Alcohol distension

　　1. Distension is caused by alcohol accumulation and injury, mainly due to excessive drinking and damp-heat injury to the spleen, hence the name. 'Zhang's Medical Treatise on Abdominal Distension': 'People who are fond of drinking may have abdominal distension as if carrying a measure of grain, with blood in stools and urine, and a rapid and涩脉. This is due to damp-heat injury to the spleen Yin, inability to control blood, the stomach receiving food, but the spleen not transporting it, leading to retention and distension.

　　2. Western medicine is equivalent to alcoholic cirrhosis. Long-term excessive alcohol consumption, especially drinking high-alcohol-content alcohol, can cause liver cells to repeatedly undergo fatty degeneration, necrosis, and regeneration, eventually leading to cirrhosis. The occurrence of alcoholic cirrhosis is related to the drinking habits, gender, genetic factors, nutritional status, and whether hepatitis virus infection is present in the drinker. One-time large alcohol consumption is more harmful than drinking in small doses over time, and daily drinking is more harmful than intermittent drinking. Women are more prone to alcoholic liver disease than men. Malnutrition, protein deficiency, and the presence of chronic hepatitis B or C virus infection can increase the risk of cirrhosis.

　　Alcohol enters the human body and is converted into acetaldehyde, a toxic substance, under the action of an enzyme. However, it is quickly converted into water and CO2 under the action of another enzyme, so excessive drinking and liver problems can produce a large amount of harmful substances. Worse still, some people add formaldehyde, which can affect the retina. Some people become excited, and excessive excitement can lead to inhibition, which is harmful in both cases.

　　The main symptoms are abdominal distension as if carrying a measure of grain, or blood in stools, hematuria, rapid or涩脉. The disease is caused by alcohol toxicity, damp-heat accumulated in the liver and spleen, Qi and blood stasis, the liver not storing blood, and the spleen not controlling blood. Alcohol distension refers to distension caused by alcohol accumulation, due to excessive drinking and damp-heat injury to the spleen, hence the name.

　　Choose a healthy and civilized lifestyle. Control the amount of alcohol consumed and try to drink low-alcohol or alcohol-free beverages. After drinking, it is important to supplement with high-protein, high-fiber foods, especially vitamin B complex, vitamin A, C, K, and folic acid. Those who consume large amounts of alcohol or drink alcohol for a long time should regularly check their liver function. If suspected of having liver cirrhosis, it is important to undergo a comprehensive physical examination and relevant laboratory tests in a timely manner to seek reasonable and active treatment during the compensation period to prevent progression to the decompensation period. Regular physical examinations should be conducted while avoiding various triggers to prevent and treat possible complications.

　　1, Blood routine:Reduced hemoglobin, platelets, and leukocytes.

　　2, Liver function tests:Mild abnormalities in the compensatory stage, decreased serum protein, increased globulin, and A/G inversion. Prothrombin time prolongation, decreased prothrombin activity. Elevated transaminases and bilirubin. Total cholesterol and cholesterol esters decrease, blood ammonia may increase. Disordered amino acid metabolism, imbalance in branched/essential amino acid ratio. Increased blood urea nitrogen and creatinine. Electrolyte disturbance: low sodium, low potassium.

　　3, Pathogenic examination:HBV-M or HCV-M or HDV-M negative.

　　4, Fibrosis examination:PⅢP levels rise, prolyl hydroxylase (PHO) rises, monoamine oxidase (MAO) rises, and serum laminin (LM) rises.

　　5, Ascites examination:Patients with newly onset ascites or those with rapid increase of pre-existing ascites of unknown cause should undergo abdominal puncture, and abdominal fluid should be drawn for routine examination, adenosine deaminase (ADA) measurement, bacterial culture, and cytological examination. To improve the positive rate of culture, abdominal fluid culture should be performed at the bedside using blood culture bottles, and separate aerobic and anaerobic bacterial cultures should be performed.

　　1, What foods are good for alcohol-induced distension

　　Keep it light, eat more vegetables and fruits, and rationally match the diet, paying attention to sufficient nutrition.

　　2, What foods should be avoided for alcohol-induced distension

　　Avoid smoking and drinking, spicy and greasy foods. Avoid smoking and drinking, and spicy and greasy foods. Avoid cold and raw foods.

　　Treatment for alcohol-induced distension - Xiangsha Liujunzi Decoction:

　　1, [Composition]:Three grams each of ginseng, Baizhu, Poria, and Qingbanxia, 2.4 grams each of Shaoyao and Huoxiang, two grams of Gancao, and three slices of ginger.

　　2, [Usage]:Decocted for internal use.

　　3, [Indications]:Alcohol-induced distension. Feeling of fullness in the chest and abdomen, nausea and discomfort, reduced appetite and vomiting.

　　4, [Source]:The Ancient Formula of Jingyue's Complete Book.

　　5, [Annotation]:By using this formula to invigorate the spleen and promote the flow of Qi, and stop nausea and vomiting, it can effectively improve the symptoms of alcohol-induced distension. In clinical practice, it is advisable to use agents that nourish Yin and blood to achieve a comprehensive treatment.