Disharmony of liver and stomach

　　The causes of disharmony between the liver and stomach are generally divided into several types, including environmental factors, external factors, and other factors.

　　1. Environmental factors

　　Emotional disorders leading to Qi stagnation transforming into fire. In special cases, it is caused by the invasion of cold evil into the liver and stomach, disturbing the normal function of the liver and stomach, leading to the liver losing its venting function and the stomach losing its normal descending function. The main clinical manifestations are distension or piercing pain in the chest, hypochondrium, and epigastrium, hiccups, and belching.

　　2. External factors

　　This condition is also known as the syndrome of liver Qi attacking the stomach or Qi stagnation in the liver and stomach, which can lead to disturbance of the normal function of the liver and stomach. It is often caused by emotional disorders, leading to the liver losing its venting function and the stomach losing its normal descending function.

　　3. Other factors

　　Some other factors can also cause disharmony between the liver and stomach.

　　Long-term disharmony between the spleen and stomach can lead to many gastric complications in patients, such as gastric bleeding, gastric ulcer, and anemia.

　　1. Gastric bleeding

　　Gastric bleeding in chronic gastritis is not uncommon: mucosal atrophy and thinning, visible vessels, abrasion of rough food, and mucosal erosion and bleeding, mainly manifested as black stools. In cases of massive bleeding, sudden vomiting of blood may occur, with severe symptoms such as dizziness, palpitations, darkening of vision, profuse sweating, and even shock.

　　2. Anemia

　　Chronic gastritis may be accompanied by two types of anemia after massive bleeding, namely megaloblastic anemia and iron deficiency anemia. Megaloblastic anemia, also known as pernicious anemia, presents with anemia symptoms such as dizziness, fatigue, palpitations, and pale complexion; iron deficiency anemia is caused by chronic bleeding, insufficient nutrition due to reduced food intake in chronic gastritis patients, and lack of gastric acid.

　　3. Gastric ulcer

　　Gastric ulcer coexists with superficial gastritis and erosive gastritis, with obvious inflammatory stimulation. The gastric mucosa atrophies and becomes thin, and complications such as erosion and ulceration may occur. It is recommended to undergo a gastroscopy in a timely manner to avoid delaying diagnosis and treatment.

　　Disharmony between the liver and stomach is often caused by the invasion of cold evil into the liver and stomach, leading to the liver losing its venting function and the stomach losing its normal descending function. This condition belongs to a实证 (manifestation of excess), and the disease location is in the liver and stomach.

　　①Distension or piercing pain in the chest, hypochondrium, and epigastrium: failure of the liver to vent, and Qi stagnation in the liver and stomach.

　　②Hiccups, belching, acid regurgitation, and discomfort: Qi stagnation in the liver and stomach, Qi stagnation transforming into fire, and the stomach losing its normal descending function.

　　③Irritability and anger: Qi stagnation transforming into fire, leading to the liver losing its suppleness.

　　④Red tongue with thin yellow coating, wiry or rapid pulse: signs of Qi stagnation transforming into fire.

　　⑤Pain at the vertex of the head, exacerbated by cold, relieved by warmth: invasion of cold evil into the liver and stomach, with Yin cold qi ascending along the meridians.

　　⑥Cold limbs and aversion to cold: invasion of cold evil into the liver and stomach, damaging the yang qi.

　　⑦Vomiting of saliva: invasion of cold evil into the liver and stomach, damaging the middle yang, failure of water and essence to transform, and upward movement of qi.

　　⑧Pale tongue with white slippery coating, deep and tense pulse: signs of internal excess of cold evil.

　　Preventing disharmony between the liver and stomach requires attention to daily habits and diet, especially during holidays and festivals when family and friends gather, and it is important to avoid overeating.

　　1. Drink hot water frequently, avoid spicy foods, maintain a regular daily routine, eat small meals more often, and avoid overeating. Regular eating habits and eating small meals more often are recommended.

　　2. Adjust emotions, keep the mood pleasant and stable, to reduce the triggering factors of liver and stomach discomfort.

　　3. Be careful about daily life, adapt to cold and heat, and participate in physical exercise appropriately.

　　4. Avoid chemical stimulation such as taking certain drugs such as salicylates, reserpine, and adrenal cortical hormones, drinking large amounts of strong alcohol, strong tea, coffee, etc., which can stimulate and damage the gastric mucosa, causing congestion and edema of the gastric mucosa, even bleeding and erosion, leading to disharmony of the spleen and stomach and gastritis.

　　Patients with disharmony of liver and stomach should undergo examinations such as fibrogastroduodenoscopy, upper gastrointestinal X-ray, and gastric juice analysis. ① Distension or piercing pain in the chest, hypochondrium, and epigastrium: liver failure to release, liver and stomach qi stagnation. ② Typical symptoms of belching, belching, and acid regurgitation.

　　Patients with disharmony of liver and stomach should eat mild foods, such as potatoes (yam, potato, sweet potato), sweet potatoes (millet, sweet potato, sweet potato), mushrooms, yam, chestnuts, jujube (large jujube), chicken, rabbit meat, stomach (stomach) of pig, stomach (beef tripe), stomach (lamb stomach), beef, mandarin fish, loach, glutinous rice, mung bean, cowpea, honey, etc. Drink hot water more often, do not eat cold and spicy foods, eat less and more often, and avoid overeating. Eat regularly, eat less and more often.

　　Disorder of liver and stomach is a disease of liver and stomach, and qi disturbance. Therefore, the key to treating this condition is to soothe the liver, regulate qi, harmonize the stomach, and reduce the adverse reaction. Since emotional abnormality is an important trigger for this condition, it is necessary to combine emotional care with medication. If there is severe vomiting, pay attention to protecting the stomach Yin.

　　1. Treatment Principle

　　Soothing the liver and relieving depression, regulating qi and harmonizing the stomach.

　　2. Internal Medicine

　　You can choose the formula of Bupleurum for soothing the liver and dispersing the stagnation combined with Pingwei Powder. If there is severe epigastric pain, add Xuanhu (Rhizoma Corydalis Yanhusuo), Muxiang (Costus), and Chuanlian. If belching occurs frequently, add Xuanfuhua (Inula japonica) and Chenshuang (Aquilaria agallocha). If there is acid regurgitation and discomfort due to liver depression and heat, add Zijin Wan. If there is pain and tenderness due to qi stagnation and blood stasis, add Puhuang (Safflower), Wulingzi (Myrrh), and Danshen. If there is qi stagnation and phlegm obstruction, add Xuanfuhua, Gaijie (Hematite), and ginger. If there is bitter taste in the mouth and constipation, add Dahuang (Rhubarb) and Zhishi (Jujube seed). If there is dry heaving due to qi stagnation and fire injury to body fluid, with a red tongue and little saliva, add Maidong (Ophiopogon japonicus) and Taizishen (Panax ginseng).

　　3. External Application of Medicines

　　Grate ginger and pepper in moderation, mix with wine, apply externally to the navel and abdomen, suitable for those with severe epigastric pain.