Topical treatment of cirrhotic portal hypertensive gastropathy

  Cirrhosis is a terminal stage of liver disease, and there is no specific treatment or medicine for this disease. Liver cirrhosis belongs to the category of “bulging”, “accumulation of evidence”, “jaundice” and “deficiency labor” in Chinese medicine. Treatment is based on rational identification of evidence, and the traditional soup is mainly taken orally. However, due to the long duration of the disease, patients often find it difficult to accept long-term administration. In addition, when cirrhosis portal hypertension, the gastrointestinal tract is stagnant, accompanied by portal hypertensive gastroparesis, the effect of oral medication is poor, while the external application of Chinese medicine points will receive better results. Xing Youmei, Department of Liver Diseases, Zaozhuang City Hospital of Traditional Chinese Medicine 1. Mechanism of action Chinese medicine acupuncture point external application therapy is based on the theoretical basis of Chinese medicine meridian theory and internal organs theory, according to the needs of different diseases, choose the corresponding therapeutic drugs to adjust the paste, apply it to the treatment points, cover with gauze, adhesive tape, etc. to fix, with appropriate moxibustion therapy, or infrared radiation to achieve the purpose of prevention and treatment of disease. The three nine days is the coldest time in winter, is also the weakest time of the human yang, when the human yang convergence, qi and blood, dry skin, pores closed, many diseases at this time easy to get easy to commit, if at this time the use of three nine paste therapy acupuncture points, through the external drug directly stimulate the acupuncture points, by transdermal absorption, so that the local drug concentration is significantly higher than other parts, the effect is more direct, to stimulate the meridians.  2. Commonly used acupuncture points Chinese medicine acupuncture points are often used to treat liver cirrhosis and portal hypertensive gastric disease, such as Shen Que, Periodic Gate, Zhang Men, Sun and Moon, and Foot San Li, in order to achieve the purpose of softening the liver, shrinking the spleen, and regulating the body’s immunity. (1) Shen Que point (umbilicus): “Shen Que is the gateway to the passage of Shen Qi”, which is used to warm the Yang and save the rebellious, and to promote water retention. The Shen Que point is a key point of the Ren Vessel, corresponding to the Vital Gate of the Governor Vessel, which is connected to the Qi of the Governor Vessel and manages all the meridians of the body; it is also the place where the Chong Vessel circulates, and the Chong is the sea of the meridians, which connects the twelve meridians, the five viscera and six bowels, and all the limbs and bones, and plays a role in regulating the Qi and blood and the physiological functions of the viscera. (2) Periodic Gate, Zhangmen, Sun and Moon points: Periodic Gate is the collection point of the liver, Zhangmen is the collection point of the spleen, and Sun and Moon is the key point of the bile meridian, which functions to dredge the liver, strengthen the spleen, and lower the stomach. In terms of anatomical location, these points are located in the projection area of the liver and spleen, and the drug can be absorbed transdermally to act directly on the liver and spleen, achieving therapeutic effects through local stimulation. (3) Foot San Li acupoint: the lower point of the stomach, is the main point of the whole body strength, the function of strengthening the spleen and stomach, consolidating and nourishing the capital, opening and activating the meridians, lifting and lowering the qi, external application of this point can achieve the purpose of supporting the righteousness and eliminating evil, regulating immunity.  3. Clinical application At present, there are more clinical reports on the treatment of liver cirrhosis and portal hypertensive gastric disease and chronic hepatitis with the external application of Chinese medicine points.  The Ⅰ paste: it is composed of 16 Chinese herbs such as Sanliao, Curcuma longa, Panax ginseng and turmeric. The treatment is to expel water and diuresis, invigorate blood, regulate qi and warm yang. Modern pharmacological research confirms that: activating blood circulation and resolving blood stasis can not only increase liver blood flow, improve liver microcirculation, enhance liver metabolism, promote liver cell repair and regeneration, but also have various effects such as adjusting and improving body immune function, preventing liver fiber proliferation and promoting degradation of formed fibers; No. II paste: it is composed of thirteen herbs such as Banlangen and Shan Dou Gen. Take the points of Double Liver Yu, Right Phase Gate, Zhang Men and Foot San Li. The treatment is to clear heat, detoxify, warm the kidney, strengthen the spleen and invigorate blood. Modern pharmacology confirms that the above medicine can not only protect the liver and lower enzymes, promote liver cell regeneration, but also improve liver circulation and regulate immunity.