2 English references ascites due to cirrhosis
Conclusion Ascites due to cirrhosis is a common chronic progressive diffuse liver disease. It is mainly caused by viral hepatitis in China. Western medicine studied the disease earlier, but it is still a difficult problem in treatment. Generally, it is used for protecting liver, diuresis, abdominal puncture and drainage, surgical treatment, etc. Use, the curative effect is not ideal.
Ascites due to liver cirrhosis belongs to the category of "abdominal distension" or "simple abdominal distension" in traditional Chinese medicine. As early as Neijing, the symptoms and treatment of abdominal distension were recorded. "Soul Pivot Water Inflates" says: "What about inflation? Qi Bo said: Abdominal distension, big body, big skin and so on. The color is light yellow and the abdomen is stiff. The same is true. " He also mentioned the treatment with paederia cristata and acupuncture. The discussion in synopsis of the golden chamber is more specific. For example, the symptoms of liver water: "its abdomen is large, it can't lie on its side and rotate, it has abdominal pain under the ribs, and sometimes it has micro-body fluid and constant urination." Doctors in Jin and Yuan Dynasties have different opinions on the etiology and pathogenesis of abdominal distension. For example, Liu Hejian mentioned in "Nineteen Pathogenesis" that "all belong to heat"; Li Dongyuan pointed out in the "Lanbao Secret Collection" that "it is all caused by weakness of the spleen and stomach"; Zhu Danxi thought it was "damp and hot with turbidity, and the tunnel was impassable". By the Ming and Qing dynasties, the study of this disease not only had a deeper understanding of symptoms and differential diagnosis, but also accumulated rich treatment experience. For example, Li Yong thought in "An Introduction to Medicine in Ming Dynasty": "To cure inflation, we should not only make up the dampness in the middle, but also promote digestion and even break the salt sauce." Zhang Jingyue, on the other hand, put forward the method of "treating abdominal distension to distinguish deficiency from excess". A large number of theories and practices of physicians in past dynasties provided a deep foundation for future generations to study this disease.
The study of this disease in modern Chinese medicine began in 1950s, and the earliest clinical article was found in 1955. 65438-0959 Large sample observation data of TCM syndrome differentiation and treatment appeared. Since then, Chinese medicine has paid more and more attention to the treatment of this disease. According to 1 10 literature statistics, 5386 cases of ascites due to liver cirrhosis were treated by traditional Chinese medicine in the 1950s and 1990s. Through clinical exploration and repeated accumulation of a large number of clinical experiences, it is proved that traditional Chinese medicine has obvious effects in eliminating ascites, improving liver function and promoting liver texture softening. At present, the curative effect of traditional Chinese medicine or combination of traditional Chinese and western medicine on this disease is mostly above 80%.
In recent years, some experimental studies have been carried out on the basis of satisfactory curative effect. If it is proved that the deficiency syndrome of liver cirrhosis is closely related to the contents of zinc, copper and iron in serum, patients with deficiency syndrome should choose more Chinese medicines with high zinc content in the treatment of liver cirrhosis, which provides an objective basis for the dialectical medication of this disease.
4 Etiology and Pathogenesis According to the discussion of doctors in past dynasties and modern understanding, the main causes of this disease are emotional damage, improper diet, excessive drinking, jaundice infection, chronic overwork and schistosomiasis infection. The disease is located in the liver, but according to the theory of five internal organs of traditional Chinese medicine, most doctors believe that its pathogenesis is related to the dysfunction of liver, spleen and kidney, resulting in qi stagnation, blood stasis and water stagnation in the abdomen. The pathogenesis is summarized as follows:
Qi stagnation and dampness resistance are mostly caused by excessive five senses, food injury, disharmony between liver and spleen, improper lifting and turbidity of qi; Or the liver qi fails to reach, the meridian qi is blocked, and the dampness blocks the qi; Or qi stagnation and fullness, spleen and stomach transport dereliction of duty, leading to water and dampness retention, will not persist for a long time, congestion will lead to disease.
The accumulation of damp heat leads to excessive drinking, improper diet and damp heat. Spleen and stomach damage, long-term physical anti-aging, spleen deficiency leading to dereliction of duty, alcohol dampness and heat poisoning is not good; Or bad luck, abnormal fluctuation, mixed turbidity, tunnel congestion, stagnation of heat, summer heat and dampness, damp heat is bound to cause disease.
Blood stasis blocks the accumulation of jaundice, and damp heat accumulates in the liver and gallbladder, which leads to improper treatment, spleen injury due to long-term damp heat, stagnation of water and dampness, stagnation of liver qi, qi stagnation and blood stasis.
Spleen and kidney yang deficiency, delayed treatment, internal injury to the liver, blood stasis, turbidity and infection with schistosomiasis; Or improper diet, spleen yang deficiency and failure. Spleen failure can't make water, and the water overflows and damages kidney yang. Deficiency of kidney yang, unfavorable gasification and cost disease. Chronic liver disease lasts for a long time, leading to internal injury of the liver and involving the kidney. Kidney and bladder surface, kidney deficiency is not conducive to gasification, water turbidity and blood stasis are bound to cause disease.
Eating disorders due to yin deficiency of liver and kidney damage the spleen and stomach; Or overwork, damage the kidney yin, leading to insufficient essence and turbidity blocking the airway; Or after a long illness, liver and spleen are injured, involving kidney yin, so that water vapor does not stay and blood stasis does not work; Or excessive drainage, injury to body fluid and fluid consumption, leading to liver and kidney yin deficiency.
Generally speaking, in the early stage, liver-qi stagnation and blood stasis are common, while ascites is mostly caused by qi stagnation and dampness resistance, and the liver and spleen veins are blocked, forming essence deficiency and essence solid; At the end stage, the kidney is mostly involved, which can be divided into spleen and kidney yang deficiency and liver and kidney yin deficiency, or both.
5 syndrome differentiation, according to the experience of each family, can be summarized into the following five types:
1. Qi stagnation and dampness resistance is the first episode of this disease. Abdominal distension, hypochondriac pain, anorexia, postprandial abdominal distension, belching weakness, short and red urine, loose stool, abdominal distension and hypochondriac swelling. White and greasy fur, slow pulse.
2. Damp-heat accumulation is the syndrome of water-dampness accumulation and heat accumulation. Abdominal fullness and firmness, refusal to press, abdominal distension, vexation and thirst, red eyes and yellow urine, constipation, aversion to food and sleep. The tongue is red, the fur is yellow and rough, and the pulse is string.
3. Blood stasis block is a serious true distension. The abdomen is large and firm, the veins in the abdominal wall are exposed, the flank and abdomen are painful, the complexion is dull or the lip color is blue, spider moles can be seen in the neck and chest, the liver and palm are not conducive to urination, and the stool is black. The tongue is purplish red with ecchymosis, and the pulse is fine and astringent.
4. Yang deficiency of spleen and kidney is accumulation of cold water. Abdominal distension, especially at dusk, lack of food, mental fatigue, sallow complexion, cold limbs and short urine. The tongue is light purple and fat, and the pulse is heavy and thin.
5. Yin deficiency of liver and kidney is mostly caused by long-term illness, blood stasis and heat, injury to body fluid and serious illness. The abdomen is large and full, the veins are exposed, the ribs are swollen and tingling, the body is emaciated, the complexion is dull, the lips are blue, the skin is dull, the mouth is dry, the teeth and nose are bleeding, the urine is short and red, and constipation is knotted. The tongue is crimson, with little fur and thin and numerous pulses.
6. Treatment 6. 1 Efficacy standard cure: ascites and jaundice completely disappeared, symptoms disappeared or basically disappeared, liver and spleen obviously shrank and softened or remained unchanged, liver function returned to normal, physical strength recovered, and he could work as a general worker without recurrence after stopping taking drugs for more than half a year.
The curative effect is remarkable: ascites and jaundice subside, main symptoms disappear, physical strength is obviously restored, liver and spleen remain stable, and liver function is obviously improved; Or has reached the clinical cure standard and recurred within half a year.
Effective: ascites and jaundice have obviously subsided, and symptoms and liver function have improved.
Ineffective: symptoms, signs and liver function did not improve after half a month of treatment, or further deteriorated or died.
6.2( 1) Classified treatment of damp-heat syndrome due to qi stagnation
Treatment: soothing the liver and regulating qi, eliminating dampness and strengthening the spleen.
Prescription: 6 grams of Bupleurum, 6 grams of dried tangerine peel, 0/0g of Ligusticum chuanxiong, 0/5g of Paeonia Rubra, 0/0g of Fructus Aurantii, 0/0g of Rhizoma Cyperi, 0/0g of Rhizoma Atractylodis, 0/0g of Cortex Magnolia Officinalis, 0/0g of Kloc.
Addition and subtraction: radish seed, agarwood, plantain seed and medulla tetrapanacis are added for abdominal distension and less urine; Fructus Gardeniae, Herba Artemisiae Scopariae, Radix et Rhizoma Rhei, and Herba Lysimachiae Christinae can be added for abdominal distension, dry mouth and constipation; The swelling and pain under the hypochondriac ribs are very important, such as green husk, bergamot and citron; Radix Salviae Miltiorrhizae, Rhizoma Curcumae Longae and Radix Notoginseng are added for hypochondriac pain.
Usage: 1 day 1 dose, decocted in water and taken twice.
Efficacy: 80 cases were treated with * * * *, 28 cases were cured, 29 cases were effective 13, and 29 cases were ineffective 10, with a total effective rate of 87.5%.
Commonly used prescriptions: Chaihu Shugan Decoction and Wei Ping Powder.
(2) Accumulation of damp-heat
Treatment: clearing away heat and promoting diuresis, and promoting diuresis.
Prescription: Herba Artemisiae Scopariae 30g, Ramulus Cinnamomi10g, Poria cocos 12g, Rhizoma Atractylodis Macrocephalae12g, Polyporus 30g, Rhizoma Alismatis15g, Radix Curcumae12g, Fructus Aurantii12.
Addition and subtraction: excessive heat toxicity reduces Atractylodes macrocephala, increases green leaves, Radix Isatidis, Rhizoma Polygoni Cuspidati, Herba Taraxaci and Herba Plantaginis; Abdominal distension with Fructus Aurantii Immaturus, Lignum Aquilariae Resinatum and Raphani Semen; When urination is unfavorable, corn stigma, Phytolacca acinosa, aged wax gourd and SINONOVACULA powder are added; If you are confused, eat Qingying Decoction and Angong Niuhuang Pill first.
Usage: 1 day 1 dose, decocted in water and taken twice.
Efficacy: Prescription * * * treated 102 cases, cured 14 cases, markedly effective in 28 cases, effective in 26 cases and ineffective in 34 cases, with a total effective rate of 66.7%.
Common prescriptions: Yinchenhao Decoction, Yinchenwuling Powder, Xiaoyan Dan and Qingying Decoction.
(3) blood stasis block
Treatment: promoting blood circulation and removing blood stasis, promoting qi circulation and promoting diuresis.
Prescription: Radix Salviae Miltiorrhizae 30g, Radix Angelicae Sinensis 12g, Flos Carthami 5g, Semen Persicae 10g, Cortex Moutan 10g, Radix Paeoniae Rubra 20g, Squama Manis 10g, Concha Ostreae 30g, Rhizoma Atractylodis Macrocephalae 10g and Pericarpium Citri Reticulatae Viride 10g.
Addition and subtraction: Curcuma Rhizome, Curcuma Rhizome, Notoginseng Radix and Eupolyphaga Seu Steleophaga are added for hypochondriac pain; Polyporus umbellatus and Phytolacca acinosa are added if urination is unfavorable; Radix Pseudostellariae and Radix Astragali are added for emaciation and fatigue; For hematemesis and hematochezia, stop using Agrimony, Sanguisorba charcoal, Radix Rehmanniae charcoal, Callicarpa Callicarpa, Lalang Grass Rhizome, Cirsium japonicum, Notoginseng Radix, Pollen Typhae, etc.
Usage: 1 day 1 dose, decocted in water and taken twice.
Efficacy: 67 cases were treated with * * * *, 32 cases were markedly effective, 28 cases were effective and 7 cases were ineffective, with a total effective rate of 89.5%.
Commonly used prescriptions: Taohong Siwu Decoction, Huayu Decoction, Ginseng Biejia Decoction Pill.
(4) Yang deficiency of spleen and kidney
Treatment: strengthen the spleen and warm the kidney, and turn qi into water.
Prescription: Radix Codonopsis 30g, Radix Astragali 30g, Rhizoma Atractylodis Macrocephalae12g, Rhizoma Zingiberis, Radix Aconiti Lateralis Preparata10g, Cortex Cinnamomi 5g, Poria12g, Rhizoma Alismatis15g, Polyporus 30g, and Cornus officinalis10g.
Addition and subtraction: oliguria and edema of lower limbs plus Jisheng Shenqi Pill; Low back pain, cold, antler glue, epimedium.
Usage: 1 day 1 dose, decocted in water and taken twice.
Efficacy: Prescription * * * treatment 106 cases, 8 cases were cured, 30 cases were markedly effective, 37 cases were effective, and 3 cases were ineffective. The total effective rate was 70.8%.
Commonly used prescriptions: Fuzi Lizhong Decoction, Wuling Powder, Jisheng Shenqi Pill and Fugui Bawei Pill.
(5) Yin deficiency of liver and kidney
Treatment: nourishing kidney and liver, cooling blood and removing blood stasis.
Prescription: Radix Adenophorae 15g, Radix Ophiopogonis 20g, Radix Rehmanniae 30g, Radix Angelicae Sinensis 15g, Fructus Lycii 20g, Fructus Toosendan 10g, Carapax Trionycis 10g, Concha Ostreae 30g, Radix Codonopsis 30g, Rhizoma Sparganii 10g, and Rhizoma Curcumae 65438.
Addition and subtraction: internal heat, dry mouth and tongue, less red body fluid, plus Dendrobium and pollen; In the afternoon, Radix Bupleuri, Cortex Lycii and Carapax et Plastrum Testudinis are added for hot flashes; Polyporus umbellatus, lalang grass rhizome and medulla tetrapanacis are added for short urine; Blood of epistaxis is added with water, including cornu Bubali, charred madder, Cortex Moutan and Herba et Gemma Agrimoniae.
Usage: 1 day l, decocted in water, taken twice.
Curative effect: 37 cases were treated with prescription * * */kloc-0, 7 cases were cured, 26 cases were markedly effective, 39 cases were effective and 65 cases were ineffective, with a total effective rate of 52.6%.
Commonly used prescriptions: Yiguanjian, Qijudihuang Pill.
6.3 Zheng Xiao Pill Treatment Prescription (1)
Composition:? Insect and pangolin100g, leech 75g, rhubarb 5g.
Usage: grind the medicine into fine powder and make pills. Take 5g each time, 2 ~ 3 times a day, and 2 months is a course of treatment.
Efficacy: 40 cases were treated with the above * * *, among which ⅲ cases were cured, 65,438+03 cases were markedly effective, 65,438+02 cases were effective and 4 cases were ineffective, with a total effective rate of 90%.
(2) Huangqi Danshen Huangjing Pill
Composition: Radix Astragali and Radix Salviae Miltiorrhizae each 20-30g, Rhizoma Polygonati, Endothelium Corneum Gigeriae Galli, Radix Isatidis, Fructus Forsythiae and Herba Patriniae each15-20g, Rhizoma Atractylodis Macrocephalae, Poria, Radix Curcumae, Radix Angelicae Sinensis and Fructus Ligustri Lucidi each12-15g, and Placenta Hominis 2-5g.
Usage: Take it once every 1 day, decoct it in water, or grind it into fine powder, and refine honey into pills, 9 grams per pill, each time 1 pill, three times a day.
Efficacy: The prescription * * * treated 105 cases, 45 cases were cured, 3 cases were markedly effective, 9 cases were effective 10 cases were ineffective, and the total effective rate was 90.5%.
(3) Yiqi Ji Hua Jiedu Decoction
Composition: Radix Astragali and Radix Salviae Miltiorrhizae each 20-30g, Rhizoma Atractylodis Macrocephalae, Poria, Radix Curcumae, Radix Angelicae Sinensis and Radix Rehmanniae each12-15g, Folium Lycopi, Endothelium Corneum Gigeriae Galli, Radix Isatidis, Herba Patriniae and Rhizoma Polygonati each15-20g, and Placenta Hominis 4-/20g.
Usage: Except Placenta Hominis, decoct in water for two times; Placenta Hominis powder is put into human hollow capsules, and 2-5g is taken once, twice a day.
Efficacy: 96 cases were treated with the above * * *, 40 cases were cured, 28 cases were markedly effective, 9 cases were effective/kloc-0, 9 cases were ineffective, and the total effective rate was 90.6%.
(4) Ascites soup
Composition: motherwort 60g, cogongrass rhizome 30g, atractylodes rhizome 30g, atractylodes macrocephala 30g, Achyranthes bidentata 30g, tetrandra root 45g, yam 15g, aged gourd 30g.
Usage: Take it with water before meals, 1, three times a day.
Curative effect: 20 cases were treated by * * * from the top, of which ascites completely disappeared 19 cases and was ineffective 1 case, with a total effective rate of 95%.
6.4 Old Chinese Medicine Experience Jiang Chunhua Medical Records
Zeng XX, male, 46 years old. Date of initial diagnosis:1978 65438+February 30th. The patient had a history of liver cirrhosis for 6 years, and 1977 did not feel abdominal distension at the end. Western medicine diagnosed ascites due to cirrhosis. Two hospitalizations, first with diuretics and then with ascites. At present, the symptoms are abdomen as big as a dustpan, protruding umbilical eyes, exposed blue veins, cold limbs, spider moles on the head, neck, chest and arms, low fever and thirst, swelling after drinking, constipation, short and red urine, yellow and rough tongue coating, light and fat tongue and heavy pulse. Laboratory examination: 20 units of zinc turbidity, 20.6 units of musk turbidity, 6.3 g% of total protein, 4.65 g% of albumin 1.65 g% of globulin and 25% of y globulin. Abdominal circumference 106 cm. The characteristics of this system are spleen-yang deficiency, water-dampness trapped in the middle, tunnel impassability, blood stasis and interaction between heat and water. If you want to attack its oars, you will be afraid that the mandarin duck will suddenly rise; Make up for its shortcomings, worry about its difficulties and slow down its urgency. The only treatment is warming yang to stop diarrhea, attacking and reinforcing simultaneously, and treating both the symptoms and root causes.
Prescription: 6 grams of Ginseng Rubra (decocted separately instead of tea), 60 grams of Astragalus membranaceus, 30 grams of Atractylodes macrocephala, 9 grams of prepared Radix Aconiti, 3 grams of dried ginger, 30 grams of aged wax gourd, 9 grams of raw rhubarb, 30 grams of pericarpium Arecae, 9 grams of immature bitter orange, 30 grams of insect bamboo shoots, 9 grams of insects, 0/5 grams of Alisma orientale/Kloc, and 65438+ of Paeonia Rubra.
After taking seven doses of medicine, the urine volume increased from 500 ml per day to 1500 ml, the stool was diarrhea three times a day, the abdominal distension was loose, the ascites gradually subsided, and hunger was known. Take another 7 doses and defecate twice a day. Urination is normal, abdominal circumference is reduced to 80 cm, and symptoms are all improved, so it is necessary to tonify the middle energizer, replenish qi and promote blood circulation. Liver function reexamination: zinc turbidity is 8 units, musk deer turbidity 10 units, total protein is 6.3g%, albumin is 4g%, and globulin is 2.3g%. Y globulin 20% was followed up for 93 years, and the situation was good.
According to the data, ascites due to liver cirrhosis in this case is spleen-yang deficiency and internal failure of middle qi, which is an aspect of pathology; Mutual resistance of blood stasis and heat, and mutual resistance of water and dampness is another aspect of pathology. Ginger old syndrome is contrary to the pathology of the disease, and the methods of warming spleen and yang, invigorating primordial qi, clearing heat, diuresis, promoting blood circulation and removing blood stasis are adopted. Ginseng, Radix Aconiti Lateralis Preparata, Radix Astragali, Rhizoma Osmundae, Rhizoma Atractylodis Macrocephalae, Radix et Rhizoma Rhei, pruritus, bamboo shoots, Radix Paeoniae Rubra, and Rhizoma Imperatae are compatible, and the effect is outstanding. This is a method of treating modern miscellaneous diseases by Zhongjing's combination of cold, heat and diarrhea, which proves that the theory of traditional Chinese medicine can stand the test of practice. ?
6.5 Regularity of Medication From the clinical report of 1 10, 49 self-made prescriptions were selected to treat this disease, and the dosage reached 1 12. Now, the list of people who use drugs more than 100 cases is as follows:
Frequency of application (example)
Report (article)
medical science
≥ 1000
26~29
Poria cocos and atractylodes macrocephala
50 1~ 1000
1 1~2 1
Radix Paeoniae Rubra, Radix Astragali, Radix Angelicae Sinensis, Rhizoma Alismatis, Radix Salviae Miltiorrhizae, Radix Codonopsis, Pericarpium Citri Tangerinae, Radix Paeoniae Alba, Fructus Corni and Radix Rehmanniae.
20 1~500
5~ 13
Radix Aucklandiae, Carapax Trionycis, Semen Plantaginis, Herba Artemisiae Scopariae, Fructus Lycii, Verbena, Lalang Grass Rhizome, Radix Curcumae, Rhizoma Polygonati, Raphani Semen, Fructus Jujubae, Radix Rehmanniae Preparata, Pericarpium Arecae, Polygonum Aviculare, Polyporus, Bupleuri Radix, Cortex Magnolia Officinalis, Fructus Aurantii, Herba Artemisiae Anomalae, Euonymus japonicus, Rhizoma Smilacis Glabrae, Plum powder, Fructus Forsythiae and Cortex Phellodendri.
10 1~200
4~8
Yam, Gardenia, Crataegus pinnatifida, Radix Aconiti Lateralis, Patrinia, Adenophora adenophora, Ophiopogon japonicus, Oyster, Pumpkin, Gryllotalpa, Atractylodes, Coicis Semen, Rhizoma Sparganii, Curcumae Rhizoma, Eupolyphaga Seu Steleophaga, Peach Kernel, Eupatorium adenophorum Leaves, Radix et Rhizoma Rhei, Hirudo, Endothelium Corneum Gigeriae Galli, Polygonum Multiflori Radix, Rhizoma Chuanxiong and Radix Isatidis. As can be seen from the above Thirdly, it is for clearing away heat and promoting diuresis, soothing the liver and regulating qi, promoting blood circulation and removing blood stasis, softening and resolving hard mass, strengthening spleen and warming kidney, promoting digestion and appetizing, nourishing kidney and liver, cooling blood and removing blood stasis. It can be seen that the treatment of this disease should be based on the symptoms, treat it urgently, and promote diuresis and diuresis. The main methods are to treat the root cause slowly, strengthen the spleen and warm the kidney, and replenish qi and nourish yin. Generally speaking, focusing on the latter is in line with the clinical characteristics of this disease. The key for doctors is to weigh the dialectical relationship between them and choose the two methods of attack and supplement. This medication rule is basically consistent with clinical treatment.
6.6 Other therapies (1) Acupuncture
Acupoints: Main points: Sanyinjiao, Quchi, Ganshu, Pishu, Zhongwan, Zhangmen and Zusanli. Matching points: Jianeiguan and Shenmen in palpitation and insomnia; Less urine plus Yinlingquan and Guanyuan; Cha Na plus Shu Wei; Ascites plus Shenshu, water and Sanyinjiao.
Operation: Select 3 ~ 4 points at a time, and add more points if there are symptoms. Acupuncture at back points can get qi, and it is light, which can be supplemented. Pull out the needle after 1 min. Abdominal acupoints were treated by reinforcing and reducing method, and the needle was kept 15 ~ 20min. Appropriate amount of * * * points should be used for acupoints of limbs, and the method of flat reinforcing and purging should be used for 2 minutes, and the needle should be kept for 20-25 minutes. Every other day 1 time, 15 times is a course of treatment.
Curative effect: 50 cases were treated by the above method, 23 cases were cured, 8 cases were markedly effective, 9 cases were effective 10, and the total effective rate was 82%.
(2) Single prescription
① May 4th Pills
Ingredients: jujube, peach kernel, black beans, alum, old-fashioned alkali-free steamed bread.
Usage: Steamed black beans, peeled jujube, ground alum, and mashed five herbs into pills, 9 grams each. Each time 1 capsule, three times a day, 2 1 mouth is a course of treatment.
Efficacy: 8 patients with early cirrhosis were treated with drugs, and the short-term effect was satisfactory.
② preparation of Cordyceps mycelium.
Ingredients: Cordyceps sinensis mycelium is cultured artificially.
Usage: Put into capsules, 2 ~ 3g each time, 3 times a day, and March is a course of treatment.
Efficacy: Seven cases of cirrhosis ascites 17 were treated by the above method, in which ascites disappeared 12 cases, and decreased in 5 cases, all of which were effective.
③ mixture of scallion and scallion
Ingredients: fresh onion 10 root, mirabilite10g.
Usage: Mash the medicine, apply it to the navel, cover it with plastic film and gauze, fix it with plaster, and change it every day.
Curative effect: 40 cases were treated by the above method, abdominal distension disappeared, urine volume increased obviously 14 cases, symptoms were relieved, and urine volume increased in 26 cases, all of which were effective.
④ Mountain pepper
Ingredients: whole grass or root of fresh mountain pepper.
Usage: Mash the medicine and apply it to the liver or spleen area, with an area of 5×5cm2 and a thickness of 1cm. Cover with plastic film and fix with adhesive tape. The application time is 10 ~ 12 hours, and it will be removed when the local skin is red and blistered. When the blister is large enough, after routine disinfection, puncture and drain the liquid, and apply gentian violet to the wound to prevent infection. /kloc-You can apply for a second time after 0/5 days.
Curative effect: 50 cases were observed by the above method, 24 cases were cured, 23 cases were markedly effective and 3 cases were ineffective, with a total effective rate of 94%.
6.7 Other measures General measures: Take a proper rest, limit the intake of sodium and salt, and pay attention to supplementing the sugar and fat diet in protein.
According to the specific situation of patients, peritoneal puncture drainage should be adopted, and the drainage speed should be slow, and the drainage volume should not exceed 3000 ml each time.
Surgical treatment: it is feasible to correct hypersplenism by splenectomy when portal hypertension is obvious and liver function compensation is good.
Can be used for treating diseases such as acupoint geomantic omen, nephrotic edema (such as acute and chronic glomerulonephritis), hepatopathy edema (such as liver cirrhosis), endocrine disorder, and dystrophic edema. ...
Water-related diseases, such as abdominal distension, abdominal pain, nausea and vomiting, bowel sounds and diarrhea, edema, ascites, enteritis, nephritis, vomiting, anorexia, periumbilical abdominal pain, bowel sounds and diarrhea. ...
Sinus feeding, jaundice, spleen diarrhea, fecal incontinence, chest fullness asthma, hypochondriac pain, ascites, liver pain, pneumonia, pleurisy, intercostal neuralgia, cough, and excessive phlegm. ...
Sanjiaoshu is commonly used to treat gastritis, enteritis, nephritis, ascites, urinary retention, neurasthenia, gastritis, stomach cramps, dyspepsia, psoas and so on. ...
Mingguan