Patients with chronic liver disease often have evidence of liver depression and spleen deficiency, or lose transportation, or poor qi machine, poor gas in the large intestine, weak and constipation due to weak pushing, and because of spleen, or long-term injury to the kidneys, susceptible to diet, emotion or external evil injuries, resulting in diarrhea, clinically visible constipation and diarrhea alternately.
Patients with liver disease often have symptoms of constipation, diarrhea or alternating diarrhea with constipation, and should be blamed on the liver and spleen, which are liver disease and spleen, and liver and spleen are the same disease. The basic pathogenesis is liver loss and drainage, spleen and stomach damage, intestinal dysfunction, disease in the intestine, liver qi depression, spleen loss of good luck is the key, liver and spleen disorders are the main causes.
- Liver and spleen disorders cause constipation. Hepatic hi-tiaoda, the main drainage, smoothing the qi machine, helps the passage and descent of the six intestines. The spleen and stomach are transported to the sea of the water valley, the spleen is transported, the stomach is mainly transported, the stomach is mainly and descended, the stomach is connected to the intestine, the water valley entrance, the transport of the spleen is transported, the stomach is rotted and stored, and finally the dregs are transferred to the large intestine. If the liver qi is depressed, the intestines are not clear, the qi is not stagnant, and the large intestine is not smooth and causes constipation. Tang Zonghai said in (the golden doctor should slightly find a note to correct) Yun: "The liver master drains the stool, and the liver qi is not drained, so it is difficult to defecate." "Liver disease spreads to the spleen. Spleen deficiency and bad luck, the groove can be stopped to constipation.
- Liver and spleen disorders cause diarrhea. Zhang Jiebin's "Class Classic" Yun: "Mu Qiang insults the soil, so it is good to leak." "When the liver qi is too strong, the drainage function is abnormal, and the qi machine is reversed, it can be taken advantage of the spleen soil, resulting in spleen and stomach qi machine disorder." For example, the liver wood is not too excessive, but if the spleen and stomach are weak and insufficient, it is also susceptible to liver qi cutting, making the spleen more weak. Over time, the liver can be reached, resulting in insufficient liver blood. Some patients take Chinese medicine, the number of stools increases, and even diarrhea, how to deal with it?
First, determine whether it is normal. If the patient is a person with heavy damp heat, taking antipyretic, detoxifying and damp chinese medicine may lead to an increase in the number of stools, which is a normal phenomenon, which can make the evil of damp heat go away from the stool. For some fatty liver patients, only the physical examination is abnormal, there is no obvious clinical symptoms, in the use of cassia seeds, he shou wu, ze diarrhea, hawthorn, peach kernels and other lipid-lowering Chinese medicine will increase the frequency of stool, the general patient can tolerate, can not be treated, or can reduce the amount of drugs with laxative effect.
Secondly, the factor of improper method of taking the drug should be excluded. Liver disease patients spleen and stomach deficiency, such as taking drugs on an empty stomach, or taking cold drugs may cause diarrhea, it is generally recommended that patients take medicine half an hour after meals, and the medicine should be heated and warmed, and during the medication should not be cold and cold.
Finally, the factor of improper medication was ruled out. Patients with liver disease have multiple spleen deficiency, which can affect kidney deficiency over time, and often can be seen with symptoms mixed with weakness, such as medication biased or cold, it may lead to diarrhea. When witnessing the evidence, it is necessary to distinguish between the false and the real, reduce the cold drugs as appropriate, appropriately add warm, solid and astringent Chinese medicines, and dispel evil spirits while not forgetting to always take care of the spleen and stomach.