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Detailed explanation of 30 methods of treating liver
1. Wang believes that liver qi is a kind of disease, which is mostly caused by depression and anger hurting the liver, failing to achieve its purpose and stagnation of qi. The initial illness is mostly due to depression in the meridians, but swelling is pain; Stagnation for a long time will easily lead to collateral stasis; Insulting the spleen, attacking the stomach, attacking the heart, attacking the lungs, or the mixture of excess and deficiency are all common clinical syndromes of liver-qi inversion. If you know it clearly, you can deal with it freely.

2, Shugan Liqi Fa Wang: Those with liver qi stagnation in this passage, those with flatulence or pain on both sides, should Shugan. Rhizoma Cyperi, Radix Curcumae, Caulis Perillae, Pericarpium Citri Reticulatae Viride and Folium Citri Tangerinae. Cold, add Evodia rutaecarpa; Heating, and adding Cortex Moutan and Fructus Gardeniae; And adding Rhizoma Pinelliae and Poria. "

3, Shugan Tongluo Fa Wang: "If Shugan should not be, then qi is abundant, collaterals are stagnant, and Shuxue Tongluo is appropriate. Such as rotating cover, Xinjiang, Guixu, peach kernel, Eupatorium adenophorum leaves, etc. " The liver governs catharsis and stores blood. Stagnation of liver qi will lead to poor blood circulation and blood stasis blocking collaterals.

4, Ruangan Fa Wang: "If the liver qi is very bloated, or even thinner, it is soft. Radix Angelicae Sinensis, Fructus Lycii, Semen Platycladi, Achyranthis Radix. Heating, adding Asparagus and Radix Rehmanniae; Cold, add cistanche deserticola and cinnamon. "

5, slow liver king: "If the liver is full of qi or even qi deficiency, then slow liver. Radix Glycyrrhizae Preparata, Radix Paeoniae Alba, Fructus Jujubae, Orange Cake, and Huai Mai. This method is suitable for the syndrome of liver qi expansion or even deficiency of middle qi.

6. Wang: "Liver-qi syndrome, abdominal distension and pain, plus Liujunzi decoction, tallow yellow, white peony root and woody incense". This method is suitable for stagnation of liver-qi.

7. Wang: "Liver qi suits the stomach, epigastric pain and vomiting, so add Zuojin Pill or Baikou Pill." This method is suitable for stagnation of liver-qi, stagnation of liver-qi, elimination of fire, and anti-stomach.

8, purging the liver: "If the liver qi rushes to the heart, the heat will break the intestine, and it is appropriate to purge the liver. Jinling, Hu Yan, Huang Wu and Sichuan. Cold, go to Chuanlian, add pepper and cinnamon; Or adding Radix Paeoniae Alba. Covering bitter, pungent and sour is the main method of purging the liver. "

9, liver suppression method: "Liver qi rushed to the lungs, sudden hypochondriac pain, sudden asthma, should suppress the liver. For example, Evodia rutaecarpa fried mulberry bark, perilla stem, almond and orange peel. "

10, hyperactivity of liver fire, hyperactivity of liver fire, mostly due to prolonged qi stagnation and depressed fire. There are both ends of deficiency and excess, and excess fire is responsible for hyperactivity of yang, while deficiency fire is due to yin deficiency. To treat liver-fire syndrome, we should not only distinguish between deficiency and excess, but also consider the relationship between liver and other viscera in order to achieve better results.

1 1, liver-clearing king: "liver-clearing, such as antelope horn, peony bark, black gardenia, scutellaria baicalensis, bamboo leaves, forsythia suspensa and selfheal." Qinggan method is suitable for MUBI with hyperactivity of liver fire, symptoms such as red eyes, tinnitus or deafness, bitter mouth and dry throat, dizziness, irritability and insomnia at night.

12, the method of purging liver: "purging liver, such as Longdan Xiegan Decoction, Xieqing Pill, Danggui Longhui Pill, etc." This method is suitable for liver-fire due to damp-heat and blood stasis in triple energizer.

13, the liver-making king: "When the liver gets angry, it will be clear. When the liver is working, Ming Jin makes the wood fire fight with it. " Such as Adenophora adenophora, Ophiopogon japonicus, Dendrobium, Loquat, Asparagus, Polygonatum odoratum and Semen Cassiae. "

14, the method of purging the child Wang Xiaoyun "If the liver is full of fire, it will also purge the heart. Such as licorice and coptis root, actually diarrhea their sons. This method is suitable for all liver-fire syndromes, but it is not used alone, but as an auxiliary treatment, combined with liver-clearing method or liver-purging method to enhance the curative effect.

15, Wang Xiaoyun's "law of adoptive mother" "water deficiency, liver fire, it should not be clear. When it is beneficial to kidney water, it is the method of fostering mothers. For example, Liuwei Pill and Dabuyin Pill have the same meaning. " .

16, liver-turning method, Wang Zhiyun's Classic Prescription treats liver qi depression, hypochondriac pain, fullness and blood circulation. And named Gantang with Green Pericarpium Citri Reticulatae Viride, Pericarpium Citri Tangerinae, Cortex Moutan, Gardenia, Paeonia lactiflora, Alisma orientalis and Fritillaria, which is the depressed fire of Qinggan Meridian. The method of transforming the liver was invented by Zhang Jiebin.

17, differentiation and treatment of liver wind The so-called liver wind refers to liver yang transforming wind and endogenous wind, which is also called "dizziness of various winds belongs to the liver" in Neijing.

18, Xifeng and Wang said, "At the beginning of liver wind, Xifeng and Wang were used for dizziness. Antelope horn, peony bark, chamomile, Uncaria rhynchophylla, cassia seed and Chenopodium album. That is to cool the liver. "

19, Wang: "If the wind and Yang don't work, we should use the wind to subdue Yang. Such as Oyster, Radix Rehmanniae, Fructus Ligustri Lucidi, Radix Scrophulariae, Radix Paeoniae Alba, Flos Chrysanthemi and Colla Corii Asini. The same is true for nourishing the liver. "

20. Wang said: "The liver wind is against the wind, and the deficiency in the middle is less. It is advisable to raise Yangming and relieve Jue Yin. Such as ginseng, licorice, Ophiopogon japonicus, white peony root, chamomile and Polygonatum odoratum. That is, the method of nourishing the soil and calming the wind, that is, the method of soothing the liver. "

2 1, nourishing the liver: "The liver is popular in the meridians of the limbs and is numb, so it is advisable to nourish the blood and extinguish the wind. Radix Rehmanniae, Radix Angelicae Sinensis, Fructus Lycii, Achyranthis Radix, Rhizoma Gastrodiae, Radix Polygoni Multiflori Preparata, and Fenugreek. "

22, warm the soil to keep out the cold king: "For example," synopsis of the golden chamber "has a near-effect Baizhu Fuzi decoction, which treats wind deficiency, dizziness and bitter taste, and I don't know its taste. This is the way to warm the soil against the cold wind. This is not a cure for the liver, but it is also a supplement. "

23. Other methods of treating liver. Among the 30 methods of treating liver by Wang, there are 1 1 methods of nourishing liver, calming liver, astringing liver, calming liver, soothing liver, searching liver, nourishing liver yin and yang, nourishing liver blood and nourishing liver qi. Briefly as follows,

24. Liver nourishing method: Polygonum multiflorum Thunb. Shredded vegetables, medlar, jujube kernel, apocynum venetum, sesame and tribulus in Shayuan. This is designed to nourish the liver. All syndromes of liver deficiency can be treated. If the deficiency of Yin-Yang and Qi-Blood in the liver is obvious, the medicine can be used in the following ways.

25. Rehmannia glutinosa, Radix Paeoniae Alba and Mume. This method of tonifying kidney and combining sweet and sour with yin.

26, liver yang method cinnamon, Sichuan pepper, cistanche deserticola. Liver-Yang Can can't help, but tonifying the kidney means tonifying the liver. Therefore, the method of tonifying kidney and yang is mainly used, and the meaning of Xin Bu is also used.

27. Angelica, Dipsacus, Achyranthes bidentata and Chuanxiong. This method of nourishing blood does not forget to promote blood circulation, and is characterized by tonifying kidney.

28, Shugan Liqi method Gastrodia elata, Atractylodes macrocephala, Chrysanthemum, Ginger, Asarum, Eucommia ulmoides, sheep liver. "Su Wen On the Method of Dirty Qi" says: "The liver wants to disperse, and it is urgent to eat spicy food to disperse it. Make up for it with Xin. " This rule can be noticed.

29, warm liver cinnamon, Sichuan pepper, Evodia rutaecarpa. It is suitable for the syndrome of liver suffering from cold. If the stomach is cold, ginseng and dried ginger can be added, which is the significance of Dajianzhong Decoction.

30. Concha Haliotidis, oysters, keel, dragon teeth, gold foil, lead, ochre, magnets. This is the way to sneak into town. Suitable for liver wind, palpitation.

3 1. Mume, Paeonia lactiflora and Papaya. This acid is astringent and has a sweet and sour effect.

32. Jin Lingzi, Chenopodium album, Uncaria rhynchophylla and orange leaf. It is suitable for patients with liver yang but not good at first, and those with liver depression and fire at first but not full.

33. Qugan Sanjie. Adhering to the principle of "big branches of fish" in Neijing, treating liver depression syndrome.

34. Rhizoma Gastrodiae, Notopterygii Rhizoma, Radix Angelicae Pubescentis, Herba Menthae, Fructus Viticis, Radix Saposhnikoviae, Herba Schizonepetae, Bombyx Batryticatus, Periostracum Cicadae and Rhizoma Typhonii are suitable for numbness of limbs and skin caused by external wind. Although it is an external wind, it is also related to the liver, so let's discuss it together.

35. The above method of 1 1 can be used in combination with the above methods of liver qi, liver wind and liver fire.

1. Wang believes that liver qi is a kind of disease, which is mostly caused by depression and anger hurting the liver, failing to achieve its purpose and stagnation of qi. The initial illness is mostly due to depression in the meridians, but swelling is pain; Stagnation for a long time will easily lead to collateral stasis; Insulting the spleen, attacking the stomach, attacking the heart, attacking the lungs, or the mixture of excess and deficiency are all common clinical syndromes of liver-qi inversion. If you know it clearly, you can deal with it freely.

2. Shugan Liqi Fa Wang: Liver qi is depressed in this meridian, and those with flatulence or pain on both sides should Shugan. Rhizoma Cyperi, Radix Curcumae, Caulis Perillae, Pericarpium Citri Reticulatae Viride and Folium Citri Tangerinae. Cold, add Evodia rutaecarpa; Heating, and adding Cortex Moutan and Fructus Gardeniae; And adding Rhizoma Pinelliae and Poria. "Soothing the liver and regulating qi is the first choice to treat liver-qi syndrome, which is suitable for hypochondriac swelling or pain caused by liver-qi stagnation at the beginning of liver-qi syndrome. It can be accompanied by depression, depression, chest tightness and excessive breathing, as well as a weak or heavy pulse. There may be emotional stimuli before the onset. If the liver disease lasts for a long time and the disease is not entirely caused by qi, but is induced or aggravated by emotional factors, this law still applies. The drugs selected by Wang in this method are mainly pungent and qi-regulating, which is in line with the purpose of "soothing the liver, eating quickly and dispersing pungent" in Neijing. You can choose as appropriate, such as Su Xiang San in Fang Ju, Xiang Yu San in Fangjian and Chaihu Shugan San in Jingyue Quanshu.

3. Shugan Tongluo Fa Wang: "If you can't Shugan, you will be depressed and block the collaterals, and dredge the blood vessels. Such as rotating cover, Xinjiang, Guixu, peach kernel, Eupatorium adenophorum leaves, etc. " The liver governs catharsis and stores blood. Stagnation of liver qi will lead to poor blood circulation and blood stasis blocking collaterals. Ye has a famous saying: "Qi stagnates in meridians at the beginning of illness, and blood hurts in collaterals after a long illness. Blood stasis is caused by qi stagnation for a long time, and the symptoms are stabbing pain in the ribs, persistent pain, or palpable masses. " The tongue is dark, with ecchymosis, astringent pulse, or heavy astringency. Wang's method was changed from Inula flower decoction in Zhang Shenjing's synopsis of the golden chamber. Because of the syndrome of blood stasis blocking collaterals, it is undoubtedly used. However, Wang's original intention of establishing this method was to use it after the initial application of soothing the liver and regulating qi failed. Visible. This method can also be used for treating liver qi at the initial stage, that is, soothing liver and dredging collaterals combined with soothing liver and regulating qi, and for treating symptoms of liver qi stagnation in meridians. Husband's qi is the land of blood, and when qi disease begins, blood stagnation will follow. Knowing this principle, this method can be used without doubt.

4. Softening the liver: "If the liver qi is swollen or even thinner, it is necessary to soften the liver. Radix Angelicae Sinensis, Fructus Lycii, Semen Platycladi, Achyranthis Radix. Heating, adding Asparagus and Radix Rehmanniae; Cold, add cistanche deserticola and cinnamon. " The liver is the dirty of wind and wood, and its nature rises, but it mainly stores blood, so its body is used by yin and yang. If the body is yin deficiency and blood deficiency, liver yin deficiency, liver qi dryness, liver dystrophy, liver qi stagnation, the more depressed and dry. These liver-qi diseases are characterized by hypochondriac fullness. If the treatment is simply soothing the liver and regulating qi, the pungent taste will be warm and dry, hurting yin and blood, so the swelling will be more severe. So I used the method of softening the liver. The so-called soft liver means soft control and rigidity. The liver is just dirty, nourished by yin and blood, while the liver yin is transformed by kidney yin. So is the so-called homology of ethyl and decyl. Therefore, Chinese angelica, Lycium barbarum, Platycladus orientalis, Achyranthes bidentata and other drugs that are good at nourishing water and containing wood are selected as the method of softening the liver. If there is heat syndrome, such as dry mouth and heat, Radix Asparagi and Radix Rehmanniae can be added to nourish yin and clear heat; If you see deficiency and cold of the lower Yuan at the same time, add Cistanche deserticola and Cinnamomum cassia to warm the lower Yuan.

5. Slow liver king: "If the liver is full of qi or even qi deficiency, it is necessary to slow the liver. Radix Glycyrrhizae Preparata, Radix Paeoniae Alba, Fructus Jujubae, Orange Cake, and Huai Mai. This method is suitable for the syndrome of liver qi expansion or even deficiency of middle qi. Stagnation of liver-qi, severe flatulence, manifested as unbearable flatulence in hypochondriac ribs, while deficiency of middle-qi can be manifested as fatigue, shortness of breath, anorexia, abdominal distension, loose stool, pale tongue with white fur, weak pulse and inability to press. Seeing the disease of the liver, my husband knows that the liver transmits the spleen, and we must first strengthen the spleen. Today, the temper is weak first, and the liver qi is more urgent. Treatment should first help the middle qi, so use sweet medicine. " The liver is bitter and anxious, and if it is urgent, it will eat slowly ",that is, the Fourteen Difficult Classics means" those who damage the liver will slow it down ".

6. Wang Xiaoyun's method of plowing soil and purging wood: "Liver-qi evidence, abdominal distension and pain, Liujunzi decoction, Wu Suohuang, Radix Paeoniae Alba and Radix Aucklandiae". This method is suitable for stagnation of liver-qi. The so-called soil deficiency is a thief, and wood occupies the soil position, so see abdominal pain. May be accompanied by discomfort, eating less and staying; Or abdominal pain is diarrhea, and the pain is relieved after diarrhea; Or irritable, angry and painful; Pulse string, white hair. This syndrome is often induced by emotional factors or aggravated by emotional changes. It is advisable to treat spleen deficiency and liver depression. Six kings strengthen the spleen, Evodia rutaecarpa, Radix Paeoniae Alba and Radix Aucklandiae soothe the liver. The medication is just right.

7. Wang: "Liver qi suits the stomach, epigastric pain and vomiting, so add Zuojin Pill or Baikou Pill." This method is suitable for stagnation of liver-qi, stagnation of liver-qi, elimination of fire, and anti-stomach. The stomach is out of balance due to the influence of wood, which is manifested as epigastric pain, vomiting and soreness, or burning pain in the epigastric cavity, frequent fever, irritability and impatience, bitter taste and thirst, constipation and redness, red tongue with yellow coating, and rapid or rapid pulse. Treat liver and stomach. The disease location of this syndrome is in the stomach, and the pathogenesis is in the liver, which is indispensable for dispersing the liver and stomach. Erchen decoction is chosen as the basis to restore harmony in the upper abdomen; Zuojin Pill is used for purging liver fire and tastes bitter. It contains Wu Huang Zhu, the essence of purging liver wood, the bitter cold of Rhizoma Coptidis, and the essential medicine for purging heart fire. Actually, it means cleaning your son. If the syndrome is partial to qi stagnation and vomiting is aggravated, Erchen Decoction is added with Amomum villosum and Jin Lingzi, Amomum villosum regulates qi to stop vomiting, and Jin Lingzi purges liver fire to relieve pain. It shows that the characteristics of Wang's drug selection are few but fine.

8. Wang Xiegan method: "Liver qi rushes to the heart, and heat breaks the intestine, so it is advisable to diarrhea the liver. Jinling, Hu Yan, Huang Wu and Sichuan. Cold, go to Chuanlian, add pepper and cinnamon; Or adding Radix Paeoniae Alba. Covering bitter, pungent and sour is the main method of purging the liver. " The so-called liver qi rushing to the heart actually refers to the stomach cavity under the heart, that is, under the xiphoid process. Symptoms are sudden and severe pain in the upper abdomen, even cold hands and feet, even cold sweat dripping, accompanied by nausea and vomiting, spitting out blue-yellow sour and bitter water and food. Pain and syncope are the characteristic symptoms of this disease, and the pain attacks suddenly and violently, manifested as colic or drill-top pain, mostly paroxysmal; The causes of syncope are severe pain, cold hands and feet, and even cold sweat. The cause of syncope is not yang deficiency, but anger of the liver and gallbladder. Proper treatment, regulating qi and relieving pain. The essence of this syndrome is heat depression and fire resistance. If cold symptoms appear at the same time, it becomes cold-heat mixed syndrome. Take warm and slippery products, such as Sichuan pepper and cassia twig, warm and disperse cold and coagulate, and add Radix Paeoniae Alba to remove acid and remove wood. The characteristics of this syndrome are not bitter, pungent and sour. Bitterness can alleviate the adverse effects of liver fire, pungent can open the stagnation of liver qi, and acid can calm the rash of liver. Therefore, bitter, pungent and sour are the main methods of purging the liver.

9. Pinggan Fa Wang: "Liver qi rushes to the lungs, hypochondriac pain suddenly occurs, and it is appropriate to calm the liver. For example, Evodia rutaecarpa fried mulberry bark, perilla stem, almond and orange peel. " This method is suitable for patients with excessive liver qi, ascending qi invading the lungs, sudden wheezing, chest tightness, and hypochondriac pain. Liver belongs to wood, lung belongs to gold, and lung is restrained. Under normal circumstances, liver qi can be restrained by lung qi, but not too much to soften it. If the liver is injured due to anger, the liver qi soars, the lung qi has no right to restrict, and the liver qi is uncontrolled and goes up, it will directly attack the lung qi, making the lung lose its vitality and the lung qi go up, making it gasp. It is characterized by violent hair, fierce momentum and hypochondriac pain. This syndrome often has obvious emotional factors to pursue. Wang chose Evodia rutaecarpa to stir-fry mulberry bark, which can not only suppress lung and calm liver, but also almond and orange are all products for suppressing lung, lowering qi and relieving asthma. All these drugs are used together to restore lung qi and suppress liver qi. Therefore, it is called "liver suppression method".

10. Treatment of liver-fire syndrome, liver-fire syndrome, mostly due to prolonged stagnation of qi and prolonged stagnation of fire. There are both ends of deficiency and excess, and excess fire is responsible for hyperactivity of yang, while deficiency fire is due to yin deficiency. To treat liver-fire syndrome, we should not only distinguish between deficiency and excess, but also consider the relationship between liver and other viscera in order to achieve better results.

1 1. Qinggan Fa Wang: "Qinggan, such as antelope horn, peony bark, black gardenia, scutellaria baicalensis, bamboo leaves, forsythia suspensa and Prunella vulgaris." Qinggan method is suitable for MUBI with hyperactivity of liver fire, symptoms such as red eyes, tinnitus or deafness, bitter mouth and dry throat, dizziness, irritability and insomnia at night. Number of pulse strings, red tongue with yellow fur. This syndrome is that the liver-fire is rushing upward and spreading outward, and there is no damp-heat stagnation inside, but the yin blood is not injured, which is the liver-fire syndrome. This is an invisible flame, which is not clear enough to stop its flame, so it can be cured directly.

12. Qinggan Fawang: "Qinggan, such as Longdan Xiegan Decoction, Xieqing Pill and Danggui Longhui Pill." This method is suitable for liver-fire due to damp-heat and blood stasis in triple energizer. Symptoms include red eyes and swelling, deafness and swelling, red face and nose, dizziness and headache, irritability and impatience, various nightmares, even manic convulsions, upper and lower bleeding and so on. The pulse is slippery, pressing hard, the tongue is red, and the coating is yellow and greasy. This is the evil of liver meridian accumulated by damp heat, so it is advisable to treat bitter cold directly, dredge the second stool and discharge the evil of damp heat from the second stool. If the liver fire is serious, it will be cleared by law but can't be cured, so it is easy to be ruled by law.

13. liver-building king: "liver fire goes up and inflammation goes down." When doing liver, it is clear gold that makes wood fire strong and rebellious. " Such as Adenophora adenophora, Ophiopogon japonicus, Dendrobium, Loquat, Asparagus, Polygonatum odoratum and Semen Cassiae. "This method is also known as the method of clearing gold and making wood. Liver-fire syndrome should be treated by clearing liver. If there is no cure; When the fire of responsibility is emotional. The so-called "cold or not, there is no water. "Yin injury leads to lung loss, and the liver wood cannot be restricted, so the anger is strong and even the fire is punished with gold. Symptoms include dry mouth and throat, intermittent cough, sticky phlegm, blood in the sputum, or hemoptysis, chest pain, five upset and hot, thin and red forehead. The pulse string is thin and numerous, and the tongue is red with little or no coating. This syndrome is more common in patients with lung yin deficiency. Liver-control is the product of nourishing yin and clearing lung, and clearing lung yin to control excessive wood fire.

14. Wang Zhiyun's "The Method of Diarrhea" "If the liver is full of fire, it will also diarrhea the heart. Such as licorice and coptis root, actually diarrhea their sons. This method is suitable for all liver-fire syndromes, but it is not used alone, but as an auxiliary treatment, combined with liver-clearing method or liver-purging method to enhance the curative effect. Excessive liver fire often leads to excessive heart fire and the symptoms of destroying the operation at the same time. At this time, the treatment should clear liver and fire at the same time, in order to achieve good results. Therefore, Japan "is actually diarrhea." Wang took Coptidis Rhizoma and Glycyrrhizae Radix as examples to illustrate their methods.

15 "adoptive mother law" Wang Xiaoyun said, "water deficiency, liver fire, it is not appropriate to clear, but should benefit the kidney, for the method of adoptive mother. For example, Liuwei Pill and Dabuyin Pill have the same meaning. " . If the kidney water is insufficient in the process of spraying health care: ammonia noodles, making famous steamboats, enhancing sensitivity and increasing transport, water does not contain wood, liver yin is insufficient, yin does not control yang, and liver fire is vigorous, which means that yin is insufficient in the lower part and fire is abundant in the upper part. Although these fires are strong, they should not be cleared, as the saying goes, "cold is not cold, there is no water." Governance should be "the master of strong water governs sunshine". This is the deficiency of liver yin, so it is necessary to nourish kidney water according to the purpose of "deficiency is to replenish its mother"; Nourishing water with wood can cure its source. Here you can see the meaning that B and Gui are homologous.

16 liver-turning method Wang Zhiyun's Classic Prescription treats liver qi depression, anger, anger, hypochondriac pain, fullness and blood circulation. And named Gantang with Green Pericarpium Citri Reticulatae Viride, Pericarpium Citri Tangerinae, Cortex Moutan, Gardenia, Paeonia lactiflora, Alisma orientalis and Fritillaria, which is the depressed fire of Qinggan Meridian. The method of transforming the liver was invented by Zhang Jiebin. It is suitable for liver injury caused by stagnation of liver qi, blood exuberance due to fire, hypochondriac fullness, even pain, irritability, or common bleeding. Pulse string, red tongue with yellow fur. The syndrome is mostly induced by emotional frustration and depression, and there are obvious emotional factors to be observed. Its prescription and medicine are combined with the products of soothing the liver and relieving depression, regulating qi and promoting blood circulation, clearing away heat and resolving phlegm, giving consideration to both qi and blood, and resolving the stagnation of fire in the liver meridian, so it is named liver.

17 Syndrome Differentiation and Treatment of Liver Wind The so-called liver wind refers to liver yang transforming wind and endogenous wind, that is, the so-called "dizziness of various winds belongs to the liver" in Neijing. Wang believes that "the syndrome of liver wind, although more than above, can also be applied to limbs." Most of the above are yang hyperactivity; People who pass by have more blood deficiency. Two main clinical patterns of liver wind syndrome are clearly pointed out. The pathogenesis of these two diseases is different. Yang hyperactivity leads to wind, that is, "internal wind is mostly caused by fire", and blood deficiency leads to wind, which is caused by blood deficiency and tendon dystrophy. So the emphasis of the two treatments is also different.

18 Wang said: "When the liver wind starts at the beginning, people with dizziness should use the method of calming the wind and nourishing the yang. Antelope horn, peony bark, chamomile, Uncaria rhynchophylla, cassia seed and Chenopodium album. That is to cool the liver. " This is the beginning of liver wind, which comes out of fire and disturbs Yang. The main symptoms are dizziness, bitter mouth and dry throat, vexation and irritability, MUBI sleeping at night, red tongue, thin fur and Huang Gan, and rapid pulse. This syndrome is mostly due to hyperactivity of liver yang, excessive qi and fire, and obvious heat. Therefore, the method of cooling the liver is used to clear its liver heat, and its yang is self-harmonious, so the method of "extinguishing wind and regulating yang" is used.

19 Wang said, "If stopping the wind and yang doesn't work, stop the wind and yang. Such as Oyster, Radix Rehmanniae, Fructus Ligustri Lucidi, Radix Scrophulariae, Radix Paeoniae Alba, Flos Chrysanthemi and Colla Corii Asini. The same is true for nourishing the liver. " At the beginning of liver wind, the rule of law to cool the liver is ineffective, indicating that the condition is not simply yang hyperactivity. "Cold is not cold, it is waterless", which is due to deficiency of liver yin and hyperactivity of liver yang. This is the essence of deficiency, the essence of reality, not simply cooling the liver can be achieved. Treat yin that nourishes liver and kidney, and yang that is hyperactive. This method mainly uses nourishing yin drugs such as Radix Rehmanniae, Fructus Ligustri Lucidi, Radix Scrophulariae, Radix Paeoniae Alba and Colla Corii Asini to nourish the yin of liver and kidney. Taking the meaning of the same origin of B and Gui, treating liver and kidney together with chrysanthemum and oyster to subdue yang and calm wind is a treatment method that treats both the symptoms and root causes. Clinically, besides dizziness, it may be accompanied by thin red whip, soreness of waist and knees, tinnitus and dry throat, red tongue with little coating, and thin and strong pulse.

20 "Plowing the soil to stop the wind" Wang Xiaoyun said: "Liver wind is against the wind, and the deficiency in the middle is less. It is advisable to raise Yangming and drain Jue Yin. Such as ginseng, licorice, Ophiopogon japonicus, white peony root, chamomile and Polygonatum odoratum. That is, the method of nourishing the soil and calming the wind, that is, the method of soothing the liver. " If the soil is not fertile, there will be no trees to grow. If the spleen and stomach in the middle energizer are deficient in cold and the source of qi and blood is insufficient, the liver will also be malnourished, resulting in deficiency wind. Clinically, we can see the symptoms of liver wind, such as dizziness, tinnitus, unstable walking, etc., and we can also see the symptoms of spleen and stomach weakness, such as anorexia, fatigue, irregular stool and so on. This is proved to be dizziness caused by deficiency of both spleen and stomach. Treatment should be based on nourishing the soil, supplemented by calming the wind, that is, the so-called "nourishing Yangming to relieve Jue Yin", also known as soothing the liver, which is also based on its treatment in the middle energizer, "those who hurt the liver will be relieved."

2 1 Liver-nourishing King: "If the liver is prevalent in the meridians of the limbs and is numb, it is advisable to nourish the blood and extinguish the wind. Radix Rehmanniae, Radix Angelicae Sinensis, Fructus Lycii, Achyranthis Radix, Rhizoma Gastrodiae, Radix Polygoni Multiflori Preparata, and Fenugreek. " The liver stores blood and strengthens muscles. If the liver yin and blood are insufficient and the tendons and veins are dystrophy, there will be symptoms such as numbness of limbs and stretching of tendons and veins, accompanied by symptoms of blood deficiency such as dizziness, palpitation, red tongue with little coating and thready pulse. It is advisable to nourish blood and dispel wind, nourish tendons and dredge veins. Nourishing the liver is named because the liver body is yin and blood is stored.

Warm the soil to keep out the cold. Wang Dao: "For example, in Synopsis of the Golden Chamber, Baizhu Fuzi Decoction is effective in treating wind deficiency, with dizziness and bitter taste, and I don't know its taste. This is the way to warm the soil against the cold wind. This is not a cure for the liver, but it is also a supplement. " This method is suitable for dizziness caused by yang deficiency of middle energizer, obstruction of cold drinks and loss of appetite. Because of the deficiency of spleen and stomach yang, the patient can't warm the channels and get wet with water, and the cold drink is condensed and cloudy, which leads to dizziness, so liver wind is used to treat it. Deficiency of middle energizer has no right to transport, so it completely ignores diet. Although this is a concurrent disease, it is known that the key to its pathogenesis lies in the middle energizer. Because of its cold drink condensation, it can be inferred that its syndrome should be vomiting, phlegm and saliva and other cold drink blocking symptoms. Its tongue should be pale and smooth, and its pulse should be heavy or slow. Use Jingui perilla decoction (Atractylodis Rhizoma, Radix Aconiti Lateralis Preparata, Glycyrrhrizae Radix, Rhizoma Zingiberis Recens, and Fructus Jujubae) to warm the middle warmer, dispel cold, strengthen the spleen and eliminate yin. The treatment is in the middle coke, so the Japanese "actually make up the middle coke."

23 Other liver treatment methods, among the 30 methods of Wang Zhi Gan, there are 1 1 nourishing liver, calming liver, astringing liver, calming liver, soothing liver, searching liver, nourishing liver yin and yang, nourishing liver blood and nourishing liver qi. Briefly as follows,

Liver nourishing method: Polygonum Multiflori Radix, shredded cabbage, Fructus Lycii, Semen Ziziphi Spinosae, Cornus officinalis, Sesame, and Semen Astragali Complanati. This is designed to nourish the liver. All syndromes of liver deficiency can be treated. If the deficiency of Yin-Yang and Qi-Blood in the liver is obvious, the medicine can be used in the following ways.

Radix Rehmanniae Preparata, Radix Paeoniae Alba and Mume Nourish Liver and Yin. This method of tonifying kidney and combining sweet and sour with yin.

26. Cinnamon, Zanthoxylum bungeanum, and Cistanche deserticola. Liver-Yang Can can't help, but tonifying the kidney means tonifying the liver. Therefore, the method of tonifying kidney and yang is mainly used, and the meaning of Xin Bu is also used.

Radix Angelicae Sinensis, Radix Dipsaci, Radix Achyranthis Bidentatae and Rhizoma Chuanxiong. This method of nourishing blood does not forget to promote blood circulation, and is characterized by tonifying kidney.

Gastrodia elata, Atractylodes macrocephala, Chrysanthemum, Ginger, Asarum, Eucommia ulmoides Oliv. , sheep liver. "Su Wen On the Method of Dirty Qi" says: "The liver wants to disperse, and it is urgent to eat spicy food to disperse it. Make up for it with Xin. " This rule can be noticed.

Warming liver with cinnamon, pepper and Evodia rutaecarpa. It is suitable for the syndrome of liver suffering from cold. If the stomach is cold, ginseng and dried ginger can be added, which is the significance of Dajianzhong Decoction.

Concubine, oyster, keel, dragon teeth, gold foil, lead, ochre, magnet. This is the way to sneak into town. Suitable for liver wind, palpitation.

3 1 convergence method ebony, white peony root, papaya. This acid is astringent and has a sweet and sour effect.

Jin Lingzi, Chenopodium album, Uncaria rhynchophylla and orange leaf. It is suitable for patients with liver yang but not good at first, and those with liver depression and fire at first but not full.

33. Soothing the liver, promoting qi and dispersing stagnation. Adhering to the principle of "big branches of fish" in Neijing, treating liver depression syndrome.

Rhizoma Gastrodiae, Notopterygii Rhizoma, Radix Angelicae Pubescentis, Herba Menthae, Fructus Viticis, Radix Saposhnikoviae, Herba Schizonepetae, Bombyx Batryticatus, Periostracum Cicadae and Rhizoma Typhonii are suitable for numbness of limbs and skin caused by external wind. Although it is an external wind, it is also related to the liver, so let's discuss it together.

The above-mentioned 1 1 method can be used in conjunction with the above-mentioned methods of liver qi, liver wind and liver fire.