Clinical Experience And Regularity Of Medication In The Diagnosis And Treatment Of Chronic Liver Diseases By Chief Chinese Medicine Doctor Xiang Fengmei

Objective: Through the analysis of 60 cases of chronic liver diseases treated by tutors,the clinical experience and medication rules of director of traditional Chinese medicine of Xiang Fengmei in the diagnosis and treatment of chronic liver diseases were discussed.Methods: This study collected 60 patients with chronic liver disease from June 2017 to September 2018 in the outpatient department of Preventive treatment center of the affiliated Hospital of Jiangxi University of traditional Chinese Medicine and the out-patient clinic of Spleno-gastric&Hepatobiliarys,and collected the main complaints,symptoms,current medical history and past history of the first diagnosis of the patients.This paper discusses the clinical experience and rule of treatment of chronic liver disease with traditional Chinese medicine(TCM)in the treatment of chronic liver disease with the treatment of traditional Chinese medicine(TCM)in the treatment of chronic liver disease.Results: 1.The common clinical manifestations of chronic liver diseases are: fatigue,feces,poor appetite,depression,abdominal distention,poor sleep,right hypochondriac pain,urinary jaundice,irritability and irritability,accounting for more than 20% of all symptoms,followed by dry mouth(18.33%),chest tightness(15.00%),lumbar and knee soreness(15.00%),jaundice(11.67%),right hypochondriac distention(10.00%).2.The common syndrome types of 60 cases of chronic liver disease were liver depression and spleen deficiency syndrome(26 cases,accounting for43.33% of the total),liver-gallbladder damp-heat syndrome(11 cases,18.33% of the total),liver-kidney yin deficiency syndrome(10 cases,16.67%),and liver-gallbladder damp-heat syndrome(11 cases,18.33% of the total).Spleen deficiency and dampness syndrome(9 cases,accounting for 15% of the total),water stasis syndrome(4 cases,accounting for 6.67%of the total).3.The commonly used medications for the treatment of chronic liver diseases are: Codonopsis pilosula,orange peel,Pinellia ternata,yellow essence,Bupleurum bupleurum,Cuscuta chinensis,psoralea and Paeonia Alba all account for more than 2% of the total medication count.Codonopsis pilossus(4.66%),tangerine peel(4.30%)were mainly invigorated spleen and qi,yellow essence(2.87%),dodder(2.15%),psoralea(2.15%),Bupleurum chinense(2.78%),Cymbidium japonica(2.51%),Buddha hand(2.51%),tulip(2.42%)soothe liver and so on.4.The main medications for treating chronic liver diseases were spleen,liver,lung,stomach,kidney meridian(57.31%),including Codonopsis pilosula,tangerine peel,Pinellia ternata,cardamom,perilla stem,etc.The main medications used in the treatment of chronic liver diseases were spleen,liver,lung,stomach,kidney meridian and kidney meridian.The main medications into liver meridian(51.03%)were Bupleurum,Paeonia Alba,tulip,fragrant rafters,Buddhist hand,etc.,and the medications entering Lung Meridian(40.27%)were Radix Codonopsis,Citrus peel,Pinellia ternata,yellowish essence,Magnolia officinalis and so on.The main medications in stomach meridian(40.09%)were Pinellia ternata,Buddha's hand,cardamom,stir-fried malt,etc.The mainmedications in kidney meridian(24.13%)were yellow essence,dodder,psoralea,etc.5.According to the analysis of sexual taste,the medicine used by tutor was mainly calmness and bitterness.Sweet medications(51.75%),such as Codonopsis pilossus,Astragalus membranaceus,malt,yellow essence,etc.;pungent medications(48.34%),such as orange peel,Pinellia ternata,dodder,psoralea,etc.;bitter medications(45.74%),such as orange skin,Buddha hand,fragrant rafters,peony,etc.;Warm medications(29.23%),such as orange skin,Pinellia ternata,Buddha hand,fragrant rafters,etc.Conclusion:1.When the tutor treats chronic liver disease,he should adhere to the concept of "five viscera as one" and comprehensively treat it.2.Chronic liver disease is located in the liver,involving the spleen and kidney,and its pathogenesis is always deficiency and excess.Therefore,strengthening the spleen and nourishing the qi,nourishing the liver and kidney are the main treatment principles,supplemented by regulating qi and soothing the liver,clearing heat and detoxification,and then compatible with products of dampness and heat,activating blood circulation and removing blood stasis,and eliminating toxicity and eliminating yellowness according to clinical symptoms.3.Tutors compatible with prescription agile but not stick,addition and subtractive changes flexible,the use of ordinary medications easy to get,and light spirit does not nourish,disease is stopped,never procrastination.4.Pay attention to the health management of chronic liver disease.