Ms. Chen, 56 years old, cirrhosis of the liver with a large number of refractory ascites, umbilical hernia formation for more than two years of patients, today we focus on umbilical hernia, which is a common abdominal complication in patients with cirrhosis and ascites.
In fact, about cirrhosis, stubborn ascites is good, I have given you a lot of science, but about umbilical hernia, I rarely mentioned, on the one hand, because the cirrhosis of the liver ascites is so serious that the proportion of patients with umbilical hernia is not so much, on the other hand, the umbilical hernia has been formed and there is not much to say, for ordinary people, patients who know the formation of cirrhosis ascites umbilical hernia have a poor prognosis, and the pain needs to be actively treated.
Umbilical hernia, or herniation of the navel, is a disease in which the intestinal canal or other abdominal organ protrudes (or hernias out) of the abdominal wall through the umbilicus. It is also very easy to understand from the literal meaning, the so-called "hernia", that is, the place that should not protrude but emerges, because the abdominal pressure is particularly high, the navel is pushed out.
In the view of Chinese medicine, the navel is a divine que, it is a door, it should be concave, the deeper the concave, the better the body, (of course, does not refer to the fat belly of the big kind of concave), friends can look at their own. Umbilical hernia is difficult to eliminate, and Ms. Chen is relatively lucky because her umbilical hernia has not undergone surgery and relies on Traditional Chinese medicine to disappear.
Ms. Chen originally had hepatitis B and three yangs, and underwent bileectomy and common bile duct surgery in 2002 and 14 years, respectively. In 2018, sudden mouth and nose bleeding, in 2019 there was swelling, the family and themselves thought that they had been sitting for a long time, and once they disappeared at night, they did not care, until a few months later, the abdomen appeared obviously swollen, eating a little thing was swollen uncomfortable, this went to check, the result was diagnosed as cirrhosis decompensation period, has appeared ascites.
After the doctor administered the drug, various symptoms began to appear, dry mouth, bitter mouth, fear of cold, poor sleep, and directly lost 30 pounds! Since February this year, Ms. Chen has been treated in various hospitals, pumping ascites back and forth, playing albumin, but the effect is not good, although the ascites will disappear for a short time at that time, but it always appears after four or five months, back and forth, forming stubborn ascites at the same time, the navel also leaks umbilical hernia formation.
When I was treated, Ms. Chen and her family did not dare to ask for too much, and only hoped to alleviate some pain. For hernia, Chinese medicine has its own views, hernia, hernia pain also. Accumulation of qi for hernia, where the accumulation of qi, are because the qi is not going along, generally will be treated with cumin, vinegar green peel, lychee core and other traditional Chinese medicine treatment, such as cumin, it has the effect of dispelling the wind and cold, cough and expectorant, stomach pain relief, is regarded as "hernia pain medicine", can treat the heart and abdomen cold leg hernia, evodia spicy heat, warm kidney hernia, liver dry spleen, cold and warm supplement effect, suitable for liver and kidney cold caused by hernia pain.
However, Ms. Chen's situation, the focus is on the need to eliminate water, swelling, warm tonic kidney yang, to the traditional hernia treatment formula is certainly not effective, not of much use, so the medication is also extra attention, as long as her ascites is less, the stomach is not so bloated, the abdominal pressure is reduced, the hernia will naturally disappear.
Therefore, in terms of medication, I chose drugs such as ground skeleton, morning glory, attached tablets, etc., ground skeleton and morning glory, colic water swelling, because she is not enough yang, and then use the attached tablet to warm the yang, and then with deer horn gum to improve her immune function, improve protein, improve protein, supplemented by other spleen dampness, liver thinning drugs.
After 20 days of medication, the patient sent another picture of the umbilical hernia, at this time the umbilical hernia has shrunk, ascites has also decreased, the patient's mental state has obviously improved, and there is more hope for continued treatment, as a doctor, so that Ms. Chen no longer needs surgery (you know, when cirrhosis of the liver with a large amount of ascites with umbilical hernia, if you do surgical repair, it is very easy to aggravate the lateral branch circulation of the portal vein blood flow, inducing bleeding in the upper gastrointestinal tract), so for the quality of life of Ms. Chen can be effectively improved, the pain of surgery is reduced, and the individual is also more accomplished.
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