Hepatic colic

　　Hepatic colic is often due to severe liver Qi damage, internal accumulation of turbid toxin phlegm fire, unable to be released and steaming, covering the brain spirit. Based on the symptoms of liver disease, a class of diseases characterized by dizziness and encephalopathy appear, mainly manifested by confusion of consciousness.

　　Patients with hepatic colic usually have yin deficiency and liver hyperactivity, often triggered by emotional stimulation. The main symptoms of hepatic colic include cold hands and feet, vomiting, dizziness, seizures, and loss of consciousness. This disease generally does not have other complications.

　　The main symptoms of hepatic colic include cold hands and feet, vomiting, dizziness, seizures, and loss of consciousness. Hepatic colic diseases can be diagnosed in clinical practice through laboratory tests: severe liver function damage, increased blood ammonia (or can be normal).

　　The prevention of hepatic colic should remove the predisposing factors, that is, timely and effective treatment should be given to various primary diseases. For example, treatment of viral hepatitis, etc. For patients with existing liver cirrhosis or chronic liver disease, it is important to recognize that some predisposing factors are easily诱发 hepatic encephalopathy, such as infection, gastrointestinal bleeding, excessive intake of high-protein foods, excessive diuresis, constipation, inappropriate use of sedatives, hypnotics, etc. In these cases, ammonia is often produced, the amount of ammonia entering the circulation increases, or the sensitivity of brain tissue to ammonia changes. Ammonia can interfere with brain energy metabolism and nerve conduction, leading to a series of central nervous system dysfunctions. While treating various primary diseases, protein intake in diet should be controlled to avoid excessive ammonia content in the body.

　　In the diagnosis of hepatic colic, in addition to relying on clinical manifestations, auxiliary examinations are also needed. Laboratory tests can be performed for hepatic colic diseases in clinical practice:Severe liver function damage, increased blood ammonia (or can be normal). Electroencephalogram abnormalities, slowing of rhythm, and the appearance of Q waves, 6 waves.

　　Patients with hepatic colic need to eat foods that aid digestion. The following are dietary suggestions for hepatic colic:

　　First, suitable foods

　　1. For those who can eat, carbohydrate-rich foods can be chosen such as glucose, rice gruel, lotus root starch, fruit juice, jam, jelly, and fruits with less fiber. Bean products contain abundant leucine, isoleucine, and other branched-chain amino acids, which are a good source of protein for patients with hepatic encephalopathy. The protein in milk produces less ammonia and can be gradually increased in appropriate amounts as the condition improves. Attention should be paid to changes in electrolytes and correction of electrolyte imbalance.

　　2. In the prodromal stage of hepatic coma, it is advisable to choose semi-liquid or liquid diets that are easy to digest, low in protein and fat, low in salt, and high in carbohydrates. For those who have already lost consciousness, nasal feeding can be used.

　　3. Low residue semi-liquid diet for hepatic coma: energy 6.7MJ (1600kcal), protein 30g, fat 30g, carbohydrates 300~320g, salt 1~2g, copper 3mg, zinc 15mg. Those with insufficient trace elements can use corresponding nutritional supplements.

　　4. Nasogastric liquid diet for hepatic coma: energy 5.9~6.3MJ (1400~1500kcal), protein 20g, fat 30g, carbohydrates 280g, salt 1~2g, copper 3mg, zinc 15mg.

　　Second, unsuitable foods: meats, eggs, and other protein-rich foods produce more ammonia and should not be provided.

　　Third, Food Therapy Recipes

　　1. Breakfast, 1 bowl of milk (220ml of fresh milk, 10g of sugar), 1 steamed bun (50g of strong flour), 15g of apple jam.

　　2. Snack, 1 bowl of lotus root flour pudding (20g of lotus root flour, 15g of sugar), 1 sweet bun (50g of strong flour).

　　3. Lunch, 1 bowl of rice porridge (50g of glutinous rice), 1 steamed bun (50g of strong flour), stir-fried cucumber slices (100g of cucumber, 10ml of soybean oil, 1g of salt).

　　4. Snack, 1 tomato (100g of peeled tomato, 10g of sugar).

　　5. Dinner, cook 1 bowl of instant noodles (100g of fine instant noodles made from strong flour, 50g of tofu skin, 50g of potato strips, 10ml of soybean oil, 1g of salt).

　　In the treatment of hepatic encephalopathy in Western medicine, attention should be paid to the following points:

　　1. Remove triggers: including correcting water and electrolyte balance, adjusting diet, correcting shock, careful use of sedatives, clearing intestinal blood stasis, and controlling infection;

　　2. Reduce the metabolism of ammonia in the intestines;

　　3. Promote the excretion of ammonia in the body;

　　4. Reduce or block false neurotransmitters.