Lao Liu, a 68-year-old male, was found with ascites due to liver cirrhosis in April, with hepatitis B 10 years, and abdominal distension after eating six months ago. Abdominal color Doppler showed ascites and splenomegaly due to liver cirrhosis. After receiving symptomatic treatment such as liver protection and diuresis, he got better and was discharged. After that, abdominal distension, even edema of lower limbs, fatigue and lethargy, fear of cold, palpitation, dizziness, backache, dry mouth, poor diet, loose stool, pale tongue with white fur and heavy pulse occurred repeatedly.
Prescription: Zhenwu Decoction.
Comprises Poria, Radix Paeoniae Alba, Atractylodis Rhizoma, Radix Aconiti Lateralis Preparata, Radix Astragali, Pericarpium Arecae, Herba Artemisiae Scopariae, Rhizoma Anemarrhenae, Alismatis Rhizoma, Radix Pseudostellariae, Fructus Hordei Germinatus and Endothelium Corneum Gigeriae Galli.
Efficacy: Warming yang and promoting diuresis.
Indications: Yang deficiency of spleen and kidney, stagnation of water and drink.
Lao Liu's cirrhosis ascites is essentially caused by yang deficiency and flooding. The ancients said, "When you see the disease of the liver, you can know that the liver transmits the spleen." Lao Liu has a history of hepatitis B for more than ten years, and liver disease will definitely affect the health of the spleen and stomach. Liver and spleen diseases will damage the kidney for a long time, leading to kidney yang deficiency. Kidney yang is the fundamental source of human energy. Kidney yang warms the body's water and promotes the operation of water and liquid. Once kidney yang is deficient, water and liquid in human body can't warm and run normally, thus accumulating in the body to form edema. Water left in the abdomen becomes ascites, and left in the lower limbs forms swollen feet ... Therefore, it is necessary to warm the yang and promote diuresis in treatment. It is necessary to promote diuresis and eliminate dampness, but we should also understand the importance of warming yang. If we simply rule out the dryness and dampness of water and don't know how to warm the yang, the disease can't be cured, because the fundamental driving force of water operation lies in the qi of warming the yang, and water can only be popular when it is warm, so it is very important to restore the yang of Liu's body to treat his cirrhosis ascites.
Add and subtract Zhenwu decoction, in which aconite directly reaches the kidney meridian, warming the kidney and helping yang; Atractylodes macrocephala, Poria, Alisma orientalis, Pericarpium Arecae and Herba Artemisiae Scopariae are used to eliminate water in Lao Liu. Astragalus tonifies the qi of human body and helps to restore the healthy qi of human body; Therefore, the patient visited the doctor three times before and after taking the medicine, and the ascites has been eliminated for half a month.
Zhenwu decoction is a classic prescription for treating edema and ascites. Water-liquid metabolism of human body is closely related to liver, spleen, kidney and lung, among which spleen and kidney are the key to water-liquid metabolism. Lung and liver play a key role in the metabolism of water and liquid. Lung and liver, as switches to regulate the smooth operation of qi and blood in the whole body, determine the smooth operation of qi and blood and the smooth circulation of water and liquid. However, spleen and kidney directly affect the metabolism of water and fluid. Spleen deficiency or kidney yang deficiency can lead to the accumulation of water in the body. The water control function of spleen and kidney is very important. Spleen-yang deficiency makes water wet and difficult to transport, while kidney-yang deficiency makes water stay in the body without motivation. When the water stays moist, you can't go down to the bladder, and you will have difficulty urinating. When water stays in the muscles of the limbs, you will feel sore and sleepy. When water invades the intestine, you will have abdominal pain and diarrhea. When the water stays in the limbs, you will have edema in the limbs. When water stays in the abdomen, you will have ascites. When the water stays in the lungs, you will cough ... So Zhenwu Decoction grabs the spleen and kidney, hits the root of the disease, and discharges the water in the body by warming the kidney and strengthening the spleen. Old Liu's ascites due to liver cirrhosis is due to yang deficiency of spleen and kidney, water loss of power and retention in the abdomen. Therefore, Zhenwu decoction is used to warm yang and promote diuresis in treatment.
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