1, the principle of treating fatty liver
First, the diagnosis is clear
including the classification, staging, typing, grading of fatty liver in Western medicine diagnosis and identification and typing in Chinese medicine diagnosis. If the diagnosis is not clear, the main contradiction can not be grasped, and it can not do "urgent treatment of the symptoms, slow treatment of the root cause, both symptoms and root cause", and also can not play the advantages of "integrated therapy", which affects the therapeutic effect, so it is necessary to combine the diagnosis of western medicine with the identification of traditional Chinese medicine.
Second, the treatment program changes with the evidence
Fatty liver is a relatively fixed pathological state, but the treatment of the "evidence type" is constantly changing the disease, so the treatment should be relatively flexible. Commonly used therapeutic rules are liver, gallbladder, spleen, stomach, tonifying the kidney, blood, qi, phlegm, diuresis, heat, these rules should be based on the different patients and different stages of the disease, to seize the main contradictions, combined with meridian, acupoint therapy, drug introduction therapy and oral treatment of Chinese and Western medicines, and with diet therapy, body therapy, the organic integration of the development of an optimal treatment program.
Third, the comprehensive determination of the efficacy of
The treatment before and after the imaging changes (b ultrasound or ct), blood biochemical indicators (liver function, blood lipids), symptoms and signs of three indicators to consider. Generally, as long as there is a significant improvement in one indicator, the other two will also improve, and sometimes the clinical manifestations are not synchronized.
Fourth, rational application
For different patients, it is necessary to use different strengths, matching points, imported remedies and body position, meridian manipulation, which is very delicate in the clinic, and it should be treated according to the patient's condition. Doctors should carefully communicate with patients and make records, and after a week or so, find out the best combination of programs for that patient.
Fifth, the patient's active cooperation
Fatty liver disease treatment must be closely coordinated with the doctor and patient, quit drinking, change the bad habits and diet, which is important to improve the clinical efficacy. Outpatient treatment can not control the patient's diet, if the patient is not good with the efficacy of treatment will be greatly reduced.
Sixth, adherence to treatment
Most of the patients who seek treatment for fatty liver disease are working people, and it is difficult to adhere to treatment for various reasons. At this time, you can use home-type liver disease meter home treatment, regular review. Doctors should help patients to overcome the psychology of eagerness.
Seventh, pay attention to individual differences
General instrumentation for the treatment of patients with a strong sense of qi is better, slow or sensitive type of physical patients with poorer results. Young and middle-aged patients have better results, older patients have worse results. The efficacy of patients with simple fatty liver is better, and the efficacy of patients with diabetes mellitus, hypertension, kidney disease and other chronic diseases is worse. Patients with a family history of aggregation have poorer outcomes.
2, fatty liver treatment
First of all, to find out the cause of the disease, targeted measures. If you have been drinking a lot of alcohol for a long time, you should stop drinking. Over-nutrition, obese people should strictly control the diet, so that the physical ability to return to normal. Diabetics with fatty liver should actively and effectively control blood sugar. Patients with malnutrition fatty liver should increase the nutrition, especially the intake of protein and vitamin. In short, removing the cause of the disease is conducive to curing fatty liver.
Secondly, adjust the diet structure, advocate high protein, high vitamin, low sugar, low fat diet. No or less animal fat, sweets (including sugary drinks). Eat more green vegetables, fruits and fiber-rich foods, as well as high-protein lean meat, river fish, soy products, etc., do not eat snacks, do not add meals before bedtime.
Also, increase exercise to promote body fat consumption. Running every day, at least 6 kilometers per hour to achieve weight loss. Sit-ups or fitness equipment exercise are very beneficial.
Finally, medication-assisted treatment, fatty liver is not terrible, early detection and active treatment, generally can be cured, and does not leave sequelae. It is worth pointing out that the prevention of fatty liver should start from the children, especially the only child, what you want to eat what to give, activities and less, once turned into a "little pudgy", fear that there has been a fatty liver.
3, the patient notes
1, the correct treatment of the disease
Fatty liver patients should try to often maintain a positive attitude, keep a relaxed mood, set up to overcome the disease confidence. Chinese medicine also believes that "anger hurts the liver", so patients with liver disease should be broad-minded, calm and optimistic.
2, prevent all kinds of infection
Fatty liver patients in general should pay attention to the body's conditioning, prevent all kinds of catching, such as colds, bronchitis, urinary system diseases skin infections and so on, easy to make the recovered condition of the activity and change again. According to the climate and temperature of the appropriate time to increase or decrease clothing, pay attention to living and personal hygiene.
3, dietary attention
Fatty liver patients diet should be high protein low-fat diet, in order to protect liver cells, promote liver cell repair and regeneration. Eat more fresh vegetables and fruits in moderation and avoid spicy stimulating food, greasy, too sweet and salty food.
4, correct bad habits
Smoking, drinking and staying up all night and other bad habits are also very harmful to the liver. Smoking and drinking can aggravate liver damage, and long-term late night will make the liver can not get enough rest, these are not conducive to fatty liver patients liver protection.
5, avoid fatigue
Fatty liver patients (unless patients with severe disease) do not necessarily need bed rest, but also to avoid excessive fatigue. Usually walking, playing tai chi, light housework can be done according to the ability to not fatigue and fatigue as the standard, which is conducive to the body's blood circulation, increase the function of internal organs.
6, control blood sugar
Whether suffering from type I or type II diabetes, if the blood sugar control is not proper, especially when there is ketoacidosis, it will make the fat synthesis of the liver hyperactive, the liver will be rapidly enlarged, adipose tissue infiltration, which will induce or aggravate the fatty liver. Therefore, patients with fatty liver combined with diabetes must actively control blood sugar.
7, reasonable use of medication
Fatty liver patients do not take drugs, especially do not use too much medicine, because many drugs need to go through the liver metabolism, improper use of drugs will increase the burden on the liver. Therefore, patients with fatty liver should use as little medication as possible, especially do not take drugs that are harmful to the liver, in order to achieve the purpose of liver protection.
8, regular review
Fatty liver patients regular review of the condition is very necessary, should be regular ultrasound, blood lipids, liver function and other tests, in order to understand the development of liver lesions.