Traditional Chinese medicine treatment of common concurrent symptoms of chronic liver disease

Stomach pain and bloating, poor appetite I. Etiology: The frequency of stomach pain and bloating, poor appetite and other symptoms in the course of chronic liver disease is very high, which can be triggered by liver disease, such as portal hypertension gastropathy, or unrelated to liver disease, such as the combination of chronic gastritis or dietary irregularities, cold, emotional and emotional disorders. The appearance of the above symptoms seriously reduces the quality of life, aggravates the patient’s pain, and is not conducive to the recovery of the original disease. Chinese medicine believes that the above clinical manifestations are closely related to the disharmony between the spleen and stomach and the imbalance of qi, so the application of the treatment of liver and gallbladder, spleen and stomach has often received satisfactory results. Treatment: Although the symptoms of spleen and stomach disorders are complicated, such as stomach pain and distension, poor appetite, acidity and heartburn, belching and noisy, nausea and vomiting, eruption and plumpness, etc., the key to the disease is that the spleen does not elevate and clear the air, the stomach is out of harmony, and the qi is out of balance. Therefore, the treatment should be to restore the spleen and stomach elevation as the main goal, elevation is restored, the evidence naturally light. In addition, because the liver is the main physiology of excretion is the premise and protection of the spleen and stomach elevation, therefore, dredge the liver and regulate the qi, and the stomach to lower the reverse is the basic treatment. Third, the prescription: I often use the self-proposed “adjusting the Chinese lowering reversal soup” as the main treatment with additions and subtractions, and the therapeutic effect is satisfactory. 1, the basic formula: 9~15g of Xiang Fu, 9g of Semenxia, 9~15g of Yu Jin, 6~9g of dry ginger, 15~30g of dandelion, 9~15g of white and, 9g of sand nuts, fried Lai Chi Zi 9g, 30g of raw Coix lacryma, 12~18g of Cangzhu, 15~30g of fried Atractylodes Macrocephala. 2, add and subtract: with red tongue, yellow, thick and greasy coating, go to the sand nuts, Xiang Fu, Atractylodes Macrocephala, plus cardamom 9-12 grams, patchouli 9g, 9 grams of Citrus aurantium, 9~18g of Huozhi. 9g, Citrus aurantium 9~15g; constipation, add 9~15g of woodruff, 9~30g of xuan shen, 6~9g of xuanming powder (later); loose stools and pale tongue with white veins, add 9~20g of dangshen, 30~45g of raw yam; bitter mouth, heartburn, add 9~12g of gardenia, 9g of gentian, 9~15g of baicalin. 3, decoction method: water decoction, 1 dose per day, water decoction 2 times, total 400 ml, divided into 3 times warm service. Precautions: 1, cirrhosis portal hypertension gastropathy only take the above herbal treatment is not enough, must be combined with proton pump inhibitors (such as: omeprazole, pantoprazole) or gastric mucosal protective agents and other joint therapy. 2.If combined with gastric or duodenal ulcer at the same time, it should also be combined with western medicines to carry out triple or quadruple therapy with sufficient quantity and sufficient course of treatment. 3, in addition to medication, all the symptoms such as stomach pain, bloating, poor appetite, less food, etc., should be abstaining from eating, suspend intake of cold, greasy, spicy and stimulating food (including various fruits, coleslaw, cold beverages, green tea, spinach, bitter gourd, kelp, chili peppers, alcohol), as well as soybean products, dairy products, sweets and coarse grains until the symptoms are completely eliminated more than 1 month. Attention should also be paid to prevent cold and keep warm, cold legs and feet is also a common cause of gastrointestinal diseases. The above matters are directly related to the therapeutic effect, many patients take medication with poor efficacy, mostly related to the neglect of the above factors.