HAN's experience for treating 2 cases of chronic liver disease in TCM
The treatment of chronic liver disease with the Gongbu decoction(攻 补 汤)is based on the principle of soothing the liver and invigorating the spleen,activating blood circulation and eliminating dysentery.Attention should always be paid not to overattack during treatment.The treatment is to strengthen the spleen and soothe the liver,attack and tonify at the same time,attach importance to the use of drugs for invigorating the spleen and replenishing Qi(气),and combine with soothing the liver,softening the liver,tonifying the liver and other methods to protect the liver Yin(阴)to prevent Qi-regulating drugs damage to the liver.The course of chronic liver disease is long,and most of the patients with chronic liver disease show the symptoms of deficiency of liver and kidney.In view of this situation,clinical attention is paid to the application of kidney-tonifying drugs.Commonly used kidney tonifying drugs were Bajitian(Radix Morindae Officinalis),Tusizi(Semen Cuscutae),Gouqizi(Fructus Lycii),Shu Dihuang(Radix Rehmanniae Preparata),etc.,at the same time to prevent the decline of gastric function,fry Baizhu(Rhizoma Atractylodis Macrocephalae),Qingpi(Pericarpium Citri Reticulatae Viride)processed with vinegar and other drugs were added.Drugs for breaking blood and removing blood stasis should be used carefully in the treatment of chronic liver disease.The main treatment should be promoting blood circulation,nourishing blood and nourishing liver body.Jaundice is treated by the method of promoting blood circulation,regulating the liver and spleen,and paying attention to Qi.The combination of disease differentiation and syndrome differentiation should be used according to different types,and the patients with long illness should be treated by tonifying the kidney and cleaning therapy.HAN believes that disharmony between the liver and spleen,liver depression and spleen deficiency are the main causes of chronic liver disease,so attention should be paid to regulating the spleen and regulating Qi.Attention should be paid to soothing the liver and relieving depression to grasp the pathogenesis and use drugs flexibly to cure both symptoms and root causes.Obstruction of Qi and stagnation of liver pulse are the main pathogenesis of chronic liver disease.Treatment should pay attention to regulating Qi,activating blood circulation,and removing blood stasis for preventing and reversing liver cirrhosis.In view of the pathological condition of asthenia in origin and excess in superficiality,and asthenia accompanied by sthenia in patients with liver disease,attention should be paid to the use of blood-breaking drugs.According to the different stages of chronic liver disease,the patients were treated according to syndrome differentiation and classified on the basis of the treatment of the Gongbu decoction.This paper analyzes 2 cases of chronic liver disease of HAN,in order to provide reference for related research.
The Gongbu decoctionChronic liver diseaseLiver depression and spleen deficiencyRegulating Qi and activating blood circulationTonification and purgation in combination
NETL
NSTL
万方数据
维普
