Differential Diagnosis of Liver and Spleen Disharmony and Disharmony of Liver and Stomach

Liver and spleen do not regulate: due to liver loss, catharsis, transversal guilty of spleen, spleen lost health movement performance of the liver through the negative chest pain and adverse spleen transport, qi block abdominal distension, loose stool embolism .

Hepatogastric disharmony: due to liver qi stagnation, long-term phlegm, liver and stomach phlegm-induced liver loss, catharsis, stomach loss and drop syndrome. The main manifestations are phlegm-flank pain, dysentery and soreness.

Etiology

Liver and spleen do not verify: emotional depression, the request is not greedy, then the liver lost catharsis, liver qi stagnation, transversal guilty of the spleen, the liver and spleen is not transferred, as the "dialectic record" said: "Feiwei Although the liver bit, and Liver will be the spleen, the spleen by the liver grams, the spleen can also make pain with the liver." If dietary hunger is not adjusted, fatigue and internal injuries, can also lead to spleen deficiency, transport of dereliction of duty, regardless of phlegm, qi stagnation, resistance, Suppression of liver wood, so that the loss of catharsis liver, that is, "the soil of wood Yu."

Hepatogastric incompetence: unsmooth emotions, liver loss, catharsis, liver qi stagnation, stomach antagonism, stomach turbulence, "dirty air, wins and falls due to illness, such as anger injury liver, liver spleen, bad temper; will bulge in Stomach, the name 曰 曰 克 克 克 克 克 克 克 ” ” ” ” ” ” ” ” ” ”.

Pathogenesis

Liver and spleen do not verify: liver is a wood, the main rise, the main catharsis; spleen is soil, the main transport. Wood can sparse soil, soil can camp wood, so the two physiologically interact with each other, inseparable, mainly reflected in the catharsis of the liver and spleen of transport. Due to the normal function of the spleen transport function, it depends on the catharsis of liver qi. Only if the catharsis function of the liver is normal, the spleen transport function can be performed normally. The tempered health and nourishment of liver wood can make the liver full and perform normal catharsis. If the liver loses fluid, it affects the spleen's transport function, and the spleen loses health and transports the liver and spleen deficiency syndrome. This is what Zhang Zhongjing said: “See the liver disease, know the liver and spread the spleen, the first real spleen.” If the liver qi stagnation , Qi and blood, qi stagnation and blood stasis, liver qi stagnation of spleen, spleen does not make water, water flooding, then soil ransom, liver and spleen blood stasis, qi stagnation resistance, gas, blood, water knot, stay In the body, it became a bulging pathological outcome. Therefore, "Shen Shi Zun Sheng Shu" said: "Bulging ... or anger by the liver, gradually eroding the spleen, spleen deficiency, so yin and yang do not pay, turbidness mixed, the tunnel barrier. Yu and the heat, heat to stay For the wet, hot and humid phase, so its abdominal distension." Liver Qi is not comfortable, grams of guilty of the spleen soil, gas machine obstruction, blood transport astringent lag, the spleen is not transported into the blood, the accumulation of accumulated product over time, as "King Yue Quan Shu The cloud said: "Blood stasis is left as a symptom, but a woman has ... or anger wounds the liver, Qi reversed the blood to stay, or worry about the spleen, qi deficiency and blood stasis, ... ... always by the time of blood , The remaining blood is not net, and a certain counter-inhibition is left, the accumulation of days and gradually become a disease. "If the spleen is not transported, wet turbidity stop in the coke, phlegm liver wood, the liver gas lost in the article reached, Qi stagnation, blood stasis within the stop, for qi stagnation, water stop, blood stasis, stopping the accumulation of abdominal bulge in the formation of cards.

Hepatogastric disharmony: Liver master catharsis, the main rise, the main stomach received maturity water valley, the main decline, liver ups and downs, adjust the air-supply balance. Liver wood strips up to catharsis, help the normal function of the stomach receiving function, if the liver loses discharge, Yu and the fire, transversal guilty of the stomach, the stomach loss and fall, stomach Qi inverse; if the liver and stomach heat , heat injury blood network, there is vomiting blood, bleeding, phlegm, always made by the liver fire stomach, burning stomach and stomach collateral. "Hematemesis, every bloody person is a bloody person, is this blood comes from the liver, more with blue, from the fire on the blood, wrong by the line, due to anger and get, <June> cloud: anger is angry, even vomiting blood , France should be the blood to liver ("the purpose of the Chinese medicine"). Therefore, the liver is full of flames, burns and stomach, and it is easy to form the pathological outcome of vomiting blood and vomiting blood.

Identification points

Liver and spleen does not verify: chest threats, breasts, abdominal pain, lack of bloating stuffy, good for the rest, emotional depression or irritability, in the case of anger, the various symptoms increase, abdominal distension, loose stools unhappy, diarrhea must be abdominal pain, pain reduction after diarrhea, appetite Sluggish, boweled, white tongue, or greasy moss, pulse string. The symptoms of liver qi stagnation and bloating, diarrhea, and spleen deficiency in poor appetite were common clinical features.

Hepatogastric disharmony: Chest threat, breasts, lower abdominal pain, stomach cramps and pain, irritable, irritability, panic acid, phlegm, poor appetite, phlegm, red tongue, thin yellow coating, pulse slightly. The symptoms were pain and pain, pantothenic acid, irritability, and red tongue yellow coating.

Identification analysis

Liver and spleen do not regulate: hepatic veins and ribs ribs, the top squatting, follow the lower abdomen, so the liver qi stagnation, adverse gas, the chest threat, breast, little bloating stuffy pain; "Introduction to medicine · Dan Taiyu case" on the liver When the etiology and pathogenesis of Yuxiongtong are considered, “the liver is hidden inside and outside, and the outside should be about the threat, the threat, the place of the liver, the blood of the Tibetan, and the anger of the owner.... Can not stretch, stagnation can not be, hidden in the liver, although there is no blood stasis but also painful." On Qijie abdominal pain, "Causes disease governance" that: "gastric abdominal pain, chest and abdomen fullness, pain should be heart and back In contrast, when the gas is in pain, the gas is very painful, and the gas-breaking drug is slightly reduced. The gas-supplemented drug is more painful, and the gas-stomach pain is also a symptom. , it is a good sigh; liver Yu can not be reached, so the emotional depression; loss of suppleness is irritability, this is the "Huang Di Nei Jing Su asked," the so-called "liver disease, the two threats lead to lower abdomen, it is Good Wrath.” Wrath is more gloomy, so Zhu Zheng aggravate; liver Yu spleen, spleen, not transport, voicing regardless, lifting dereliction of duty, qi block, food turbidity, wet evil within the trapped, then the abdomen , abdominal pain is diarrhea, loose stools, boweled nose, so Zhang Jingyue thinks: “Whenever anger will be diarrhea, must first anger when the spleen and stomach injury caused by food, it is a guilty, but with the touch, The disease of liver and spleen is also covered with liver and soil, and the wound is in terms of temper." "The rule of the cardinal syndrome" is that "Gastric diarrhea and bowel sounds, qi and chest ache, phlegm and urgency, pain, and diarrhea. Under the urgency of the mandible, there is also an abdomen with an acute sensation of breathlessness. This is caused by the stasis of stasis, the lack of circulation, and the absence of water in the valley. "After the bowel movement, the stagnation of qi can lead to pain reduction after diarrhea; the spleen deficiency and the stomach and stomach. Poor appetite, so lack of appetite; moss white, no obvious thermal image, moss tired for the spleen wet resistance, pulse string hepatic disease.

Hepatogastric disharmony: Exasperating liver injury, Liver loss, catharsis, Qi stagnation, transversal convulsions, stomach gas loss, no pain, so the stomach sacral pain, this is the "Shen Shi Zunshu "The cloud of the stomach:" Stomach pain, evil dry stomach ache is also ... ... only the liver gas phase multiplied by especially, with wood sexual violence, and positive grams also." The "classification of governance" also believes that: "Qi Yu pain, must attack the fullness." Liver yin is lost in the article, it is irritable and irritability; liver and stomach Yu heat, anger in the gas, so the pan-citizen water, noisy Liver gas guilty of stomach, stomach loss and drop, less than acceptance, and therefore poor appetite; as the "Stone Room Secret Record," said: "Sick stomach, or bad temper, can not eat, or can not eat, not Pain is not full, vomiting diarrhea, this is the liver through the grams of soil is also. Ping his liver wood, the spleen and stomach of the soil was raised, and the former disease are more and more worry." If the stomach loss and fall, stomach upside down, then嗳气; Stomach on the counterattack, then disobedient, "Feng's album secret record" that: "Radiator, mostly due to stomach deficiency, phlegm gas does not increase and decrease, over the extreme show Shu and turbidity on the stomach is also ... ... There is no gas in the stomach stagnation, and no sour odor, expelling Qi Gastroptosis and in. "Red tongue, thin yellow coating, pulse string slightly, are signs of liver and stomach Yure.

Liver and spleen do not regulate liver and stomach disharmony syndrome, in terms of their clinical symptoms, have chest pain, breasts, lower abdominal pain, irritability, loss of appetite, pulse string common symptoms, due to liver qi stagnation, adverse gas, If you vent too much, your yang will rise. Liver and spleen do not verify, but also accompanied by loss of spleen and physical activity, qi stagnation and wet resistance of the clinical manifestations: abdominal distension, loose stools, diarrhea must be abdominal pain, pain reduction after diarrhea, bowel sputum vector gas. Disharmony of the liver and stomach, but also both stomach loss and fall, stomach gas loss and stomach phlegm to fight for pain and stomach upside down rebellious hernia and rapid irritation of liver and stomach sensation, pan-citizen water, noisy, red tongue, Thin yellow fur, slightly stringed pulse, among them, epigastric pain, disobedient hernia and symptoms of liver and stomach sensation of heat do not regulate the liver and spleen, but also different from the liver and spleen does not regulate the clinical manifestations, and liver and spleen is not Verification, no clinical symptoms of epigastric pain and epigastric pain, only abdominal distension, abdominal pain, mainly abdominal symptoms.

Liver and spleen do not regulate and liver and stomach disharmony card, in terms of its pathogenesis, both have liver qi stagnation, pathological features of gas adverse, the difference is that the former there is spleen loss and health, the latter There are also stomach loss and depression and qi stagnation, specifically, the liver and spleen do not adjust is: liver loss, catharsis, liver qi stagnation, wood loss, spleen loss, health, water Valley, qi stagnation, No distinction between voicing and turbidity, dereliction of duty, and loss of company. Liver and stomach disharmony is: liver loss and discharge, transversal stomach, stomach loss and drop, gas on the upper, Qi stagnation of fire, liver and stomach heat, liver and stomach qi stagnation, lost the Secretary. Both diseases are in the liver, the former in the liver and spleen, the latter in the liver and stomach, are qi stagnation card, the former due to liver qi caused spleen deficiency, is the liver and spleen deficiency, as Wu Hexuan said: "The spit of diarrhea, Responsible for the liver, the liver is responsible for the fact, the spleen is responsible for the deficiency, the spleen deficiency and liver, so it makes the pain diarrhea." Liver and stomach disharmony, for liver and stomach qi stagnation depression. Liver and spleen do not verify, often due to qi stagnation, water stopped, blood stasis and the formation of liver and spleen blood stasis, soil erosion Equisetum bulging, plot disease. Disharmony of liver and stomach, often due to qi stagnation of the fire, burning stomach network caused by vomiting blood, vomiting blood pathology.

Liver and spleen do not regulate and liver and stomach disharmony, in terms of their etiology and history, the two have a common cause of emotional uncontrollable, liver-qi Yi Yu, the former can often have a history of diet fatigue, spleen, and the latter can have qi History of heat history.

Liver and spleen do not verify, clinical treatment should Shugan Liqi, spleen and stomach, side with pain diarrhea Yao Fang ("King Yue Quan Shu"), "qi Yu who Shugan spleen-based, rationale their pain and self "Yiye" ("Yitong Zhengmaishu·Living Renshu"); liver-stomach disharmony, treatment should clear the heat, diarrhea liver and stomach, side with liver fried ("King Yue Quan Shu") and Zuo Jin Wan ("Dan "Xi Xinfa"), "classification of governance" that: "...... due to the liver and stomach pain, who rushed Xie Xie, when the bitter acid wood, Evodia, Angelica, Peel, papaya, Magnolia, extension Hu, kumquat; ... fire Yuzhi pain, hair is the next day, the pulse will be the number of strings, when suffering bitterly heat, ginger juice fried Coptis, hawthorn, Xiehuo Jun, Xiangfu, Chuanxiong, tangerine peel, Citrus aurantium, Kai Yu was the honour leader and he was accused of reconciliation with Jiang Jiang.


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