Liver fire refers to the “fire” produced by the liver exceeding the normal tolerance of the human body due to the excessive function of the liver, and evolves into “fire evil”. It is mainly caused by emotional disorders, irregular diet, and heat evil transmission to the liver meridian. The main clinical manifestations are dizziness, redness, red eyes, bitter mouth, irritability, constipation and yellow urine. Liver fire has a wide range of effects, and it spreads to other organs to produce a variety of pathological changes, which can be divided into types such as liver fire filling the three burners, liver fire disturbing the chest and abdomen, liver fire moving blood, liver fire disturbing the soul, liver fire disturbing the eye orifices, and liver meridian wind and heat disturbance. It is common in modern medical diseases such as sleep disorders, depression, menopausal syndrome, various headaches, hypertension, cerebral hemorrhage, cerebral infarction, neurasthenia, functional dyspepsia, gastroptosis, reflux esophagitis and other diseases.
symptom
classify
According to the parts of the organs invaded by liver fire, it can be divided into types such as liver fire filling the three burners, liver fire disturbing the chest and abdomen, liver fire moving blood, liver fire disturbing the soul, liver fire disturbing the eye orifices, and liver meridian wind and heat disturbance.
1. Liver fire fills the three burners
It is manifested as flank fullness, bitter mouth, red eyes, deafness, ear swelling, etc., and some patients may have turbid secretions with urine. Female patients may also have symptoms such as vaginal redness and swelling, pubic itching, and increased vaginal discharge.
2. Liver fire internally disturbs the chest
It is manifested as feeling indigestible after eating, blocking in the stomach or throat, bitter mouth, nausea, often irritable and annoyed, and a stringy pulse.
3. Liver fire and blood
It is manifested as irritability, flank pain, and even coughing up blood, vomiting blood, vomiting blood, nosebleeds, red tongue, yellow coating, liver strings, etc. Some patients may also feel stomach pain and feel gas.
4. Liver fire disturbs the soul
There may be insomnia, sluggish expression, sometimes frightened and screaming, not eating, not hungry, not defecating, and pulse strings. Some patients may also have stiff limbs, such as madness or the top of the head as if there is heat and gray expression.
5. The liver fire disturbs the eye orifice
It is mainly manifested as sudden redness and swelling of the eyes, sores, pain, inability to open the eyes, and inability to see clearly.
6. Liver meridian wind and heat disturbance
Dizziness and headache, red face and red eyes, bitter mouth and dry throat, irritability, red urine and dry stools, red or red tongue, and strong pulse. Severe cases can manifest as crooked mouth and eyes, slurred speech, hemiplegia, hemiplegia, and numbness.
Typical performance
Liver fire is mainly manifested as dizziness, headache, flushing, red eyes, bitter mouth, dry mouth and sore throat, pain in the flanks, irritability, constipation and yellow urine, etc.
cause
Summary
According to the theory of organs and meridians in traditional Chinese medicine, the formation of liver fire is mostly related to emotional disorders, preference for fat and sweetness and fat and fire, and the transmission of heat evil from other viscera to the liver meridian and the liver.
Symptom causes
1. Emotional factors
Emotional depression leads to impaired liver drainage function, liver qi stagnates in the middle jiao, qi cannot rise, and long-term depression turns into liver fire; Anger causes the liver qi to rise too much, and the excess qi that rises forms liver fire.
2. Dietary factors
Unrestrained diet, such as intake of high-fat, high-sugar, spicy and irritating foods, excessive drinking, etc., can easily cause “dampness” and “heat” in the body, which can then turn into liver fire.
3. Heat evil spreads to the liver meridian
According to the theory of traditional Chinese medicine meridians, the meridians of the human body are interrelated, and if other organs are invaded by heat evil, they can be transmitted along the meridians to the liver meridian, which in turn affects the liver and transforms into liver fire.
Common diseases
Depression, menopausal syndrome, migraine, tension-type headache, hypertension, neurasthenia, Meniere’s disease, cerebral hemorrhage, cerebral infarction, functional dyspepsia, gastroptosis, reflux esophagitis, etc.
Medical treatment
Emergency (120) indications
1. Sudden headache, dizziness, or even fainting;
2. Sudden slurred speech or crooked tongue;
3. Sudden numbness or limb movement disorder on one side of the face;
4. Sudden changes in mood and confusion;
5. Other critical situations.
All of the above must be dealt with by calling the emergency number or emergency department in time.
Outpatient indications
1. Long-term headache, dizziness, red face and eyes, bitter mouth, irritability and irritability;
2. Accompanied by earache, tinnitus, deafness, pus and bleeding from the ear canal;
3. Accompanied by insomnia and dreaminess, constipation and yellow urine;
4. Accompanied by burning sensation and pain in the chest and ribs, cough, sputum, etc.;
5. Accompanied by fever, thirst, etc.;
6. Accompanied by other symptoms.
All of the above must be treated in time.
Visit the department
Those with critical symptoms should be treated immediately in the emergency department. those whose condition is stable can be treated in time by the Department of Traditional Chinese Medicine.
Preparation for medical treatment
1. Make an appointment in advance and bring your ID card, medical insurance card, medical card, etc.
2. Patients may need to undergo various blood tests such as blood routine and liver and kidney function, pay attention to fasting after 10 o’clock the night before the examination, and draw blood on an empty stomach early the next morning.
3. If you have recent medical experience, please bring relevant medical records, examination reports, laboratory test sheets, etc.
4. If you have taken some drugs recently or for a long time, you can carry a medicine box.
5. Family members can be arranged to accompany them for medical treatment.
6. Patients can prepare a list of questions they want to consult in advance.
What questions doctors may ask patients
1. How long have you been experiencing dizziness and headache?
2. Do you have any other uncomfortable symptoms?
3. What underlying diseases have you had in the past?
4. How are you usually in a good mood? Are you often depressed or prone to tantrums?
5. What do you usually like to eat?
6. Have you been to other hospitals? Have you been treated?
What questions can patients ask their doctor?
1. Why do I have these symptoms? Is it liver fire?
2. Do I have to drink soup medicine? Are there any proprietary Chinese medicines that can be substituted?
3. Can it be cured? Will it be sent again?
4. What should I pay attention to in my life?
5. Do I need to review it? How often?
examine
预计检查
医生除了对患者进行望闻问切等体格检查外，还可根据患者情况进行血常规、肝肾功能检查、激素测定、超声检查、CT、MRI、穿刺活检等。
体格检查
It can be examined through the four diagnoses and examinations of traditional Chinese medicine, including observing the patient’s condition, carefully inquiring about the patient’s medical history, and conducting pulse diagnosis. If necessary, Western medicine blood pressure measurement, neurological examination and other related physical examinations can also be performed according to the situation.
Laboratory tests
1. Blood routine
Understand changes in blood concentration and whether there is infection, inflammation, etc.
2. Hormone determination (female)
Including follicle-poietiating hormone, luteinizing hormone, estradiol, progesterone, testosterone, lactation hormone assay, etc., it is helpful to understand hormone levels and cyclical changes in female patients.
3. Liver and kidney function test
To clarify the patient’s liver and kidney function.
4. Others
Including urine routine, stool routine, serum electrolytes and other tests to further clarify the patient’s physical condition.
Imaging tests
1. Ultrasound examination
It can help clarify the patient’s thyroid, breast, hepatobiliary, uterus and ovaries to rule out organic lesions.
2. CT examination
When patients undergo CT examination, do not wear metal earrings, studs, necklaces and other accessories. CT of the brain can help determine whether a patient has brain disorders.
3. MRI (magnetic resonance) examination
It can further help doctors identify the patient’s condition.
Pathological examination
Doctors may recommend pathological tests such as biopsy to rule out cancer.
diagnosis
Diagnostic principles
Doctors usually make a diagnosis based on what they see. Attention should be paid to changes in the patient’s mood when diagnosing. If necessary, it can also be combined with blood routine, liver and kidney function tests, hormone measurements, ultrasound examinations, CT, MRI, needle biopsy and other auxiliary examinations to clarify the cause and help determine the condition.
differential diagnosis
1. Heart fire
There are two types of virtual and real, and the virtual fire is manifested as low-grade fever, night sweats, irritability, dry mouth, etc.; Solid fire manifests as repeated mouth ulcers, dry mouth, short and red urine, irritability, etc.
2. Lung fire
It is mainly manifested as dry cough without phlegm, blood in sputum, sore throat, hoarseness, hot flashes and night sweats, etc.
3. Stomach fire
There are two types of deficiency and reality, and the deficiency fire is manifested as mild cough, small amount of food, constipation, bloating, red tongue, and less coating; Real fire manifests as upper abdominal discomfort, dry mouth and bitter mouth, and dry and hard stools.
4. Kidney fire
It is mainly manifested as dizziness, tinnitus and deafness, hair loss and tooth shaking, restless sleep, irritability in the heart, weight loss, waist and leg soreness, etc.
treat
Anticipated treatment
The treatment of liver fire is mainly to clear the liver and drain the fire, and the treatment principles of different syndrome types will be different. If the liver fire is full of three burners, it is treated with bitter cold and direct folding, clearing the liver and draining the fire; liver fire disturbs the chest and abdomen to vent liver fire; Liver fire and blood are treated to clear the liver and calm the liver, cool the blood and stop bleeding; Liver fire disturbs the soul to cool the liver and clear the fire, and collect the liver soul; The liver fire disturbs the eyes to clear heat and detoxify, and the liver is cleared and the eyes are brightened; Liver meridian wind and heat disturbance treatment to calm the liver and quench wind, clear heat and activate blood, and nourish the liver and kidneys.
Treatment
1. Liver fire fills the three burners
Gentian Xie Liver Decoction plus or minus. Commonly used traditional Chinese medicines are gentian grass, bupleurum bupleurum , zexia, psyllium, mutong, rehmannia, angelica tail, fried gardenia, scutellaria, licorice, etc.
2. Liver fire internally disturbs the chest
Add or subtract gardenia tempeh soup. Commonly used traditional Chinese medicines are gardenia, fragrant tempeh, neem seeds, orange leaves, bamboo ru, reed root, etc.
3. Liver fire and blood
Liver decoction plus or minus. Commonly used traditional Chinese medicines are white peony, green peel, tangerine peel, dan peel, gardenia, fritillary, zexia, rehmannia, black ginseng, white grass root, etc.
4. Liver fire disturbs the soul
Angelica aloe vera pills plus or minus. Commonly used traditional Chinese medicines are antelope horn, gardenia, rehmannia, gentian grass, aloe vera, mutong, salvia, green daisy, mint, etc.
5. The liver fire disturbs the eye orifice
Antelope horn powder addition and subtraction. Commonly used traditional Chinese medicines are antelope horn, scutellaria, cimicifuga, licorice, psyllium, cassia, etc.
6. Liver meridian wind and heat disturbance
Gastrodia hook vine drink plus or minus. Commonly used traditional Chinese medicines are Gastrodia, Hook Vine, Stone Cassia, Scutellaria, Gardenia, Sichuan Cow’s Knee, Motherwort, Eucommia ulmoides, Mulberry Parasitism, Night Twin Vine, Fushen, etc.
prognosis
General prognosis
The outcome and prognosis of this disease are related to the cause, the severity of the disease, and whether the diagnosis and treatment are timely and appropriate.
Harmfulness
1. In addition to the liver, liver fire can also affect multiple organs, and in severe cases, it may cause madness or vomiting blood, hemoptysis, vomiting blood and other manifestations.
2. If liver fire is not intervened and treated in time, it will develop into qi and yin deficiency syndrome, which can lead to great damage to vitality, and symptoms such as low-grade fever, burning hands and feet, spontaneous sweating and night sweats, fatigue, lack of food, and dry mouth and tongue will appear.
Healing
Those with mild symptoms can generally be cured with timely diagnosis and treatment. If it is not treated or mistreated, the condition is severe, which can cause recurrent and persistent symptoms, and requires long-term conditioning.
Cure rate
Most mild patients can be cured after timely and effective treatment.
Recurrent
After treatment, if the patient still has emotional disorders and irregular diet, it may cause liver fire again.
daily
Principles of care
Good daily life management is conducive to better treatment and symptom relief or control to promote recovery.
Psychological care
1. Keep a calm mind, go out more, and make friends with people you trust.
2. Family members and friends should care more about the patient, so that they can feel the love from family and friends.
Medication care
Follow the doctor’s advice and insist on medication. Traditional Chinese medicine usually has a slower effect and still needs to be consolidated after treatment.
Life management
1. Live regularly and improve bad living habits, such as staying up late, smoking, etc.
2. Performing Tai Chi, Qigong, Wuqin Opera and other sports is conducive to enhancing physical fitness.
3. The indoor temperature should be low and the relative humidity should be high.
病情监测
注意患者情绪变化，观察其有无头晕、头痛、口苦、胸胁疼痛等表现。
复诊须知
遵医嘱定期复查，患者复诊时需携带上次就诊的病历、相关检查结果及药方，以便医生更好地了解病情，适度调整药方。
饮食
饮食调理
A scientific and reasonable diet can ensure the normal operation of body functions, play a role in assisting in controlling the disease, maintaining the treatment effect, and promoting disease recovery.
Dietary advice
Mainly eat a light diet, take slight, cool and flat foods, while maintaining a moderate calorie, protein, high-vitamin, low-salt and low-fat diet. Such as buckwheat, millet, black rice, corn, oats, skim milk, soy milk, tofu, jellyfish skin, kelp, soft-shelled turtle, seaweed, oysters, crucian carp, swordfish, carrots, chrysanthemum, purslane, winter melon, celery, lotus root, lettuce, bitter gourd, oyster mushroom, white fungus, mushroom, black fungus, pine nuts, lotus seeds, peanuts, kudzu root powder, chrysanthemums, corn silk, lemons, mulberries, apples, oranges, etc. The following medicinal diet is for reference only.
1. You can use mulberry bark and gardenia to decoct water instead of tea to clear the liver fire.
2. Choose chrysanthemum boiling water to brew, instead of tea, which has the effect of clearing the liver and brightening the eyes.
Dietary taboos
1. Avoid spicy and irritating foods and avoid excessive alcohol consumption.
2. Avoid high-calorie foods, such as fatty meat, animal offal, fried foods, etc.
3. Try to avoid a high-salt diet.
prophylaxis
Preventive measures
The main purpose of preventing liver fire is to enhance physical fitness and regulate emotions.
1. Regulate your spirit, keep your mood comfortable, and avoid bad emotional stimulation. Actively participate in social activities and do daily work to the best of your ability.
2. Eat a moderate, regular and quantitative diet, mainly light, and eat less spicy and high-calorie foods.
3. Strengthen exercise, such as walking, jogging, practicing Tai Chi, Baduanjin, etc.
4. Use a humidifier in accordance with seasonal changes and dry winter.