Experience of DONG Ming-Guo in Treating Early Cirrhosis from the Pathogenesis of Retention of Damp-Heat,and Blood Stasis Due to Yin Deficiency
Cirrhosis is a pathological stage in which the liver is damaged by various etiologic factors over a long period of time,and then progresses to hepatitis,hepatic fibrosis,and pseudo-lobule formation.In the view of traditional Chinese medicine(TCM),there are definite pathological factors for both cryptogenic and secondary cirrhosis.Based on the thoughts of previous famous TCM physicians in treating cirrhosis and his own clinical practice for years,Professor DONG Ming-Guo proposed that the pathology of early cirrhosis is mainly due to the retention of damp-heat,and blood stasis due to yin deficiency,and the location of disease mainly involves the spleen and stomach,liver and gallbladder.For the treatment of damp-heat,he advocated to follow the principle of"relieving exterior-excess syndrome with light and mild drugs",and adopted light and mild drugs and aromatic drugs for dispersing and dispelling the damp-heat,and enlivening spleen to remove dampness,thus to relieve the impact of dam-heat pathogen.For the management of blood stasis due to yin deficiency,"comprehensive encircling therapy"consisting of the methods of nourishing yin and replenishing qi,activating blood and eliminating abdominal mass,and clearing heat was recommended,and the refined Erjia Tiaogan Decoction of HE Yan-Shen was usually adopted.Through"relieving exterior-excess syndrome with light and mild drugs"and"comprehensive encircling therapy",the etiologic factors of the disease will be eliminated and their impact on the disease is relieved,and then the purpose of eliminating the etiologic factors of the disease and stabilizing the process of cirrhosis can be achieved,which will lay the foundation for the consolidation therapy of cirrhosis.
cirrhosisretention of damp-heatblood stasis due to yin deficiencydispersing and dispelling with light and mild drugsenlivening spleen to remove dampnessnourishing yin and replenishing qiactivating blood and eliminating abdominal massErjia Tiaogan De
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