Discussion on treating chronic liver diseases based on the theory of treating liver diseases by strengthening spleen
Chronic liver diseases include fatty liver,liver cysts,hepatitis,etc.,and are classified as the categories of liver accumulation,flank pain,jaundice,swelling and so on in traditional Chinese medicine(TCM).Ancient TCM practitioners often treated chronic liver diseases by the methods of soothing the liver,strengthening the spleen,and regulating Qi(气).The theory of treating liver diseases by strengthening spleen originated from Nanjing(《难经》),and was further elaborated in Jingui Yaolue(《金匮要略》),that is,when liver diseases occurs,it will spread to the spleen,so spleen Qi should be reinforced before it is affected.It contains the idea of preventive treatment of disease.In the treatment of liver diseases,medicines for regulating and tonifying the spleen and stomach are added to enhance the vitality of spleen and stomach,so as to prevent immoderate liver wood from bullying spleen soil.The spleen and stomach are the organs for grain storage,and the source of Qi and blood generation and metaplasia.The healthy movement of the spleen and stomach can prevent spleen from being bullied by liver wood,and can nourish liver wood.Based on the theory of treating liver diseases by strengthening spleen and starting from the theoretical basis,etiology,and pathogenesis,this paper explores the role of this theory in the treatment of chronic liver diseases.It is understood that the theory of treating liver diseases by strengthening spleen is in line with the modern theory of intestinal-liver axis.It is found that the function of the intestine in Western medicine is closely related to spleen in TCM,and the large intestine is also a part of spleen in TCM.The digestion,absorption,and conduction of food in large intestine are the specific manifestations of spleen governing transportation and transformation in TCM,with the large intestine as the center,connecting the liver and spleen.Therefore,strengthening spleen should be carried through the whole process of the treatment of chronic liver diseases,preventing the disease before it occurs,preventing the disease from changing,and protecting the place that is not affected by pathogenic factors first.In the treatment of chronic liver diseases,drugs for strengthening spleen,tonifying Qi,and dispelling dampness are often added to prevent the deterioration.The patients should have a relaxed mood and a balanced diet,do physical exercise,and take Chinese medicines to regulate the body to make Qi and blood calm down,which has a positive significance for preventing the further transformation of chronic liver diseases.
Treating liver diseases by strengthening spleenIntestinal-liver axisChronic liver disease
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