The liver fiber treats _'s treatment with liver cirrhosis
Liver fiber and liver cirrhosis
Liver cirrhosis is the end latter stage when many kinds of liver is damaged, and turn its initial characteristic with the liver fiber. The liver fiber refers to because ground substance is formed and the degradation one equilibrates the accumulation that the disharmony causes the inner fiber of liver to organize outside cells, it is a lot of fibrous organization that surround the intersection of regeneration and the intersection of liver and extensive destruction of structure that tubercle cause. The intersection of destruction and the intersection of liver and the intersection of internal environment and steady course any, especially inflammation, toxic damage, liver blood flow change and liver infect (virus, bacterium, spirillum, parasite) ,The material of the inborn metabolic disorder accumulates disease, chemical material and medicine such as alcohol, isonicotinyl hydrazine, A Quito bar, B amine iodine furan ketone, the long-term bile is blocked and malnutritive, it is the pathogenic factor of this disease. Among them chronic hepatitis and long-term drunking have illness coming on
The most common cause of disease. This disease belongs to Chinese medicine " Coerce and ache " , " yellow subcutaneous ulcer " , " gather " , " Tympanites " Category.
[Clinical manifestation ]
The liver cirrhosis patient often has liver uncomfortable districts, pain, weakness of whole body, apocleisis, lethargy and weight are lightened, also can have had no symptom for many years. If the gallbladder flows the blockage can present yellow subcutaneous ulcer, pruritus, macula lutea tumour. Malnutritive to continue and take place and absorb bad and lipid-soluble vitamin in the apocleisis, fat scarcely often. It causes the digestive tract to bleed that more common symptom the portal vein causes pile, esophagus to emit the bottom variceally under high pressure, also shown as depleted hepatocytes, it is wounded to present the ascites or shunting brain of body of door.
[Diagnose ]
1. Medical history and relevant symptom that the liver damages.
2. It is swelling and with relatively hard texture that there can be liver in physical sign, liver palm, spider's mole, liver splenomegaly, belly wall are variceal, ascites.
3. Test the inspection: The serum albumin drops and lengthens with the time of thrombinogen, serum cube globulin can reflect directly liver function is damaged. AST and ALT are often intermediate to raise, alkaline phosphatase is normal or raises, when the biliary tract is blocked, alkaline phosphatase often rises. The gallbladder is red and normal usually, total globulin of serum rises. The straight pigment appears in early days
Cellulous anaemia, it is big cellulous anaemia once in a while, the blood platelet is reduced, the leucocyte is reduced.
4. Scan by the intersection of liver and isotope, X-ray examination, supersound he check and endoscopy, and liver dress can offer clear support for making a definite diagnosis of.
5. This disease needs and due to other reasons hepatomegaly, splenomegaly, upper digestive tract bleeding, ascites,etc. to distinguish.
[Treat ]
Liver fiber take and early liver cirrhosis can reverse at certain meaning, liver cirrhosis usually irreversible later period, take treatment to the ill as the core more.
1. Medicine treatment of Western medicine
(1)Generally treat: Have illness coming on the intersection of cause of disease and treatment originally, inactive toxic medicine, prohibit against alcoholic drinks, notice nutrition to be (including vitamin and supplementary) ,Deal with complication. It is appropriate it supplement albumin on blood, but consumption 20- 40ml,it dilute 5% glucose for,there are quiet a bit in solution on %, 2 times every week.
(2)Drug therapy
Resist the fatty liver medicine: Such as choline, first sulphur amino acid, inositol or vitamin Be. Other glucuronic acid inner UB have detoxication; Link third amine and impel the new born function of hepatocyte.
Resist fiber medicine liver cirrhosis or liver: Steroid hormone of cortex, have collagenic MR before reducing --NA level and resisting inflammation function. Available prednisone 200mg/ day or Meticortelone 10- 15mg/ day. Amine of penicillin can be intervened the collagenic connection alternately, 1. 5- 1. On 8g/ day, divides into for 4 times and takes before the meal. The colchicum is plain can inhibit the polymerization of collagen little tube, 1-2mg day. But cortex steroid hormone and penicillamine employ toxicity to be relatively great over a long time. In addition, relevant colchicums have dispute to the function reducing collagen and accumulating to ask for. New preparation (r- Interferon, ketone fifth two acid analog and prostaglandin analog) Can reduce collagen and take shape, can select for use according to the circumstances.
As to the serious obstacle of liver function, the worse one of general situation, can use and promote the medicine of the supersession, such as ATP20mg, coenzymatic unit A50, insulin 12 units and 10% chlorine potassium 10ml are added into 10% of the glucose liquid 500ml together, the vein is instilled, 1 times a day, it is a course of treatment in 2-4 weeks.
2. Traditional Chinese medicine treatment
(1)The strongly fragrant spleen of liver is empty: Coerce and ache and go and flee, coerce lump in the abdomen, the chest Wan ruffian is bored, the body is tired and weak, receives and stays, look pale, half congealed, the light tongue of tongue is thin, the pulse string is slow.
Manage the law: The easy liver invigorates the spleen, benefit is angry and China.
Square medicine: 10 grams of Radix Bupleuri, 10 grams of Chinese angelica, 10 grams of root of herbaceous peony, 10 grams of rhizome of large-headed atractylodes, 10 grams of Indian bread, 6 grams of licorice root, 15 grams of oysters (fry first) , 10 grams of root of red-rooted salvia, 3 grams of ginsengs.
Chinese medicine: Add carefree pill of flavor, liver spleen health capsule, and hold easy liver capsule in place with a net.
(2)Damp and hot tired spleen: Coerce, ache, limb tired to stay, weak to receive, stay, stick oily mouth to be bitter, tongue yellow and oily, pulse slip, count.
Manage the law: Clear to melt damply and hotly, ooze wetly and detoxify.
Strength medicine: Pale the intersection of skill and 10, thick 6, 10 of dried orange peel, 6 of licorice root, 15 of umbellate pore furgus, 15 of rhizoma alismatis, 10 of Indian bread, the intersection of rough gentian and 10 of grass, chicken's bone Piao respectively
(3)Blood silt of stagnation of the circulation of vital energy: Unless it is bloated without being coerced in chest full, unless it is if you can't flee, if you can't ache, ache not to leave, coerce right by lump in the abdomen,refuse shouting pain according to,there are purple to ecchymosis secretly on tongue, pulse is thin and astringent.
Manage the law: Blood circulation promoting silt, regulate the flow of vital energy scatteredly and form.
Square medicine: 10 grams of Radix Bupleuri, making 15 grams of turtle shells (fry first) , forge 15 grams of oysters (fry first) , 10 grams of Chinese angelica, 6 grams of safflower, 6 grams of licorice root, wood fragrant 10 grams, 9 grams of peach kernels.
Chinese medicine: Rhubarb supposition worm pill.
(4)Cold wet tired spleen: The belly is large and bloated and full, if the bag is wrapped up in water, the belly of chest is full and stuffy, the spirit is tired and weak, the urinate is short and half congealed, the mouth is done not to want drink, the tongue is white, pulse slips slowly.
Manage the law: Wen Zhong transports the spleen, resolves dampness and hits. Square medicine: Thick Piao is 10 grams, 10 grams of rhizome of large-headed atractylodes, 10 grams of sons, 10 grams of papayas, wood fragrant 10 grams, 10 grams of belly peel, making 10 grams of Radix Aconiti Lateralis Preparata, 15 grams of Indian bread, 10 grams of rhizoma alismatis, before the car
(5)Damp and hot to accumulate forming: The belly is big and hard and full, the irritated hot mouth is bitter, the urine is red and short, it is formed that the stool is secret, or the appearance body is known yellow, the red tongue of tongue is yellow and oily, pulse string is counted.
Lift the law: Clear away heat and remove dampness, detoxify and retreat yellow.
Square medicine: 10 grams of thick Piao, 10 grams of Fructus Aurantii Immaturuses, 6 grams of the rhizome of Chinese goldthread, black-and-white ugly 10 grams, 15 grams of Indian bread, umbellate pore furgus 1, 5 grams, 10 grams of rhizoma alismatis, 10 grams of rhizome of large-headed atractylodes, 6 grams of roast meat licorice root, 15 grams of Herba Artemisiae Scopariae, Zhi is in 6 grams, 6 grams of rhubarb, growing Yi's benevolence IO gram, red
(6)The deficiency of yang of kidney of spleen: Belly bloated and full, Wan bored to receive, stay, spirit tired and timid and cold, urine little limb swollen, knee and loin aching and limp, tongue light body has tooth mark, pulse sinks thinly.
Manage the law: Warm to invigorate the spleen kidney, take angry to do ink.
Square medicine; 6 grams of Radix Aconiti Lateralis Preparata, 10 grams of cassia twig, 12 grams of dangshens, 10 grams of rhizome of large-headed atractylodes, in ginger lO gram, 6 grams of licorice root, 15 grams of Indian bread, 10 grams of umbellate pore furgus, 10 grams of rhizoma alismatis, enriching the lipoprotein of bone
Chinese medicine: Radix Aconiti Lateralis Preparata regulate the function of the middle-jiao pill, ginseng invigorate the spleen pill, join the intersection of fuling and the intersection of rhizome of large-headed atractylodes and pill.
[Prevent and recuperate ]
Prevent virus hepatitis actively, stop drinking and pay attention to the rational mix of nutrition, need to observe the liver situation regularly while using medicine damaged, eliminate parasitic disease such as the blood fluke.
|
0 comments:
Post a Comment