What is the clinical experience of Chinese medicine in treating post hepatitis cirrhosis?

Cirrhosis is a common clinical chronic, progressive, diffuse liver disease, which can be caused by different etiologies, with post hepatitis cirrhosis being the most common. Its pathological changes are characterized by fibrosis of liver parenchyma and nodular regeneration of hepatocytes, with destruction of hepatic lobules and formation of pseudo lobules as its pathological basis, often combined with ascites, pleural fluid, spontaneous peritonitis, upper gastrointestinal hemorrhage, portal hypertensive gastropathy, portal vein embolism, hepatic encephalopathy and hepatorenal syndrome, which are serious complications that greatly threaten the health of human beings. Prof. Li Suliang has studied liver and gallbladder diseases for more than 30 years, and has accumulated rich clinical experience, and his experience in treating this disease with traditional Chinese medicine is introduced as follows: 1, Chinese medicine’s understanding of this disease Post-hepatitis cirrhosis is the main type of cirrhosis in our country, which belongs to the motherland medicine of “dystocia”, “obstruction in the abdomen”, “accumulation of mass”, “accumulation in the stomach”, “accumulation of mass”, “accumulation of mass”, “accumulation of mass”. It belongs to the categories of “coercive pain”, “mass in the abdomen”, “accumulation” and “dropsy” in Chinese medicine. Its pathogenesis is complex, with incomplete removal of dampness, heat and toxicity, deficiency of the positive and evil, obstruction of the veins and channels, blood stasis in the liver and spleen, and the formation of mass in the abdomen over time. The disease is located in the liver and involves the spleen and kidney. The author often uses the methods of activating blood circulation and removing blood stasis, strengthening the spleen and supporting the correctness, detoxifying and expelling evils, and tonifying the kidney to identify and treat the disease, and often obtains miraculous results in the clinic. (2) Activating blood circulation and removing blood stasis as the main line, combining with nourishing, promoting and dispersing (1) Activating blood circulation and removing blood stasis as the main line: Post-hepatitis cirrhosis occurs on the basis of chronic viral hepatitis, and blood stasis in the liver, spleen and blood is the key to the pathogenesis of the disease, just as what Tang Rongchuan said, “Blood stasis is in the internal organs and meridians and is formed in the obstruction in the abdomen”; and what Wang Qingren of Qing Dynasty pointed out, “Lumps in the belly must be caused by the presence of the spleen and kidney. Belly lumps, there must be tangible blood”. Staying in the line, the author often to activate blood stasis as the main line of medicine selected danshen, yujin, chuanxiong, red peony, peach kernel, safflower, etc., obese discretionary addition of trigonelline, curcuma longa, etc. in order to break up the stasis of stagnation, stasis of blood away from the qi and blood, the liver qi to the healing of the disease. (2) Activating blood stasis focuses on nourishing the blood: single use of medicines to activate blood stasis is easy to deplete and injure the blood, making the blood deficiency even worse, and the stagnation of the veins and channels is not conducive to the elimination of blood stasis. Liver body yin and use yang, liver yin and blood full, the firm since the elimination of soft and moist, the function can be restored. Clinical practice should focus on the use of products that promote blood circulation and nourish blood, such as Salvia miltiorrhiza, Angelica sinensis, sautéed white peony, chicken blood vine, etc., which are used in conjunction with stasis-activating medicines such as peach kernel, safflower, Rhizoma Ligustici Chuanxiong, and radix Paeoniae Alba, so as to moisten and dry each other, so as to dissolve blood stasis without injuring blood, and nourish blood without causing stasis. (3) Activating blood stasis and dispersing knots: Cirrhosis is a tangible symptom, stagnation of liver and spleen veins and channels is an important pathological state of cirrhosis, “the firm one eliminates it”, “the knot one disperses it”, for those who have long liver hardness, they must choose the products with blood and flesh, using shelled turtle shells, leeches, ground turtle shells, etc. in order to eliminate stagnation of blood, For those who have been ill for a long time, the liver should be hardened by blood and flesh, and the liver should be dispersed by the use of leeches, leeches and ground beetles, and turtle shells, oysters to soften and dissipate the knots. Cannonball armor taste bland sex flat, the nature of the run, no matter what, can be declared through the internal organs, implementation of the meridians and channels, penetration of the pass, where the blood coagulation and blood aggregation for the disease, are able to open; leeches taste bitter and salty sex flat, the work of good at the breakthrough of the blood and expel blood stasis, through the meridians and eliminate the symptom; soft shelled turtle shells, salty flavor and gas flat, good to attack and do not damage the gas, the upper and lower yin and yang, there is a plagued with stagnation, it is desirable to use it. The three flavors are powdered and taken, and the power of clearing the channels and dispersing the knots is even more prominent. Activation of blood circulation and elimination of blood stasis is complemented by opening and dispersing the collaterals and knots. (4) Activation of blood stasis must first benefit qi: blood stagnation and blood stasis caused by qi deficiency is an important pathological process in the formation of this disease, coupled with the activation of blood stasis medication is easy to depletion of the body’s positive qi, the author attaches great importance to the use of qi tonic, activation of blood stasis must be beneficial to qi, qi, and easy to pass the blood, and often choose the Codonopsis pilosulae (or raw sun-dried ginseng, red ginseng), astragali and so on, in order to strengthen the activation of blood and eliminate blood stasis power. Gas is the marshal of blood, the operation of blood and the elimination of blood stasis are dependent on the free flow of gas, while benefiting gas and activating blood stasis, discretionary addition of qi products, such as Chaihu, Houpu, Citrus aurantium, Chenpi, Buddha’s hand, Augustus, etc. Article of the liver qi, so as to make up for the qi and not congested. (5) Stage by stage: when cirrhosis is in different stages, the method of activating blood stasis should be applied flexibly, such as compensated cirrhosis esophagogastric fundal vein varicose is not obvious and the person who is strong and solid can use a large amount of medicines for short term to activate blood stasis, and the person who has severe varicose esophagogastric fundal vein in uncompensated cirrhosis or with bleeding signs should reduce the taste of activating blood stasis medicines to decrease the amount, and be careful to use the products that break blood stasis with fierce taste so as not to aggravate the risk of bleeding. For patients with upper gastrointestinal hemorrhage, Panax notoginseng powder, Bai He, Xi Cao, Xian He Cao, Catechu, alum, rhubarb charcoal, etc. are chosen to eliminate stasis and astringent to stop bleeding, and appropriate amount of products to activate stasis are added. Among them, Panax quinquefolium is sweet and slightly bitter, warm and passes into the blood, good at stopping bleeding, and good at removing blood stasis, with the long of stopping bleeding without leaving blood stasis.