This disease is similar to hypochondriac pain and jaundice in traditional Chinese medicine. Whether there is jaundice in chronic hepatitis has a great relationship with qi deficiency and damp heat. Healthy qi can't drive away evil spirits, and the evil spirits of damp-heat epidemic drugs are trapped in the body for a long time. The long-term confrontation between healthy qi and evil spirits leads to prolonged illness and becomes the basic pathogenesis of acute and chronic hepatitis. The viscera of chronic hepatitis are mainly liver, spleen and kidney, with common qi deficiency and yin deficiency. Besides damp-heat epidemic, there are qi stagnation and blood stasis. In the treatment of chronic hepatitis, the attack of evil lies in detoxification and liver protection. However, the invasion of pathogens can not help the growth of seedlings, and the correction should prevent blockage and hinder transportation. Regulating qi should not break qi, removing blood stasis should not break blood; Detoxification should not be devoted to bitter cold, and dryness should not be excessively bitter, which should not only benefit the whole, but also focus on the local; It is not only used to activate the liver, but also used to activate the liver.
Treatment 1. The main symptoms of damp-heat syndrome of liver and gallbladder are yellow, bright yellow, fever and thirst, upset, dry mouth and bitter taste, nausea and vomiting, abdominal distension, hypochondriac pain, constipation or grayish white, and short yellow urine. Red tongue, yellow greasy fur and thready pulse. Fang Yi Yinchenhao Decoction comes from Treatise on Febrile Diseases and consists of 20 grams of Yinchenhao, 0/0g of Gardenia/kloc and 0/0g of rhubarb/kloc.
Clearing away heat and promoting diuresis, and assisting purgation.
After use, add 500 ml of water to the two drugs and boil them for 10 to 15 minutes, then add Herba Artemisiae Scopariae. After boiling, take 300 ml of juice and take it twice.
Chen Yin is reused as the monarch drug in the prescription, because of its good diuretic effect, it is the main drug for jaundice. I use gardenia to clear away heat and reduce fire, promote triple energizer, and lead to damp-heat defecation. Use rhubarb to purge heat and remove blood stasis, dredge stool, and guide blood stasis and heat to defecate. The combination of the three drugs can promote diuresis and clear heat, and make the second one convenient for dampness, which can be eliminated before and after. If the damp heat can go down, the jaundice will subside automatically.
Drugs such as Cortex Phellodendri, Polyporus and Poria can be added as appropriate, and bamboo shavings and coptis can be added for nausea and vomiting. If abdominal distension, abdominal distension, abdominal distension, Fructus Aurantii Immaturus and Cortex Magnolia Officinalis are added; If hypochondriac pain is severe, Radix Bupleuri and Radix Curcumae are added. Fanggeshi Santang consists of 30g gypsum, 30g mirabilite,15g talc and15g honeysuckle.
Clearing away heat and promoting diuresis, and assisting purgation.
Usage: decoct with water, one dose per day.
In the recipe, gypsum and cold water stone are king; Talc and honeysuckle are ministers.
Note: If sandstone blocks the biliary tract, it is advisable to add Herba Artemisiae Scopariae, Herba Lysimachiae Christinae and Radix Curcumae with Dachaihu Decoction; If the biliary tract is blocked by worms, Herba Artemisiae Scopariae and Fructus Gardeniae should be added to Wu Mei Pill.
2. The main symptoms of dampness-trapped spleen and stomach syndrome are dim eyes, yellow stagnation, heavy head, chest tightness, nausea, abdominal distension and unclean stool. The fur is greasy and yellow, and the pulse is smooth or slow. Fangji Chen Yin Wuling Powder comes from synopsis of the Golden Chamber and consists of Chen Yin 15g, Poria cocos 15g, Atractylodes macrocephala 10g, Polyporus umbellatus 20g, Alisma orientalis 15g and Ramulus Cinnamomi 6g.
The efficacy is to eliminate dampness and turbidity and clear away heat.
Usage: Boil the last five herbs first, then add Herba Artemisiae Scopariae, and take 300 ml of juice, and take it twice.
The prescription consists of Wuling powder and Artemisia capillaris. In the prescription, Alisma orientale is the king, which is sweet, light and cold, reaching directly to the kidney and bladder, and promoting diuresis. I use the light transmittance of Poria cocos and Polyporus to enhance the power of diuresis and dampness elimination. With the help of Atractylodes macrocephala and spleen meridian, the water and dampness are transported and the semen is adjusted, so that the water essence is distributed in four places instead of directly driving down. Ramulus Cinnamomi, a dual-purpose medicine, is helpful to relieve exterior yang and internal gasification of bladder.
According to the remarks, musk and nutmeg can be added to promote qi circulation. Pinellia ternata and Pericarpium Citri Tangerinae can be added for vomiting. Pericarpium Arecae and Radix Aucklandiae are added for patients with severe abdominal distension; If damp and heat are equally important, manna can be used to disinfect Dan. Formula 1: Chenyinlingwei Decoction consists of Chen Yin 15g, Poria cocos 15g, Atractylodes macrocephala 10g, Polyporus umbellatus15-20g, Alisma orientalis 15g, Rhizoma Atractylodis 10g and Magnolia officinalis/kloc-0.
The efficacy is to eliminate dampness and turbidity and clear away heat.
Usage: decoct with water, one dose per day.
"Fang Jie Fang" Wuling powder, diuresis and turbidity; Chen Yinyin has the functions of clearing away heat, promoting diuresis, promoting gallbladder and eliminating jaundice; Magnolia Officinalis and Pericarpium Citri Tangerinae have the effects of invigorating qi, invigorating spleen, eliminating dampness and resolving phlegm; Glycyrrhiza uralensis Fisch blends various drugs.
Note: If both symptoms appear at the beginning, you can use Ephedra, Forsythia suspensa and Red Bean Soup.
3. The main symptoms of the syndrome of excessive heat toxin are sudden onset, rapid deepening of jaundice and yellow as gold. Accompanied by high fever, polydipsia, delirium, nosebleed, bloody stool and ecchymosis. The tongue is red, the coating is yellow and dry, and the pulse is slippery. Fang Yi rhinoceros horn powder, which comes from "Prepare for Urgent Thousand Golden Prescriptions", is composed of rhinoceros horn (buffalo horn generation) 1.5 ~ 3g, coptis root10g, gardenia 15g, Cimicifuga rhizome 12g and Herba Artemisiae Scopariae 30g.
The effects of clearing away heat and toxic materials, cooling camp and inducing resuscitation.
Usage: decoct with water, one dose per day.
Fang Jie used rhinoceros horn to clear heat and cool blood; Huanglian is clear and scorched; Gardenia clearing liver and meridian fire; Herba Artemisiae Scopariae diuresis turns yellow, and Cimicifuga Rhizoma helps rhinoceros horn to increase the efficacy of clearing away heat and toxic materials; The whole prescription has the functions of clearing away heat and toxic materials and cooling blood.
According to the notes, Cortex Moutan, Radix Scrophulariae and Dendrobium can be used to enhance the efficacy of detoxification and cooling blood. Fangge Huanglian Jiedu Decoction consists of 9 grams of Chuanlian, 9 grams of Scutellaria baicalensis Georgi, 9 grams of Cortex Phellodendri and 0/0 grams of Gardenia/kloc.
The effects of clearing away heat and toxic materials, cooling camp and inducing resuscitation.
Usage: decoct with water, one dose per day.
This recipe can relieve the bitter cold of Chuanlian, Scutellaria baicalensis and Phellodendron amurense, and clear away heat and toxic materials, in which Chuanlian is clear in the middle and upper jiao; Scutellaria baicalensis Georgi is clear and burning; Huang Baiqing is hot; Purging triple energizer, conducting heat to go out.
According to the words, if you are unconscious, you can eat Angong Niuhuang Pill or Zhibaodan; Such as nosebleed, hematochezia or ecchymosis, adding Sanguisorba charcoal and cypress charcoal; For those with short urine or ascites, Akebia stem, imperata rhizome, plantain and pericarpium arecae can be used.
4. The main symptoms of cold coagulation and yang failure syndrome are long course of disease, dim eyes, anorexia, abdominal distension in loose stool, listlessness, chills, pale mouth and no thirst. The tongue is pale, the coating is white and greasy, and the pulse is slow or slow Prescription 1, CHEN Yinshu Tang Fu, originated from medical understanding, is composed of Herba Artemisiae Scopariae15-20g, Atractylodis Rhizoma 10g, Radix Aconiti Lateralis 10g, dried ginger 3g, cinnamon 3g, and licorice root 10g.
Efficacy of warming and drying dampness, strengthening spleen and regulating stomach.
Usage: decoct with water, one dose per day.
This recipe can warm the middle and stagnate, promote diuresis and reduce jaundice. In the prescription, Yinchen dispels dampness, benefits gallbladder and relieves jaundice, Fuzi Ganjiang warms the middle and dispels cold, and Baizhu Glycyrrhiza strengthens the spleen and regulates the stomach.
According to the statement, Poria cocos, Alisma orientalis and other dampness-promoting products can also be added. Prescription Erfuzi Lizhong Pill: cooked aconite root10g, ginseng root15g, Atractylodes macrocephala10g, dried ginger10g and licorice root 6g.
Efficacy of warming and drying dampness, strengthening spleen and regulating stomach.
Usage: decoct with water, one dose per day.
Fang Jiefang used aconite and dried ginger to warm the spleen and stomach and disperse the cold inside; Ginseng tonifies the vitality, Atractylodes macrocephala strengthens the spleen and dries the dampness, and Glycyrrhiza uralensis Fisch is roasted to benefit qi and balance the middle. All the medicines are combined to warm and tonify dampness, strengthen the spleen and regulate the stomach.
According to the statement, if the abdominal distension is thick, remove Atractylodes macrocephala and Glycyrrhiza uralensis Fisch, and add Atractylodes lancea and Magnolia Officinalis; If you stab yourself in the chest, you can use turtle shell Wan Jian.