainly due to dampness and heat embedded in the blood, and the disease is in the hundred veins. Hundred veins refers to the blood veins around the body, the liver is a blood organ, and the gallbladder for each other, stagnant heat yellow, stagnant blood yellow, jaundice is the blood affected by the disease. The blood is affected by the disease, the treatment of jaundice should start with the treatment of blood, clearing heat and dampness, warming cold and dampness, plus the use of blood-activating medicines, the heat of the cold, the deficiency of the filler, the blood treatment of phlegm in order to retreat from jaundice.

1, cool blood and blood

Cool blood and blood is to clear the blood stasis and heat, cool the blood without stagnation of the evil, so that the blood flow is smooth and accessible, the dampness and heat can be removed, the heat and blood can be cleared, and the blood stasis can be dispersed, so the jaundice is easy to subside. Commonly used medicines are: raw land, dandylion, red peony, leucaena leucocephala, artichoke, lotus root and so on.

2, nourish blood and activate blood

Jaundice is a disease of the blood, dampness and heat stagnation of the veins, hair for the yin and yellow, heat burns the yin and blood, blood heat and blood deficiency is common, the use of nourishing and activating blood medicines, nourishing blood without helping heat, activating blood and eliminating stagnation. Commonly used medicines are: danshen, white peony, angelica, motherwort, zephyr, safflower, tulip gold, fragrant herbs and so on.

3, warming the blood

Blood gets cold is condensed, cold stasis blockage of blood, hair for the yin and yellow, need to use the warm yang through the veins of the drugs, dissolve stagnation, dredge the hundred veins, cold and dampness, commonly used epimedium, cinnamon sticks, turmeric and so on.

Treatment of jaundice using blood-activating drugs can accelerate the subsidence of jaundice, is conducive to the retraction of liver and spleen enlargement; blood activation can eliminate blood stasis, eliminating blood stasis can be new, so the treatment of jaundice must be treated with blood, blood line yellow is easy to retreat.

Second, jaundice-free viral hepatitis

In the acute stage, there is generalized fatigue, anorexia and nausea, abdominal distension and shortness of breath, irregular bowel movements, yellow urine, discomfort in the liver area, vague pain, fever, dark complexion, and slow pulse. Liver function is mildly impaired. It is advisable to aromatize and clear away heat and dampness. Formula: Huo Xiang root, Hou Pu, almonds, Poria, Chen Pi Shen Qu, malt, Yin Chen, Daji Pi 15 grams each, Cang Zhu 16 grams, Gentian Grass 10 grams, White Flower Snake Tongue Grass 50 grams, Silver Flower 25 grams, Panax Quinquefolium 20 grams.

Three, fulminant hepatitis

Fulminant hepatitis is called severe hepatitis, the disease is dangerous, high mortality, similar to the emergency yellow, plague yellow, often the following prescription. Yin Chen 100 grams, 15 grams of Huanglian, 50 grams of silver flowers, 15 grams of gentian grass, 25 grams of angelica, 50 grams of septoria, 15 grams of rhubarb, Poria 20 grams, 20 grams of Atractylodes macrocephala, 15 grams of yujin, 15 grams of licorice, 25 grams of Salvia divinorum.

Four, Hepatitis B

Liver division of qi, the main collection of blood, the nature of the happy and organized, blood as the basis for the use of gas, the body of yin and use of yang, Hepatitis B virus evil invasion of the human body, stagnation in the liver, resulting in liver qi condensation, depression and long-lasting heat, internal depletion of the liver yin, the yin body loss, can not control the use of the liver, the liver depression is not smooth, so that the body movement is dysfunctional, the offender grams the spleen and the soil, the evidence of rib pain and distension, dry mouth, dry pharynx, gastrointestinal dullness and poor nutrition, fatigue and tiredness, hands and feet, hot heart, red tongue with white coating, the tongue and feet. The symptoms include rib pain and distension, dry mouth and throat, dull stomach and poor appetite, fatigue, hands and feet, heat in the heart, red tongue with white fur, stringy or thin pulse, abnormal liver function, imbalance of body functions, and the treatment is to regulate the liver. Hepatitis B treatment should be based on supporting positive qi, adjusting the function, abiding by the ancient teaching that positive enough evils go away, not only in the virus but also seeking the end. Clinical evidence shows that liver function also improves when the condition is relieved. This does not exclude the use of the common method of clearing heat and detoxification can not be excluded, if there is a symptom, it is the method, it is difficult to use this hand. Hepatitis B treatment, from practice, gradually improved, as a regular common prescription, the formula with danshen with tulip gold to promote blood circulation, treatment of blood and regulating gas. Covering qi is the commander of blood, blood is the mother of qi, if qi moves, blood will move, if qi stagnates, blood will stagnate. Qi stagnation causes blood stasis. Blood stasis is inevitably caused by Qi stagnation. Therefore, hepatitis B with blood stasis should be accompanied by danshen, yujin, prevention, and so that the blood of the organs, blood live with good, Panlangen adjuvant, to take the long of its good anti-virus, intended to drain the virus evil, used for hepatitis B is better than the other clearing medicines.

V. Chronic hepatitis

Chronic hepatitis is mostly due to viral hepatitis untreated, misdiagnosis or recurrent episodes, gradually evolved into. The course of the disease is lingering and complex, and some patients may also have cirrhosis, ascites and other symptoms in the late stage. Therefore, on the basis of identification and examination of the cause, we should grasp the specificity of the treatment of dampness and heat as the original cause of the disease, for dampness and heat stagnation of the chronic knot is not resolved, flooding and viscous difficult to melt the pathological characteristics of the identification of the legislation and the application of medicines.

According to the theory of the fire disease will be weak, when the main corrective, but can not give up the cause of the treatment of dampness and heat. Clinically, how to solve the problem of supporting the positive does not leave the evil, attacking the evil does not hurt the positive, soft liver nourishing yin and not dull spleen to help wet, sparing the qi and do not hurt the original, how to soft liver, nourish the liver, sparing the liver are quite tricky. Such as wood depression caused by gas stagnation, the middle jiao mediation of the loss of qi, liver body yin and use of yang, so the late chronic hepatitis for the yin deficiency, the liver blood can not honor the nutrition, liver cell damage, reduced immune function. Gas stagnation for a long time, the blood line is not smooth, the liver into the stasis, local liver tissue, sclerosis is seen in the two hypochondriac distension, hidden pain, yin deficiency is not easy to give birth to internal heat, phasic fire floats, the man more than slippery premature ejaculation of the disease, internal heat and spleen dampness, the middle jiao qi running out of fluency, dampness, heat, stagnation and volvulus knot, which can make the condition recurring, the treatment must be identified to review the appropriate. The treatment must be appropriate, so it is necessary to identify the proper treatment. To dredge the liver and clear away dampness and heat is to target the evil of dampness and heat; to nourish yin and soften the liver, to regulate the glorified blood, and to cultivate and replenish the liver yin is to target the root of the body. And liver disease is a real spleen is an important law on the treatment.

Common patterns

1, damp-heat stagnation, liver disease for a long time, because the treatment is not appropriate, so that the evil of damp-heat to stay down, the disease to the late stage, although the liver function is the proper range, but there is still damp-heat stagnation. Symptoms of upper limb acidity and weakness, gastrointestinal dysfunction, pain in the liver area, yellow urine, moistened pulse, thick and greasy moss, dampness and heat brewing phlegm and prevalent in the upper, the treatment proposed to clear phlegm and heat as the main, with peach kernel, apricot kernel for the lungs of the key medicines. Because the phlegm and wetness are the same disease, use the Yin Chen, the ground ear grass, the burnt gardenia, the dandelion, the tiger's staff and so on are appropriate to join, the wetness is heavier than the heat of the treatment proposed to aromatize the turbidity, use the patchouli, the crown, the phase, pei as the main. Where wet heavy, must have the epigastric distension, so wide wood incense, tulip gold, fragrant team for must use the medicine. For lower limb weakness, add hyssop, papaya and silkworm sand. For dull stomach, add hawthorn charcoal, jiao gu mai bud, jiao liu qu. For pain in the liver area, add Xuanhu, Guangyujin, and for heavy dampness, Xuanliu urination, with Psyllium, Poria, and Zedo.

2. Liver and stomach disharmony: hidden pain in the liver, distension of the epigastric region, gastrointestinal inactivity, loose stools, stringy pulse and white moss. The treatment should dredge the liver and stomach. Medicinal use: the system of incense, wide wood, wide tulip, fried winter art, cumulus shell, gold, Panax quinquefolius, white peony, Yin Chen, tiger's stick, hyssop, Job's tear grains, licorice. This is a case of Liver-Qi offending the Stomach and Liver-Stomach disharmony. At this time, should not enter the tonic, appropriate to dredge the liver and stomach first. Panax quinquefolium, Yin Chen, Tiger Cane, Job's Tear, etc. Dampness detoxification, accumulation of shells, Atractylodes macrocephala, a tonic and elimination, white peony for the soft liver and pain relief medicine, medicine to calm the liver, the white peony, there is no second medicine can be replaced. Duress pain does not level the liver, always non-treatment. Used together with licorice, it is called Paeonia lactiflora and licorice soup. Licorice can relieve the liver and stop the liver pain, and the fragrant herbs, wood sorrel, and tulip gold are used to disperse the pain. In particular, tulip gold, has the effect of dredging the liver and regulating qi, promoting blood circulation and cooling the blood, and has the function of pain relief, for the treatment of hepatitis B essential drugs. If the liver qi stagnation is too much, the pain in the liver area is more intense, can add Yuan Hu, Qing Pi, etc., in order to have the function of liver detoxification and Qi dispersal. This method is more pungent medicine, there is damage to the liver yin, must reuse white peony, gold constraints.

3, the main symptoms of Qi stagnation in the deficiency: lack of body fatigue, fatigue, gastro-intestinal not fragrant, more food in the stomach and abdomen, the liver area in the event of exhaustion pain, loose stools, pulse small string, moss is thin and greasy, the tongue is lighter. Treatment: Strengthening the middle Jiao and regulating Qi. Medicinal uses: Radix Panax Ginseng, Fried Artium, Poria, Prepared Xiangshu, Mucuna pruriens, Uljin, Paeonia lactiflora, Rhizoma Pinelliae, Job's Tear, Panax quinquefolium, Licorice and so on.

This method is the method of the solid spleen, the spleen likes warm and dry, so the wood, incense, etc. in order to regulate the qi and wake up the spleen, Yin Chen, tiger's stick, Panax quinquefolium to clear heat and detoxification and activate the blood, the moss greasy and turbid, plus Huo Xiang, Pei Lan, aroma and turbidity, moss yellow, plus rehmanniae, dong gua zi, scutellaria, etc. to clear and transform the dampness-heat.

4, liver and kidney yin deficiency symptoms liver area pain, limb soreness, lumbar and back pain, hands, feet, heart fever, afternoon fever, dizziness, body fatigue, dry mouth does not like to drink, the pulse is small, know the red and less moss. Treatment should nourish the liver and kidney, this evidence must be reused Huang Jing.

5, long-term disease into the complex, the complex blockage of blood stasis, the symptoms of the liver tingling or tingling pain, even the right hypochondriac shoulder and back, the color of the face obscure stagnation, lips and tongue inflammation on both sides of the purple, liver and spleen enlargement, the pulse is stringy, the treatment of tingling in the liver area, plus turtle shell, oyster, burnt hawthorn, tingling, severe addition of zedoary, and the frail with the use of astragalus. Chronic hepatitis B patients with long-term positive and lingering disease. Treatment, supporting the positive and eliminating the evil is not to be ignored.

The Chinese medicine astragalus and ginseng are the medicine for benefiting the qi, with astragalus as the main medicine, supplemented by ginseng and schizandra, it can enhance the body's immunity and improve the function of resistance to disease. For the treatment of the virus to dispel the evil, toxic when the elimination when the solution, medicinal gua wilt, sheep's foot root to strengthen the detoxification. Clinically, depending on the patient's strengths and weaknesses, the size of the poison, increase or decrease the use of drugs.

Chronic hepatitis B is both positive and negative side, but also the side of the evil side, the positive pathological changes, in turn, can lead to the positive more false or evil more real. Therefore, in the treatment, the human body, the source of the disease symptoms should be considered in a holistic manner, to support the positive treatment of people, can enhance the patient's resistance to disease, recovery, treatment of symptoms, can be due to the disappearance of symptoms and increase the body's ability to resist disease, the treatment of the pathogen can be eliminated symptoms, so that it is no longer damage to the patient's body, the three are related to each other, each other's influence, the main contradiction in which aspect of which side of the catch which side.

Six, liver cirrhosis ascites treatment experience

Cirrhosis of the liver due to dampness and heat of the evil is not completely removed, to the growing glue solid, lingering for a long time, injuring the blood of the viscera, resulting in substantial damage to the viscera. In the stage of acute and chronic hepatitis, the spleen is weak and weak, the gas does not work, the turbid gas does not change, wet and turbid phlegm cohesion and agglomeration, on the other hand, hot and obscene blood, injury to the yin and blood consumption. Due to the deficiency of qi and blood stagnation, resulting in stagnation of blood stagnation, not to go to the blood and phlegm agglomeration, blockage of the blood into a plaque (liver and spleen enlargement), and then congealed and hard, push the unshakable, if the veins are obstructed, the veins of the veins of the anger, the veins are exposed. Therefore, qi deficiency and blood stagnation are the basis of liver cirrhosis. Dampness and heat, retained in the blood is the standard, after the birth of no source, then the liver and kidney yin essence no Jin, and because of the internal consumption of dampness and heat, then the liver and kidney yin essence dry up, the liver no blood to feed the loss of tenderness, the kidney no essence to fill the loss of moisture, resulting in liver and kidney yin deficiency, Yin deficiency, Yin deficiency, the internal generation of deficiency heat, deficiency heat and the retention of dampness and heat of the blood, the mixture of deficiency and solid so that the yin deficiency of blood, because of the positive does not resist the evil, the qi and blood, the depletion of yin and yin, yin disease and yang, the qi and Yang Wei Wei resulting in the spleen and kidney Yang deficiency. Yang deficiency of the spleen and kidneys. So. Liver and kidney yin deficiency, yin deficiency and blood heat and spleen and kidney yang deficiency are three common symptoms of this disease.

In clinical practice, the evidence is seen concurrently or intertwined with each other, can not be distinctly separated, the main should still grasp the essence of its pathology, diagnosis and treatment, from the treatment of qi and blood. Nourish the blood and soften the liver as the basis, and according to its evidence focus on nourishing the liver and kidney, nourishing yin and clearing heat, or wet tonic spleen and kidneys, if you see the residual evil is not clear and other evidence, it should be accompanied by the elimination of evil products.

Liver and kidney yin deficiency, qi deficiency and blood stagnation, the main witnesses: dark color, tiredness, fatigue, thinness, dizziness, tinnitus, insomnia and dreaming, heartburn and dryness, lumbar and leg pain, two coils of hidden pain and like to press, under the duress or to see the plaque, the tongue, red, white tongue, the pulse is thin and countless. Exhaustion of kidney water is characterized by dark complexion and deficiency of kidney essence. Qi deficiency and heart less, liver blood deficiency, essence and blood loss, so the general weakness, body thinning, yin deficiency and hyperactivity, deficiency of internal disturbance of heat, so the strings and tinnitus, insomnia and dreaming, heartburn and dryness. The waist is the capital of the kidneys, the kidneys are the main bones, the kidneys are deficient, so lumbago and leg pain. The tongue is red with little moss, the pulse is fine for the phenomenon of yin deficiency, the law of treatment, replenish qi and blood, benefit the kidney and soften the liver.

Cirrhosis of the liver once ascites, it is suggested that the disease into the advanced stage. Cirrhosis ascites, focusing on the liver stage, the ascites is not too much, based on liver disease erosion of the spleen, spleen qi damage, the ascites increased, and then developed to the kidney qi loss, the more serious ascites. From the amount of ascites, the degree of damage to the liver, spleen and kidney can also be measured. Treatment of liver focuses on tonifying the liver, removing blood stasis and eliminating lumps. There is a difference between tonifying liver qi and liver blood, with liver qi deficiency being more common in clinical practice. Liver qi deficiency indicates that the function of excretion and detachment is weakened and the liver is out of control, resulting in tiredness, depression, discomfort in the chest and hypochondrium, shortness of breath and little food, distension of the chest, loose stools, lack of warmth in all four areas, sunken stringy and thin pulse, greasy tongue coating, dark red or purple lining of the tongue, etc. The treatment should be to tonify the liver and kidney, to smooth out the liver and dissipate the blood stasis in the liver, and at the same time, to support the spleen, and angelica blood tonic soup is available. Astragalus is the most important medicine to replenish liver qi, with a dosage of 60 grams, Angelica sinensis has the function of nourishing liver and blood, together with Chai Hu, which is used to promote the liver to raise the clear yang, and Jie Xi, which is used to lower the turbid yin, Paeonia lactiflora, which is used to soften the liver and sword the yin, and Glycyrrhiza glabra to slow down the middle and replenish the deficiency. Liver qi deficiency is often the precursor of liver yang deficiency, if the yang deficiency cold condensation, then the addition of epiphyllum, dry ginger Lou warm yang dispersal of cold, essence and blood deficiency, then the addition of zihechuan, antler gelatin, etc. Junjun tonic essence and blood, less food and loose stools, the addition of fried white peony, chicken gold in order to tonify the spleen to help transport, due to the complexity of the liver physiology and pathology, each more than the hot and cold mixed with the wait, and the inclusion of depression and heat, and then have to be properly involved in clearing the discharge of this product.

From the relationship between qi and blood, make sure that the positive qi is restored, the stagnation is opened, and the blood stasis is melted, the liver qi has the right to drain, not to treat the water and ascites, but also the liver qi is very weak and not responsible for the draining, Chaihu should be discarded. Can be given to complement the gas and eliminate blood stasis, often with astragalus, tai zi ginseng, cornelian cherry, wolfberry, danshen, stone see through, chicken gold, curcuma, angelica, hawthorn, zephyr orchids, safflower, red ginseng, glutinous rice root, etc. in and out of the tailoring, quite able to deal with.

In patients with liver blood deficiency, dizziness, headache, dryness of the eyes, weakness, numbness of the hands and feet, abdominal distension and pain, bleeding from the gums or epistaxis, fine or weak pulse, red tongue, thin yellow moss, etc., and irregular menstruation, amenorrhea or disintegration can be seen in women. This syndrome is characterized by blood deficiency and blood stasis, and evil water is not transformed, focusing on nourishing blood and blood stasis, nourishing yin and inducing diuresis, with the following medicinal ingredients: Radix Rehmanniae Praeparata, Radix Panax Quinquefolii, Rhizoma Asparagi, Fructus Lycii, Broussonetia kozoensis, Fructus Pelleticus, Oyster, Zedoariae, and Algae Lour. Among them, oyster and seaweed have the function of softening and dispersing knots, but also can dispel water qi, which is a good idea. If gingival or epistaxis frequently, low fever in the afternoon, red tongue, moss thin yellow and dry, it is dampness and heat injury to the yin, the liver is more heat, it is appropriate to use rhinoceros horn, rhinoceros horn is expensive and not easy to get to the horns of the cow instead of 60 grams each, adding raw land, dandelion, white peony, Shi Gao, stone, talcum, silver, ginseng, sen senna, chenghuancao, artichoke, etc., symptomatic use of it, more can control bleeding, reduce ascites.

The treatment of the spleen seeks to qi yin, the heavy use of atractylodes macrocephala, zeran, liver disease spreads to the spleen, ascites, may see the face of the yellow float, fatigue, abdominal distension such as a drum, loss of appetite, abdominal distension is particularly bad after eating, urination, stools are not solid, the moss is thin or greasy, the edge of the teeth marks, the pulse moistened or slow or slow sinking and other symptoms. Treatment should be based on tonifying the spleen and transporting the center. Focus on the liver and spleen, taking into account the blood and water, in order to collect help the spleen and diuresis, nourish the blood and liver. In the formula, 50 grams of Atractylodes macrocephala is used to enhance the effect of tonifying the spleen, and then 50 grams of Zephyr, 120 grams of motherwort are added to **** play the effect of stasis, water flow, transporting the spleen and liver. If the ascites is not much, then use astragalus 50 grams, to supplement the deficiency of the spleen, compounded into the papaya acid to soften the liver, and more pepper eye, preventing the ginger juice to pass the yang water, subconsumption and guidance, is often tested. In addition to benefiting the liver and kidneys, replenish the essence, except for the function of blood diuretic. Knee with Salvia divinorum, that is, can transform the lower Jiao stagnation, in order to facilitate the water evil. Psyllium sweet cold slippery agent, slippery can be removed, and no exhaustion of the disadvantages of injury. Red ginseng replenishes qi and channels, Zi He Che jun replenishes essence and blood, ground beetle breaks the accumulation of blood and stagnation, turmeric, yujin detoxifies the liver, regulates qi and activates blood circulation, ji Nei Jin grinds the accumulation of stagnation and removes stagnation, strengthens the spleen and helps transportation, and the foregoing eliminates the need to replenish and nourishes and dispels the evil spirits, which is effective in improving the function of the liver.

Swelling develops to the stage where the kidney qi is greatly injured and the true yin is dried up and exhausted, the qi has no power, and the ascites is particularly serious, the symptom is as big as a drum, the umbilicus is protruding and the urine is scarce, the waist passes like a fold, the shortness of breath is not allowed to lie down, and the swelling of the lower limbs. At this time, the kidney qi is greatly injured, can not break its gas, kidney water will be exhausted, can not re-execute its water, attacking the danger of death immediately, elimination will not help, abdominal distension, and can not be attacked, otherwise it is very easy to lead to hepatic coma or hemorrhage and the sudden change of the treatment should be to nourish the positive elimination of the accumulation of the treatment as the main method. The only way to treat it is to tonify the lower part of the body in order to open it up, so that the spleen can open up the kidney, drain the water, slow down the distension and renew the vitality of the body. To replenish the true yang and promote kidney qi, the clinic commonly uses Radix Pseudostellariae, Cinnamon, Astragalus, Radix et Rhizoma Ginseng, Spleen, Cistanche, Radix Rehmanniae Praeparata, Rhizoma Dioscoreae, Rhizoma Coptidis, Poria, etc. To make sure that the gas has to be supplemented, it will be upward and after which, the middle jiao running coagulation, stagnation dredging, fullness since the elimination of, under the virtual self-substantiation. If the real yin dry exhaustion, present tongue color glossy without moss, two stool firm not love, life is dying, more difficult to restore. Available in large doses of 150 grams of ripened earth, with berries, cornelian cherry, Cistanche, Wu, yam, tortoise board and other thick tonic, yuk yin and gas, often the effect of Job's outside.

Bloating is the patient's most painful symptom, can be used in the powder, chicken gold powder, incense powder 2 grams of each and evenly swallowed three times a day, or 60 grams of nitrate, cinnamon powder 10 grams of cinnamon and all compresses and tie the umbilicus, or with the powder of the shell of crocus sativus into the rolled up cigarettes inhalation, can hope to temporarily alleviate the chest, such as the emergence of chest water, can be matched with the lungs of the scape hebecarpemerosa hebecarpa, Sangpi, Gansui, half summer can help to subside the chest water. If there is gastrointestinal bleeding, you can take white and powder, white peony powder, panax notoginseng powder of each drug and equal parts and all, with warm boiled water in divided doses.

Expansion of a certificate, its come to the world gradually, its retreat is also late, and long-term disease, the liver and kidney essence and blood loss, there is no not involved in the meridian, through the complementary meridian, we must grasp the essence is the essence and preparation for the loss, so through the complementary to the cultivation of the essence, blood, yin and yang, and the water blockage of blood stasis, stagnation of qi, cold condensation and so on are the symptomatic disease, you can refer to the appropriate treatment of the symptoms of the product. SuMouMou, female, 26 years old, suffering from chronic hepatitis has been three years, ascites also appeared more than half a year, iterative treatment, ascites is light and heavy, visit the abdominal large as a drum, epigastric support pain, the face of darkness and fatigue, swelling of the feet and shins, gingival blood, menstruation dribbling half a month not net, thin moss, tongue lining purple, the disease is poor and kidneys, damage to the Qi Jing's evidence, so the main to pass the complementary Qi Jing, the medicinal use of antler cream 15 grams, 40 grams of tortoise board (first decocted), ripened earth 60 grams, 15 grams of ox horn rib, 15 grams of cress, 15 grams of Kanzhong charcoal, 15 grams of Cistanches, 15 grams of Cortex Eucommiae, 15 grams of Cuscuta chinensis, 30 grams of black soybeans, 30 grams of kozogonite, and served 10 doses, the leakage has been cut off, and ascites is also corresponding to the decline in accordance with the above in and out of the above, *** into the more than 40 doses of ascites all eliminated, and the evidence have been improved.

Cirrhosis of the liver ascites, this is a deficiency and the standard real. This deficiency can only be slow to figure out, the standard real must be treated urgently, so eliminate water is the most urgent. The method of elimination of water, light seepage of the agent has been unable to play a role, and the attack on the robberies, such as Sui Ji, coriander and so on, although there is the effect of elimination of water, but go to drain the true qi, applied to the liver will be exhausted at the same time, it is suspected that there is a deficiency of the disadvantages, so it is often the first time to use the effect of a little bit, and continue to attack the robberies are not effective, and finally returned to the untreated. As for the liver cure, must be warm to raise, dredge the guide, so the medicine seeks peace, hardness points can improve, at least so that its lesions do not continue to develop, clinical has been used to rot slop pig bile party cured a number of people, some ascites eliminated years after the recurrence of the formula is as follows: fresh pig bitter bile, tofu syrup in a big bowl, will be heated up after the tofu syrup, stirred into the pig bile juice to drink. If there is no fresh pig's gall bladder, use the dry one to soak in warm water can also be used. Bean curd pulp that is rot slop, refers to soybean juice with brine points into the brain after rolling in the basket when the filtered water, can pass stools under the phlegm, through the urine, laundry to dirt and grease, rot slop, in addition to brine point of view, there are also some point of stone high, can clear heat. Halogen alkali is under the compulsion of the five viscera, stomach and intestines to retain heat knot gas, the heart under the firm reason. Bile was born in the liver, the liver when there is an affinity for the force, coupled with the rotting slop and halogenated, there is a line of work of the water, without attacking this drawbacks of the hijacking. However, after the elimination of water, is not equal to the cure, we must seek to nourish the liver without the use of harsh tonic, but with sour and warm products, plus plums, papaya, etc., the liver without Chai Hu and the use of raw malt, this is because the raw malt has a wood of the vitality of the gas, and has the role of elimination and the transformation of the firm. Raw hawthorn is used instead of Momordica charantia to resolve blood stasis because hawthorn is acidic in flavor and nourishes the liver, resolving blood stasis without being harsh. All the drugs that moisturize the liver and nourish blood, once getting Gui Zhi, it can dissolve the stagnation of yin and harmonize the yang, so it is used to treat the initial stage of cirrhosis with yin deficiency and ascites, which is very effective. Zephyr should be taken to promote blood circulation and water circulation, treating abdominal edema, black beans licorice flat into the liver and kidneys, promoting blood circulation and water circulation, dispelling wind and detoxification, LuLuTong dispelling wind and collaterals, promoting water circulation and removing dampness, and searching for and expelling ambrosia, kozo sweet and cold, it can nourish the kidneys to cure deficiency and labor, eliminating edema, cirrhosis of the liver and the spleen and the kidneys, the treatment of cirrhosis of the liver and the kidneys is mostly from the liver, spleen and the kidneys, but if the water is out of the high source of ascites, and ascites and thoracic fluid, and triple jiao is unfavorable, then it should be used for warming and transporting the atmosphere, and clearing up the triple jiao. The soup of ephedra, epimedium, and xinxin can be used to break the condensation of yin qi.

Summary, cirrhosis of the liver ascites of the pathology is gas, blood and water because of the disease, to the gas deficiency for this, due to the stasis for the standard, ascites is the standard in the standard, the lesions of the liver, spleen and kidney organs as the center, treatment to nourish the positive elimination of the accumulation of the main method. It is the usual clinical evidence, complement the lower Kai Zhong, through the complementary Qi meridian method, is the change of clinical evidence, the treatment of the law can be described as the clinical evidence of the clever.