Liver cirrhosis ascites treatment and conditioning

  The occurrence and treatment of ascites cannot be viewed in isolation. TCM treatment emphasizes the combination of person, disease and evidence, that is to say, in the treatment of ascites, the patient’s physical quality and the nature of the symptoms should be taken into account, not only to consider the benefit of water, but also to consider that no more water is generated, not to see water to facilitate, to see the swelling to eliminate swelling. The following points are available for reference: 1, not only indicators: relevant examination indicators are significant for disease diagnosis and disease assessment, but must not rely excessively on a certain indicator, Chinese medicine treatment lies in the examination indicators grouped under the symptoms, combined with the patient’s deficiency of cold and heat properties, take the appropriate medicine, such as hypoalbuminemia, hypocoagulable blood, thrombocytopenia, portal hypertension, etc., should be integrated with the overall identification of the evidence to select the prescription of medicine or The overall diagnosis and selection of prescriptions to support or dispel evil, rather than out of evidence, pile up some “research” that can improve the indicators of drugs, evidence-based treatment not only to improve the symptoms, but also to improve the indicators.  2, pay attention to the spirit of the diet: diet as normal, the spirit of a better disease shallow and easy to cure, on the contrary, the diet does not enter, the form and spirit of fatigue, repeatedly, with other diseases, heavy disease prognosis is poor. Therefore, it is very important to regulate the spleen and stomach, pay attention to the patient’s diet and nutrition, there is a causal relationship between the body, diet, spirit and disease, the doctor will also judge the depth of the disease, and prognosis and medication.  3, pay attention to the timing and method of water: water is an important treatment principle for cirrhosis ascites. Chinese medicine should be based on poison, stasis, deficiency symptoms and the transformation of the specimen, and make good use of attack and benefit. At the beginning of the disease, seven points of attack and benefit, three points of regulation; long-term disease or repeated, it is appropriate to seven points of regulation, three points of attack and benefit; diuresis with “water to slow”, “slow elimination and slow dispersal” method, not to fast attack and decongestion as a function, in the identification of the premise of the choice of psyllium, red beans, white foxglove, corn beard In addition, the formula of Wu Ling San and Wu Pi Drink can treat both the symptoms and the root cause. The strong diuretic seems to be quick, more harm to yin and consume qi, repeatedly also fast.  4, the bulge receded good conditioning: after the bulge ascites receded, is deficient in blood stasis of the body has not yet fundamentally changed, after the conditioning is vital. We use Six Junzi Tang to regulate the spleen and stomach in the middle jiao; Blood Mansions and Blood Stasis Soup to regulate qi and invigorate blood, to remove stasis and create new blood; Prosperity San to strengthen the spleen and nourish the liver, the body with the same regulation, can consolidate the effect. Ginger and jujube, heliotrope, chicken neijin and jiao sanxian help to promote digestive function; in addition, avoid wind and cold, diet, careful living, far from sexual intercourse and other recuperation details, to prevent recurrence and prolong life with the disease are not to be underestimated.