Treatment of Fatty Liver by Treating Spleen

Since deficiency of spleen is pivotal factor for fatty liver, phlegm damp and turbid fattiness are the "branch", we use the prescription of qi reinforcement, spleen tonifying  and movement promotion to regulat spleen functional activity, make spleen qi blooming in order to prevent the forming of phlegm damp and turbid fattiness, so as to "Strong spleen help the human body resisting evil in four seasons", furthermore, it can reinforce and nourish liver, promote the relieving-discharging and blood storing function of liver, avoid the forming of fatty liver. The detailed application is described as below.

Replenishing spleen qi: invigorating qi and tonifying spleen, it may change refined nutritious substances to qi and blood, warter damp to body fluid. Elevating lucid orifices and lowering turbid, the lucid orifices and turbid are clearly demarcated and stay in their right position, it may prevent the turbid from blood. It usually applies to deficiency of spleen-stomach or irregular diet, spleen-stomach qi deficiency due to harmfulness of spleen-stomach, Indications including body weakness and heaviness, fatigue, abdominal distention and poor appetite, pale tongue with thin coating, thready soggy pulse, we should use Bu Zhong Yi Qi Tang or Si Jun Zi Tang. However, spleen-stomach qi likes circulating and communicating, hates obstruction, although it must be reinforced and combined with dredging for spleen-stomach qi deficiency, which is using tonifying herbs as main herbs, taking dredging adjuvant herbs, if there is damp syndrome, we should add damp resolving herbs to spleen reinforcing herbs. such as Shen Ling Bai Zhu San, if there is qi stagnation syndrome, we should add a little qi moving herbs to equally tonify herbs, take Yi Gong San, Xiang Sha Liu Jun Zi Tang.

Clearing heat and resolving turbid method: since the spleen is in charge of transportation of water-damp, spleen insufficiency causes disorder of transportation function, result in body fluid that can not be transported and dispersed, damp produces in internal and transfers to heat after long term stasis, damp-heat obstruction, dysfunctional activity of qi, dysfunctional of turbid fattiness drainage, this method can expel damp and clear heat, promote the function of turbid fattiness drainage, so as to make the lipid lowering. It applies to damp-heat of middle jiao due to drinking alcohol, eating greasy food, indications including abdominal distention, poor appetite, tight and heavy sensation of head, hiding fever, bitter greasy taste, red tongue with yellow greasy coating, slippery rapid pulse, we should use Powder of Oriental Wormwood and Five Herbs with Poria or Sweet Dew Detoxication Pills.

Soothing the liver and tonifying the spleen method: the liver controls conveyance and dispersion, the spleen is in charge of transportation. Once failure of liver in conveyance and dispersion, liver qi stasis, contradictorily affect spleen to cause failure of spleen in transport, phlegm-damp produces in internal, turbid fattiness gathers inside. However, conveyance and dispersion can help tonifying spleen, healthy liver-spleen may assist to expel phlegm and eliminate fattiness. It applies to disharmony between the liver and the stomach syndrome. Indications including distending pain in hypochondrium, hepatomegaly and soft, upsetting sensation and irritability, abdominal distention and poor appetite, or depressed emotion, disorder of stools, red tongue, thready taut pulse, we use Merry Life Powder.

Tonifying spleen and resolving phlegm method: high cholesterol is turbid phlegm in blood, failure of spleen in transport, dysfunction of conveyance and dispersion of body fluid, body fluid gathers and becomes phlegm, the patient presents excessive phlegm syndrome. Such as adiposity, body heaviness, fatigue, abdominal distention, pale red tongue with white greasy coating, soggy or slippery pulse, we use Two old herbs decoction.

Key Words: fatty liver, treating spleen

Writer: Leng Gui Lan
No.2 people's hospital of Hangzhou city, Zhejiang province (310015)