Wang Hongshi: treat liver cirrhosis

Source: China's traditional Chinese medicine

Author: qi unity

Wang Hongshi, deceased name old doctor of traditional Chinese medicine of traditional Chinese medicine hospital in Beijing, a lifetime of scholarship, work hard, knowledgeable, shicheng XiaoLongYou, Kong Bohua, qu Wen Lou city famous doctor, his chuan. Wang Hongshi frequently ask neijing "to the" typhoid fever "of the" golden ", full use of the past dynasties doctor long, combined with today's clinical practice, formed the unique academic thoughts. Industry in internal medicine, surgery, gynecology, pediatrics many incurable diseases, especially good at the treatment of liver disease, puts forward the theory of rich liver and academic claims, the following his academic thought for the treatment of cirrhosis of the liver is introduced as follows:

"For the understanding of the etiology and pathogenesis of"

Wang Hongshi that liver disease is always needed for hot and humid as cause, exogenous evil of damp and hot, or because of the harm such as diet not festival spleen and stomach, hot and humid endogenous, long plagued storage spleen sun be the spirit of damp and hot machine, spleen wet stop without transport, damp and hot accumulate depressive courage, pathogenesis is adverse, qi activity YuZu, blood stasis, and qi stagnation and blood stasis lead to sluggish plug thread, so the liver and spleen enlargement, and blood stasis resistance, gradually into tympanitis. Or damp heat evil stay don't go, love is hurt, viscera of dysfunction, and gradually to the viscera of losses, and change multiterminal. Origin, gooey, air hurt Yang, spleen Yang injury affect the spleen and stomach, spleen loss of health, the day after tomorrow of this is not enough, so that the kidney is not filled, shade essence filling, hepatorenal homology, kidney water cannot nourish liver wood, leading to liver fire, gradually invasion and hardness of the liver and kidney, make the illness evolution, phlegm, blood stasis and toxin, virtual and other complex clinical manifestations, it is the shortage of liver, spleen, kidney, its standard of phlegm, poison, blood stasis wenjie. As the "Shen Shizun born" say "tympanitis rooted in the spleen, spleen Yang is impaired, transport and dereliction of duty, or by anger hurt liver, gradually erosion the spleen, of pixu (spleen deficient), so don't pay, Yin and Yang QingZhuo mixed, tunnels, and for the hot, hot for wet, damp and hot phase, so the abdominal distension."

Anyhow, Wang Hongshi think, investigate its root lies in cirrhosis medium of hot and humid in hardness, lead to the shortage of liver, spleen, kidney, and pathological products have phlegmy, poison, blood stasis, etc.

"The understanding of treatment"

Wang Hongshi emphasis on the treatment of liver cirrhosis, should first distinguish the actual situation, treatment can be divided into more than remove pathogenic factors, tonify deficiency and adjusting methods of qi and blood.

Removal of damp heat evil

Due to hindered taste or eagerness and depressive courage, there is often an abdominal distention, poor little, mainland, or have jaundice, or spider angioma and haemorrhage. Associated with abnormal liver function, or bilirubin. Wang Hongshi think at this point and is empty, damp and hot accumulate poison spread blood points, when is given priority to with clear heat, cooling blood detoxification with wet, spleen yiqi is complementary. If accompanied by liver and kidney Yin deficiency, it remains to be nourishing liver and kidney, with spleen and kidney Yang deficiency, is appropriate to make considered additions removing of spleen and kidney, blood stasis combined with promoting blood circulation to remove blood stasis of product obviously. Commonly used drugs have wormwood herb, radix isatidis, radix geutianae, gardenia, money, dandelion, cortex moutan, rhizoma imperatae, field thistle, defeated sauce grass, cordate houttuynia, cold water stone, madder, radix paeoniae alba, etc.

The centralizer tonify deficiency

Nourishing liver and kidney Hot and humid for collection, liver Yin injury, liver or pixu (spleen deficient), kidney water shortage, or ferrite of damp heat evil easy to take advantage of weakness in hardness, rob shuo, kidney Yin, can lead to liver and kidney Yin deficiency, Yin deficiency of blood heat and heart kidney is not hand in the waiting. Common symptoms such as pain, pain, upset about dry mouth, much dream insomnia, dizziness, tinnitus, palpitation, shortness of breath, waist sour, liver palm, spider nevi, skin haemorrhage. At this time should be in clean humid also joined the taste salty cold and kidney Yin, make the heat is not easy to attack and hardness, this is known as "land of Ann is not evil". Treatment with more nourishing liver and kidney of fructus ligustri lucidi, radix polygoni multiflori, medlar, mulberry, fructus schisandrae, etc. Liver-kidney Yin deficiency, lack of body fluid and blood are not free, more should be appropriate to add items with promoting blood circulation to remove blood stasis, more help to the improvement of liver function.

Tonifying qi spleen nourishing blood Liver cirrhosis, liver, spleen weak, lack of qi and blood, often appear tired god idle, shortness of breath lazy speech, noodles Bai Shaohua, angular anemia, dry skin, or a swelling, little stomach stay, tongue light pulse is weak, plasma albumin, platelet and leucocyte reduce such signs, shall be more USES the method of tonifying qi of the spleen and nourishing blood, the main drug for astragalus membranaceus, dangshen, Chinese angelica, radix paeoniae alba, prepared rhizome of rehmannia, donkey-hide gelatin, dried human placenta, fructus ligustri lucidi, radix polygoni multiflori, Yin deficiency significantly turtle shell and tortoise plastron, Yang deficiency significantly add antler glue, thrombocytopenia, obviously still needs to make considered additions of cool blood bleeding. Raw huangqi is benefit qi and blood drug Lord, its has fill gas building up and direct effect, spleen healthy and vigorous vitality to filling, can remove stasis gave birth to a new transfer the viscera function, the water swelling. On the basis of making extensive use of raw is especially significant effect of astragalus membranaceus, dose available to five or six, two but excessive heat and humidity should not be applied.

Liver spleen Regulate qi and blood

Chronic liver disease patients have more diseases with qi and blood stasis, not free of hou, therefore, evacuation within, to reconcile blood occupies an important position in the disease treatment.

Wang Hongshi clinically for liver cirrhosis with liver splenomegaly, esophageal varices, abdominal wall stringy, or have ascites, dark tongue stasis vein obstruction of qi and blood stasis, such as elephants, soft firm blood to cure. Common peach kernel, safflower, turtle shell, oysters, rhizoma sparganii, rhizoma zedoariae, pangolin scales, verbena, etc. Wang Hongshi think and liver qi is tasted, can enhance the effect of activating blood know luo, soft and have the function of liver and spleen. However, the disease is the deficiency of qi and blood stasis, but common symptoms or two qi, appears ascites is more apparent, deficiency of arteries and veins more acerbity sluggish. Reason often cooperate with astragalus, codonopsis, angelica, radix polygoni multiflori, Chinese wolfberry, fructus ligustri lucidi, donkey-hide gelatin, tonic treatment such as radix paeoniae alba.

Humid lingering, diet weary or move unreasonableness, and fire all the spleen and stomach injury, liver and symptoms such as hot punishment spleen or liver stomach discord, such as chest MenZhang, two full needless pain, loss of appetite, food, nausea, gas, good depressed, abdominal distention diarrhea all CARDS. Saying goes "with fire from the gas, put fire to treat gas", or lowering leakage of hot qi, with liver qi with clearing damp jianwei method is feasible for gas expansion and elimination can drop, and contribute to the recovery of liver function. Clearing damp stomachic, multi-purpose ageratum, perrin, sichuan park, Chloe kernel, amomum villosum, poria, rhizoma atractylodis, focal three fairy valley, rice malt, liver qi multi-purpose green tangerine peel, incense, turmeric, yuan hu, bitter orange, fry sichuan neem, big belly skin, lime, radix linderae, etc.

【 basis 】 typical

, male, 41, a worker. In the spring of 1971, patients are often blocked the abdominal distension, two stabbing pain, loss of appetite, loose stools, lack of power, and low thermal, tooth often non-traumatic or subcutaneous ecchymosis. That November a hospital inspection is held the spleen and liver xiphoid process under three refers to the fact that blood leukocytes 4.35 x 109 / L, platelet 4.1 x 109 / L, liver function test: alanine aminotransferase (ALT) of 396 u/L, white/ball: 3.43/3.02, diagnosis of chronic hepatitis (activity). November 1972: esophageal imaging see middle period of mucosa circuity is not the whole, there are bug eat by moth sample small defect, the outline is not smooth, a diagnosis of esophageal varices. In April 1973, nausea, anorexia, patients with significant weight, lack of power, such as tea, the color of urine stool, diarrhea, jaundice, skin ecchymosis, lower limb is all the more, the liver under rib 3.5 cm, xiphoid process under 6 cm hit, spleen rib under 4 cm touch, without ascites. Liver function test: direct bilirubin 1.6 mg/ml, indirect bilirubin 4.8 mg/ml. Clinical impression "severe hepatitis, liver cirrhosis, subacute liver necrosis". During live a hospital, the use of dry plasma, liver very happy pills, hepatitis, wuji baifeng pills and the comprehensive treatment such as traditional Chinese medicine medicinal broth, jaundice retired, bleeding tendency obvious improve, food increases, liver function is close to normal, imaging of the esophagus. Because of fear surgery, patients with turn Wang Hongshi outpatient service is put in April 1974, she still has a history of high blood pressure. XianZheng: tiredness, backache leg soft, often pain, abdominal distension, loose stools, Sou yellow and less, the tooth non-traumatic, subcutaneous ecchymosis, night sleep soundly untrue, tongue coating thin white, pulse string and smooth.

Western medicine diagnosis: posthepatitic cirrhosis, portal hypertension, the splenic function, esophageal varices.

TCM diagnosis: tympanitis disease.

Syndrome differentiation: kidney deficiency, and qi stagnation and blood stasis, hot and humid than evil unfinished.

Legislation: Yin soft firm, promoting blood circulation to remove blood stasis, with the spleen.

Syndromes: turtle shell 5 money, safflower 3 money, triangular 2 money, verbena 2 money, dangshen 4 money, focal 3 money, huang jing 5 money, fructus ligustri lucidi 8 money, medlar 4 money, caulis spatholobi 8 money, mulberry parasitism money 8, 4 money dog ridge, sichuan break 5 money, liu send 3 money.

Treatment process, a backache leg soft to safflower, triangular, liu send, plus 4 money, papaya fry eucommia ulmoides 2 money; Liver function is abnormal, low platelet, toothed non-traumatic, subcutaneous ecchymosis, herba artemisiae 8 money, radix isatidis 5 money, cortex moutan 3 money, salvia miltiorrhiza 5 money, ze LAN 4 money, pink flower son 3 money, etc., the interest for 2 years, clinical symptoms and laboratory examination were significantly improved.