How does Chinese medicine diagnose and treat chronic hepatitis?

　　People often say: "You are my heart, you are my liver." It can be seen how important the liver is to our body, but did you know? Many times, the liver suffers from bitterness and grievance. Especially when you are enjoying delicious food, playing music every night, and changing cups, your liver will be harmed. When your liver is overwhelmed, it will get sick, such as chronic hepatitis. So how does Chinese medicine diagnose and treat chronic hepatitis?

.

　　1. Loss of liver qi and poor spleen health

　　Main symptoms: distension and pain in the flanks, decreased appetite, full abdomen, soft and tired limbs, loose stools, thin and stringy pulse, thin tongue coating and light red texture.

　　Analysis: Damp-heat invades the liver and spleen internally, and the hypochondrium is the dividing line of the liver. A large abdomen belongs to the spleen, Jueyin cannot be dispersed and released, and Taiyin lacks power to transport and transform. Therefore, the symptoms include hypochondrium pain, reduced appetite, full abdomen and loose stools. When dampness prevails and the spleen is weak, the limbs will be weak and tired due to lack of Qi. If heat evil invades the inside, the pulse will be thin and stringy and the tongue will be light red.

　　Treatment principles: soothe the liver and regulate qi, strengthen the spleen and resolve dampness.

　　Recipe: Bupleurum Shugan Powder (modified and subtracted). 5 grams of Bupleurum, 5 grams of Chuanxiong, 10 grams of Atractylodes, 10 grams of white peony, 10 grams of coix seed, 10 grams of Cyperus cyperus, 5 grams of Citrus aurantium, 10 grams of fried skullcap, 10 grams of Poria, and 3 grams of licorice.

　　Prescription: Bupleurum and Ligusticum Chuanxiong soothe the liver and nourish the body; Atractylodes macrocephala and Poria cocos invigorate the spleen and aid transportation; Cyperus rotundus and Citrus aurantium regulate qi and dissipate stagnation; White peony root and licorice relieve pain and relieve pain; Yiren is sweet and light to exude dampness; Scutellaria baicalensis is bitter and cold and clears away heat.

　　2. Dampness transforms into heat, and heat disturbs the liver meridian

　　Main symptoms: hypochondriac swelling and pain, chest tightness and discomfort, which increase or decrease with changes in mood, upset and insomnia, yellow and red urine, stringy and rapid pulse, thin yellow tongue coating with red tip.

　　Analysis: The long-term stagnation of damp evil turns into heat, and disturbs Jueyin. The liver qi is stagnate in this meridian. Therefore, the symptoms include swelling and pain in the hypochondriac, uncomfortable chest and stringy and rapid pulse. The heart yin is blurred, causing upset and insomnia with a red tip of the tongue. Heat flows into the bladder, resulting in yellow and red urine.

　　Treatment Principles: Soften the liver and relieve stagnation, clear fire and relieve heat.

　　Prescription: Danzhi Xiaoyao Powder (modified and subtracted). 5 grams of Bupleurum, 10 grams of Angelicae, 10 grams of White Peony, 10 grams of Atractylodes, 10 grams of Poria, 3 grams of Zhigancao, 10 grams of Mudan Bark, 10 grams of Gardenia, 10 grams of Guangyujin, and 15 grams of Albizia Julibrissin.

　　Prescription: Angelica sinensis and white peony nourish blood and regulate nutrition; paeonol bark and mountain gardenia clear fire and release heat; Bupleurum soothes the liver; Atractylodes soothes the spleen and protects wood; Poria cocos and Zhigancao relieve dampness and neutralizes dampness; Yujin and Albizia bark relieve depression and calm sleep.

　　3. Deficiency of liver and spleen, insufficient qi and blood

　　Main Symptoms: Dull hypochondriac pain that comes and goes, sallow complexion, dizziness, palpitations and insomnia, thready and soft pulse, thin tongue coating and light texture.

　　Analysis: People with spleen deficiency will have weak qi, and people with liver deficiency will not have blood. The diagnosis can be confirmed by observing the thin and soft pulse and pale tongue. The deficiency of qi and blood can neither warm the collaterals nor protrude the head and face. Therefore, the symptoms include faint hypochondriac pain, sallow complexion, and dizziness. If the mind is not nourished, there will be palpitations and less sleep.

　　Treatment principles: Replenishing qi and strengthening the spleen, nourishing the blood and regulating the liver.

　　Prescription: Gui Shao Liu Jun decoction with addition and subtraction. 10 grams of Codonopsis pilosula, 10 grams of Atractylodes macrocephala, 10 grams of Angelica sinensis, 10 grams of white peony root, 10 grams of Poria cocos, 10 grams of wolfberry, 5 grams of Pinellia ternata, 5 grams of tangerine peel, 3 grams of Polygala root, and 10 grams of Ziziphus kernels.

　　Prescription: Codonopsis pilosula, Atractylodes macrocephala, and Poria cocos replenish qi and strengthen the spleen; Angelica sinensis, white peony root, and wolfberry nourish the blood and regulate the liver; Pinellia ternata, tangerine peel and stomach remove dampness; Zaoren and Polygala soothe the heart and mind.

　　4. The kidney yin is depleted, and the water does not contain the wood.

　　Main symptoms: burning pain in the right hypochondrium, blurred vision and tinnitus, night sweats, soreness in the waist and spine, weakness in the lower limbs, thin and stringy pulse, and a peeling or red tongue.

　　Analysis: Kidney water deficiency cannot absorb wood, and wood fire disturbs the collaterals and burns the stomach fluid. Therefore, the symptoms include burning pain in the right hypochondrium, thready and rapid pulse, and peeling or red tongue. Liver yang rises and moves, and yin fluid does not converge, resulting in blurred vision, tinnitus, and night sweats. The waist is the house of the kidneys. If the kidneys are deficient and the marrow is reduced, the waist and spine will be sore and the legs and knees will be weak.

　　Treatment principles: Nourish water and nourish yin, relieve liver and clear away heat.

　　Recipe: Yiguanjian plus or minus. 15 grams of Rehmannia glutinosa, 10 grams of Radix Adenophora, 10 grams of Ophiopogon japonicus, 10 grams of wolfberry, 10 grams of cornus, 10 grams of red peony root, 10 grams of Dipsacus bark, 10 grams of Eucommia ulmoides, 5 grams of small green bark, 10 grams of chamomile flowers, 10 grams of locust, and 10 grams of toodandan seeds.

　　Prescription: Rehmannia glutinosa, Adenophora adenophora and Ophiopogon japonicus nourish water and nourish yin; Melanium japonica, red peony root and green bark Xiemu regulate qi; Mulberry, Sichuan root and Eucommia ulmoides nourish the kidney and strengthen the waist; wolfberry, cornus and chrysanthemum nourish the liver and clear away heat.

　　5. Qi stagnation and blood stasis, liver and spleen syndrome

　　Main symptoms: palpable accumulation of symptoms on both sides of the body, pain or tingling, dark skin color, red streaks on the face, neck, and chest, weight loss, full and distended abdomen, thin and astringent pulse, purplish tongue with ecchymosis.

　　Analysis: Qi imbalance, blood coagulation, astringent infiltration of body fluids that persist and persist, so the symptoms include palpable accumulation of symptoms on both sides of the body, pain or tingling, dark skin color, red streaks on the face, neck, and chest, thin and astringent pulse, purplish tongue with ecchymosis, and loss of water and grain essence, resulting in weight loss. People with blood knots will accumulate water. If the water qi stops, the abdomen will become full and bulging.

　　Treatment Principles: Promote blood circulation and remove blood stasis, soften hardness and eliminate accumulation.

　　Recipe: Taohong Siwu Decoction. 10 grams of Angelica sinensis, 5 grams of peach kernel, 3 grams of safflower, 5 grams of Chuanxiong, 10 grams of red peony root, 10 grams of paeonol bark, 10 grams of Shi Jian Chuan, 15 grams of August bamboo shoots, 15 grams of raw oysters (fried first), 10 grams of Rehmannia glutinosa, 15 grams of roasted turtle shell, 10 grams of Cyperus rotundus, 10 grams of Daphne bark, and 30 grams of old gourd.

　　Prescription: Angelicae Sinensis, Ligusticum Chuanxiong, peach kernel, saffron activate blood circulation and remove blood stasis; oyster, turtle shell, Shi Jian Chuan, August's Zha soften hardness and remove accumulation; Rehmannia glutinosa, red peony root and paeoniae bark Liangying clear heat; Daphne bark, Cyperus rotunda and gourd regulate qi and circulate water.

　　6. Decline of the spleen earth, loss of liver and kidneys

　　Main symptoms: swarthy complexion, yellowish skin, persistent tingling pain under the hypochondriac, tightness in the chest and epigastrium, thin and thin flesh, indigestion and loose stools, fatigue, slow and slow pulse, pale purple tongue with less coating.

　　Analysis: Dampness traps the earth, evil changes from cold, injuring the liver and kidneys, Yang Qi is not released, cold and dampness is blocked, and bile fluid soaks into the muscles. Therefore, the symptoms include a dark complexion, yellowish skin, slow and slow pulse, and a purplish tongue. It is a critical period of "Yin Huang". When Qi and blood gather under the ribs, symptoms accumulate and sting, clear yang rises but does not rise, and turbid yin falls but does not fall. Clear and turbid are mixed together, and water and dampness are retained. The abdomen will be distended and full, and the essence will not be absorbed, resulting in indigestion, loose stools, thin body, and mental fatigue.

　　Treatment Principles: Warming and nourishing spleen yang, replenishing liver and kidneys.

　　Prescription: Add or subtract Yinchen, Aconite and Ginger Decoction. 10 grams of wormwood, 10 grams of aconite, 5 grams of dried ginger, 10 grams of Atractylodes, 5 grams of orange peel, 5 grams of pinellia, 3 grams of cinnamon, 10 grams of dodder, 10 grams of Morinda citrifolia, and 5 grams of Citrus aurantium.

　　Prescription: Aconite root, cinnamon, and dried ginger warm the yang of the spleen and kidneys; Atractylodes macrocephala, Poria cocos, and Alisma remove dampness in Zhongzhou; Yincheng reduces yellowing; Citrus aurantium eliminates pimples; Morinda citrifolia and Cuscuta nourish the liver and kidneys; Pinellia ternata, tangerine peel and stomach regulate qi.

　　Chronic hepatitis is very harmful to patients, and because it is a chronic disease, it is very difficult to treat. If you want to recover, you might as well try these methods!