Fatty liver is gone! Strengthening the spleen, soothing the liver, and resolving phlegm, one arrow carves three prescriptions

Fatty liver is a clinical pathological syndrome characterized by steatosis and fat storage in liver parenchymal cells. Clinically, it may be Asymptomatic, or it may be characterized by dull pain and discomfort in the right flank, fatigue, hepatomegaly, and mild jaundice

Fatty liver is a clinical pathological syndrome characterized by steatosis and fat storage in liver parenchymal cells. Clinically, it may be Asymptomatic, or it may be characterized by dull pain and discomfort in the right flank, fatigue, hepatomegaly, and mild jaundice.

At present, it is generally believed that it is caused by multiple factors, such as obesity, excessive drinking, diabetes, hyperlipidemia, malnutrition, drugs and poisons, etc. According to the clinical manifestations of fatty liver, it should belong to the category of TCM liver addiction, hypochondriac pain and other diseases and syndromes.

The pathological factors of fatty liver are phlegm, dampness, depression, and stasis, with the disease located in the liver and spleen, and related to the kidney; Due to factors such as diet, fatigue, emotions, toxins, and loss of nourishment, the spleen loses its healthy circulation, the liver loses its circulation, phlegm and dampness are endogenous, dampness accumulates, phlegm and blood stasis are intertwined, qi stagnation and blood stasis occur, and the liver meridians lose nourishment.

The treatment principle is to strengthen the spleen, regulate the liver, tonify the kidney, remove phlegm, dispel dampness, and remove blood stasis, making it soft and firm.

Mr. Xu, 38 years old, went to the hospital for a physical examination two years ago due to discomfort in the liver region and abdominal distension, and found moderate fatty liver. Recently, the symptoms have worsened, please come for consultation.

Carving diagnosis: dull pain in the liver area, overall weight loss, abdominal distension, and sticky stools; Fat tongue, thick and greasy fur, and smooth veins; B-ultrasound display: fatty liver; Biochemical examination showed no abnormalities in liver function. Traditional Chinese Medicine Diagnosis: Hepatophilia. Western medicine diagnosis: Fatty liver (moderate). Syndrome differentiation: Phlegm and dampness are intertwined. Treatment method: resolving phlegm and dispelling dampness, strengthening the spleen and soothing the liver.

Prescription: Huatan Qushi Tang. Medicines: tangerine peel, bamboo Ru, Alisma orientalis, Coix lachryma seed, hawthorn, cassia seed, woody incense, cumulus, Taraxacum, Tuckahoe, atractylodes macrocephala, poria cocos, bupleurum, salvia miltiorrhiza, raw liquorice.

Using 21 doses above, the dull pain in the liver area is significantly reduced, and the stool is refreshed. If the effect is not improved, continue taking 28 doses and all symptoms disappear. Using 21 doses again, ultrasound showed that fatty liver disappeared.

Eating too much fat, sweet and thick taste, alcohol is mellow, or overworked, too easy, or too much thinking can damage the spleen and stomach, causing the spleen to lose its healthy circulation, causing phlegm and dampness to develop internally, resulting in phlegm turbidity and cream fat, which accumulate in the liver and lose its nourishment. It is beneficial for treating phlegm and dampness, strengthening the spleen and soothing the liver.

In the formula, the tangerine peel has the function of promoting qi, relieving pain, strengthening the spleen, and regulating the body. It can treat cold and dampness in the middle energizer, qi stagnation in the spleen and stomach, abdominal distension and pain in the hospital, and can also dry dampness and reduce phlegm. It is an essential medicine for treating phlegm; Zhuru has a sweet, cold, and moist nature, and is good at clearing and resolving hot phlegm. Here, it is combined with tangerine peel to warm cold and treat phlegm; Alisma orientalis can promote water permeability and relieve heat; Arousing Airen, Atractylodes macrocephala, strengthening the spleen and tonifying the middle, and eliminating dampness;

Poria cocos strengthens spleen and oozes dampness; Chaihu has a good and smooth nature, soothing the liver and relieving depression, treating liver dysfunction and qi stagnation; Muxiang is good at promoting the stagnation of qi in the spleen and stomach. It is not only a necessary medicine for promoting qi and relieving pain, but also a good product for strengthening the spleen and dissipating food. It can treat qi stagnation in the spleen and stomach, as well as swelling and pain in the wrist and abdomen; Accumulation of qi to remove swelling, phlegm and accumulation; Hawthorn can digest and accumulate, promote qi and dissipate blood stasis; Cassia seed clears liver and brightens eyes; Taraxacum and Tuckahoe are heat clearing and detoxifying; Danshen promotes blood circulation and eliminates stasis, cools blood and eliminates carbuncle; Licorice can neutralize poisons and mediate various medicines.

Modern pharmacological research: Most of the above drugs have lipid-lowering and lipid-lowering effects. The whole formula can remove phlegm and dampness, promote spleen and stomach health, promote liver qi relaxation, eliminate qi stagnation, and disperse ointment.

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