Fatty liver is a global epidemic and has replaced viral hepatitis as the number one chronic liver disease in my country. Because it has the dual hazards of systemic metabolic disorders and liver pathological progression, it is a new area of ??focus for the prevention and treatment of liver diseases. Lifestyle intervention has a positive effect on early and mild fatty liver, but when poor weight loss, abnormal liver enzymes, and metabolic disorders occur, drug treatment is required. Currently, there are no targeted drugs in the world. Looking for fatty liver treatment from traditional Chinese medicine Effective methods have become an urgent need.

In ancient Chinese medicine literature, there is no record of the name of fatty liver disease. According to its symptoms, it can be classified into categories such as liver disease, hypochondriac pain, and accumulation. However, benign simple fatty liver and steatohepatitis are usually asymptomatic, which makes it difficult for traditional Chinese medicine treatment that mainly relies on clinical symptoms for syndrome differentiation. Traditional Chinese medicine treats fatty liver mainly from spleen deficiency, phlegm-dampness, and blood stasis, and has achieved certain results, becoming an important part of the comprehensive treatment of fatty liver.

Understand the production and metabolism of lipids from the spleen’s control of dispersing essence

Lipids are necessary for human metabolism. The record of human body metabolism in traditional Chinese medicine comes from "Lingshu. Wulong Body Fluid Differentiation", "the body fluids of the five grains are combined to form an ointment". "Ointment" and lipids both belong to the category of subtle substances recognized in traditional Chinese medicine, and are metabolized by the essence of water and grains. Regarding the digestion and absorption of subtle substances, "Suwen Linglan Secret Code" states that "the spleen and stomach are the organs of the storehouse, and the five flavors come out."

"Su Wen Meridians" further clarifies the process of the transportation of essence and Qi after food enters the stomach: "Eating Qi enters the stomach, disperses essence in the liver, and obscene Qi circulates in the tendons... Drinking into the stomach causes the essence to swim and overflow. Qi is transmitted upward to the spleen, and spleen and essence are dispersed. "The treatises in the "Nei Jing" systematically recognize that after food enters the gastrointestinal tract, it is absorbed and decomposed by the stomach, and the small intestine receives and excretes clear and turbid substances, and the subtle substances are in the spleen. Under the transportation and transformation, the clear and scattered essence is raised, so that "the water essence is distributed in four directions and the five meridians run parallelly" to maintain the normal physiological functions of the body.

Understand the occurrence and development of fatty liver from the imbalance of the spleen controlling the dispersion of essence.

The essence of water and grains cannot be transported normally and stop gathering to form phlegm, which is retained in the liver and causes fatty liver. Traditional Chinese medicine believes that the dispersion of subtle substances is completed by the function of the spleen. Therefore, failure of the spleen to disperse essence is a key pathogenesis of fatty liver.

Clinical epidemiological surveys show that unhealthy lifestyle habits such as overeating, eating too much, eating too much before going to bed, and being under high work pressure are the main risk factors for fatty liver. Traditional Chinese medicine believes that these factors can Damage to the spleen and stomach.

"Su Wen Bi Lun" says: "If you eat more than you eat, your intestines and stomach will be injured." "Miscellaneous diseases originate from Xi Zhu. Phlegm and drink origin flow" says: "Drinking and eating too much, preferring to eat oil and pork fat, will lead to unfavorable temper and blockage of phlegm." Improper diet and excessive eating of fat, sweet and rich food will inevitably increase the burden on the spleen to transform and disperse essence.

"Suwen. Taiyin Yangming Lun" says: "The Yang Dao is strong and the vagina is weak." Li Dongyuan commented that "the source of insufficient spleen and stomach is insufficient Yang Qi and excess Yin Qi." If the Spleen Yang is damaged, Its function of dispersing essence is insufficient and the gasification is unfavorable. If the essence overflows to the outside, the skin and flesh will become fat, and if it remains inside, the essence will become thick and full. The essence will accumulate in the liver and fail to dissipate, leading to fatty liver. As stated in "Lingshu. The Beginning of All Diseases" "The body fluid is astringent and seeps out, and it stays there but does not go away, and accumulates."

The key role of spleen yang deficiency in the occurrence and development of fatty liver

Research has found that spleen yang deficiency and phlegm-dampness obstruction are the most common composite syndromes of fatty liver, and the syndrome score is related to Positive correlation with the severity of fatty liver disease. Fatty liver disease is located in the spleen. In the early stage, Qi deficiency is the main cause. Yang deficiency is the main pathological basis of moderate to severe fatty liver.

Warming yang and transforming qi is the basic rule for treating fatty liver

Based on the above understanding, we believe that for the treatment of fatty liver, warming yang and transforming qi should be the basic rule, restoring spleen and stomach. The essence function enables "water and essence to be distributed in four directions and the five meridians to move in parallel." The essence can be transported and distributed, and phlegm and fluids can be dissipated. "Famous Medical Prescriptions" has a saying that "the movement of Yang begins with warmth, and when warm Qi is obtained, grain essence is transported". Ye Tianshi also discussed that "Taiyin moistens the earth, and Yang begins to move". Warming yang and transforming qi to treat fatty liver may expand new ideas for the treatment of fatty liver and form a new method for the treatment of fatty liver.

Warm reminder:

In short, today I have summarized the knowledge of traditional Chinese medicine for everyone to compare with themselves. If you suspect that your syndrome is of this type, do not rush to use it. You must use it under the dialectical guidance of a professional Chinese medicine practitioner and confirm that it is correct before using it. Do not take it without authorization to avoid delaying your condition. After all, Chinese medicine emphasizes dialectical treatment, and only one person can fundamentally solve his or her own problems.

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