Professor DONG Jun's experience in treating non-alcoholic fatty liver disease from middle-Jiao liver and spleen
Nonalcoholic fatty liver disease(NAFLD)is a metabolic stress liver injury closely related to insulin resistance and genetic susceptibility.The disease spectrum includes nonalcoholic simple steatosis,nonalcoholic steatohepatitis,liver cirrhosis and hepatocellular carcinoma.The global prevalence of NAFLD is as high as 25％,and it has become the largest chronic liver disease in China.NAFLD is closely associated with obesity,type 2 diabetes,metabolic syndrome,arteriosclerosis,cardiovascular and cerebrovascular diseases.Modern medicine has no ideal treatment drugs,mainly through low-fat diet and weight control management.Traditional Chinese medicine has the characteristics of multi-targets,multi-pathways and multi-directions regulation.It can not only improve the clinical symptoms of patients,but also has advantages in lowering blood fat,protecting liver and lowering enzyme,and preventing the progress of liver fibrosis.Professor DONG Jun treated the disease from the point of liver and spleen in middle-Jiao(中焦).The professor thought that the core pathogenesis of the disease was spleen deficiency and dampness stagnation,the key point of pathology was that the spleen lost the function of transport,and phlegm and turbid internal obstruction,the essence of pathology was that the liver and spleen in middle-Jiao had the same disease,taking spleen deficiency as the root cause and liver subjugating spleen as the superficial symptom.DONG stressed that the root cause of liver Qi(气)subujgating spleen in this disease lies not in the liver but in the spleen.It lies in the loss of healthy movement of the spleen and the abnormal rise and fall of Qi,so that the body can not absorb nutrition,resulting in dampness and phlegm turbidity,and then phlegm and blood stasis intertwine.Therefore,in the treatment,Professor DONG emphasized treating the liver from the spleen,strengthening spleen sending up essential substances to recover the function of liver,resolving dampness and lowering turbidity to remove phlegm and blood stasis,turning on the central focus,and then all the viscera are safe.The author summarized Professor DONG Jun's clinical experience in the treatment of non-alcoholic fatty liver disease as follows,with one medical case to support,in order to provide reference for clinical diagnosis and treatment.
Non-alcoholic fatty liver diseaseMiddle-JiaoLiverSpleenTreating liver from spleen
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