Theoretical Discussion On The Syndrome-Treatment And Prescription-Drugs Of Liver-Yang Deficiency Based On Literature

Objective:Based on the literature study,this paper demonstrates the objective existence of liver-yang deficiency,and discusses the physiological and pathological characteristics of liver-yang combined with the characteristics of liver.The etiology,clinical symptoms and syndrome differentiation of liver-yang deficiency were discussed.To explore the definition and argument basis of the method of warming and tonifying liver-yang,and the application of common medicines and representative prescriptions in the syndrome of liver-yang deficiency.In order to better guide clinical differentiation and treatment,the ancient literature and the relevant cases of liver-yang deficiency treated by contemporary physicians were analyzed and discussed.Research methods:Refer to ancient and modern literature,books,medical records,etc.,and sort out,select,extract,analyze and summarize them to obtain the relevant information needed.The literature and works consulted include "Huangdi Neijing","Shang han Za bing Lun","Sheng Nong’s herbal classic","Taiping Sheng hui Fang","Beiji Qian jin Yao Fang","Jing yue Quan shu" and so on,supplemented by "Sanyin Ji Yi Bingzheng Fang Lun","Medical Essential Reading",etc.The physiological function of liver,clinical manifestations of liver-yang deficiency,treatment of liveryang deficiency and relevant records and articles of representative prescriptions of warming and tonifying liver-yang method were screened,excerpted and analyzed.Modern literature research includes "Basic Theory of Traditional Chinese Medicine","Diagnostics of Traditional Chinese Medicine","Prescription Science","Pufuzhou Medical Experience","Concise Dictionary of Diseases and Syndromes of Traditional Chinese Medicine",etc.The databases used include periodicals and papers on liver-yang deficiency contained in HowNet and Wanfang.Through the above methods,the syndromes,treatment,prescriptions and medicines of liver-yang deficiency were sorted out,and the medication rules of liver-yang deficiency were summarized.Research results:Although doctors in past dynasties rarely mentioned liver-yang deficiency,there is no doubt that it exists objectively.Many etiologies,such as yin deficiency affecting yang,cold evil and damaging yang,emotional disturbance,involvement of other organs,senility,drug-induced Yang injury,can affect liver Yang and cause deficiency of liver yang.The normal physiological functions of the liver depend on the warmth and promotion of the liver-yang.The deficiency of the liveryang results in the first manifestations of liver dysfunction,such as hypochondriac pain,emotional disorder,abdominal fullness and distention,nausea and abdominal pain,and the manifestations of Yang deficiency syndrome,such as cold limbs,fatigue and long urine,and the unique manifestations of liver-yang deficiency,such as depression,lack of joy,frighteousness frightens easily,vertex cold pain,less abdominal and vaginal cold pain,tension of the sinews,etc.The treatment of liver-yang deficiency is mainly based on warming and tonifying,at the same time,it is slightly increased or decreased according to its emphasis.The commonly used warm-yang medicines include cinnamon,ginger,cinnamon twig,Evodia rutaecarpa,Morinda officinalis,fennel,cistanche,etc.The commonly used representative prescriptions include Nuangan soup、Wuzhuyu soup、Wumei pill、Danggui Sini soup、Bugan Xixin San,etc.Nuangan soup is used to treat deficiency of liver Yang,deficiency and cold of liver meridian and stagnation of liver vessels.Wuzhuyu soup is used for the treatment of liver Yang hungry weak,deficiency cold endogenesis,liver cold to stomach syndrome;Wumei pill is used to treat the syndrome of deficiency of liveryang,phase-fire stasis and mixed cold and heat.Bugan Xixin San is used to treat liver deficiency and cold,deficiency of qi and blood,cold coagulation and qi stagnation.Danggui Sini soup is used to treat deficiency of liver Yang,deficiency of blood loss,deficiency of blood,cold coagulation and blood stasis.Conclusion:Liver Yang plays an important role in the physiological activities of the liver.Deficiency of liver Yang will inevitably lead to the disorder of the physiological function of the liver and cause numerous diseases.Its treatment is based on warming and tonifying liver-yang.Its medicinal uses include cinnamon,dried ginger,Cinnamon Twig and Evodia rutaecarpa.At the same time,according to the clinical manifestations,there are different emphases,such as Nuangan soup for those who prefer deficiency of liver meridian and cold stagnation of liver vein;Wuzhuyu soup for those who suffer from liver cold and stomach injury;Wumei pill for those who suffer from deficiency of liver Yang and miscellaneous cold and heat;and Danggui Sini soup for those who suffer from deficiency of liver Yang and blood deficiency and cold coagulation.