One of the Chinese medical treatments for common concurrent symptoms of chronic liver diseases

I. Cold (1) Etiology and pathogenesis: The common cause of cold is the invasion of external evils and the deficiency of positive qi. In the state of irregular living, cold and temperature imbalance, and fatigue, the resistance decreases, the coupling is slack, and the guard qi is not solid, so when the wind or seasonal viruses are sensed and enter through the mouth, nose, skin and fur, and attack the lungs and guards, and the surface of the body is out of harmony, then there will be symptoms such as fever, headache, body ache, nasal congestion and running nose, cough, pharyngeal pain, headache, and body ache, etc. If patients with chronic liver disease suffer from cold, they should have sufficient rest and active treatment. Patients with chronic liver disease who suffer from flu should have sufficient rest and active treatment. Proper use of traditional Chinese medicine can rapidly relieve and control the symptoms without causing the disease to penetrate deeper into the body and produce other symptoms. (2) Treatment: Under the influence of different patients’ physical factors, after feeling external evils, there are differences between wind-cold cold, wind-heat cold, qi deficiency cold and yin deficiency cold; due to different seasons, there are differences between wind-dryness and summer-dampness, but the general treatment is to dispel evils and relieve the symptoms, and to promote the flow of lung qi. The sooner the medication is used, the better, and should not be delayed. (C) prescription: I often use the self-designed “Jingguangxiepian Tang” as the basic formula for the treatment of colds in the course of liver disease, with flexible addition and subtraction according to the accompanying symptoms, and treat it according to the evidence. 1, the basic formula: 9 ~ 12 grams of thorn mustard, 9 ~ 12 grams of windbreak, 12 ~ 15 grams of Su Ye, 9 grams of sesame, fried burdock 9 ~ 15 grams of almonds, fried burdock 9 grams of almonds, fried burdock 9 grams of Rhizoma Ligustici Chuanxiong 9 ~ 12 grams of Poria 15 grams of Semen Xie 9 grams of Pericarpium Citriodora 9 grams of ginger three slices of jujubes, five. 2, add and subtract: for those with malignant wind and cold, sweating or no sweating, add Gui Zhi 12 grams, Bai Shao 15 grams, and Tempeh 9~15 grams; for those with more than one cough, add Qian Hu 9~15 grams, and Zi Yuan 15~30 grams; for those with sputum that is white and sparse, add Dried Ginger 9~15 grams, Xin Xin 3 grams, and Wu Wei Zi 9~12 grams; for those with sputum that is yellow and viscous, add Tiger Cane 15 grams, and Morus alba Pi 12~15 grams; for those with shortness of breath, and weak veins, add Radix Astragali 30g; for back pain, add Qiang Wu 9~15g, Gentiana Macrophyllae 9g; for nasal discharge, add Ginger 9~12g, Goose Chestnut 9g; for nasal discharge with headache, add Cassia Seed 30g, Cassia Moss 30g; for throat pain, add Radix Panax Quinquefolium 9g, Radix Platycodonopsis 9~12g, Cortex Eucommiae 9g; for bowel movement or dryness with red tongue and yellow fur, add Nitroselum Acuminate 9~12g (later); for headache, add Cortex Pseudostellariae 9~12g (later); for sputum with yellow color and sticky texture, add Cortex Piperitiae 9~12g (later); for sputum with white texture and weak veins, add Astragalus Mascotinus. For headache, add 9~15g of Bauhinia, 9g of Angelica dahurica, 9g of Chrysanthemum; for fever, add 15~45g of gypsum (decocted first), 9~12g of Zhimu; for body temperature higher than 38.5℃, take 1~2g of antelope horn powder. Chinese patent medicine Qingkailing granules can also be used, 1~2 packets each time, with caution for those with loose stools. 3, decoction method: water decoction, 1 dose per day, water decoction 2 times, the total amount of 400 ml, divided into 3 times warm service. (D) Precautions: 1, once the chronic liver disease patients have a cold, the sooner the treatment, the better the effect, do not delay and delay the condition. 2, the cold within a week of the identification of drugs should highlight the “relief of the surface”, drive the evil out, do not see the fever, cough on the use of cold or astringent drugs, ice ambush evil, shall not be sent out, the surface of the evil into the inside, change other evidence. 3.Once a cold occurs, no matter the original disease is chronic hepatitis, cirrhosis, or liver cancer, it should give priority to the treatment of cold and stop reducing the original herbal medicine, and then turn to the treatment of the original liver disease when the cold gets better or cured. 4.Cold accompanied by purulent tonsillitis, elevated leukocytes, signs of infection, need to be combined with antibiotics oral or intravenous treatment. 5, judgment of mycoplasma infection caused by fever and cough, should be early application of azithromycin oral or IV to enhance the efficacy of rapid control of the disease. 6, high fever does not go away, with constipation, it is necessary to pass through the bowels of the heat, preferred manganese nitrate, XuanShen, ZhiMu and other medicines, so that the bowels back to normal, the high fever will often be relieved with the fecal diarrhea. 7, patients with liver disease are weak and susceptible to colds, you can take Yupingfeng granules to replenish the qi and solid surface, late fall should be timely injection of influenza vaccine for protection.