Splenic-liver syndrome

　　Pathological changes mainly include liver and spleen enlargement, thickening of cysts, and a hard texture, pale gray-red color, histological fibrosis, sinus dilation, and Mallory bodies with hyaline change. There are hemorrhages around arteries and iron deposits in small nodules around small arteries. The spleen is often significantly enlarged, and the degree of enlargement is proportional to the splenic hyperfunction. However, there is no significant relationship with the duration of the disease. Due to fibrous tissue hyperplasia, the longer the disease course, the harder the spleen quality becomes.

　　This disease is prone to complications such as anemia, gastrointestinal bleeding, and indigestion. There are also cases of sudden gastrointestinal bleeding. Occasionally, there is mild jaundice and skin pigmentation, and the liver is usually slightly enlarged. Symptoms such as fatigue, indigestion, symptoms such as abdominal distension, anorexia, nausea, and diarrhea may occur. The disease is characterized by splenomegaly, anemia, and cirrhosis. The onset age is often under 35, with more women than men. Splenomegaly may be accompanied by splenic hyperfunction and portal hypertension. Later, the symptoms of cirrhosis appear. Bone and muscle maturation may be stunted or hyperplastic.

　　Most patients are under 35 years old, and the onset is often insidious. The main clinical manifestations are significant (often severe) splenomegaly, anemia, and/or portal hypertension, with good liver function, few symptoms, and possible symptoms such as fatigue, indigestion, symptoms such as abdominal distension, anorexia, nausea, diarrhea, and also sudden gastrointestinal bleeding. There are occasionally mild jaundice and skin pigmentation, and the liver is usually slightly enlarged.

　　1. Enlarged spleen.

　　2. Pancytopenia (nucleated cell maturation is obstructed in the bone marrow) and portal hypertension symptoms, with liver function impairment being relatively mild.

　　3. Exclude other spleen diseases caused by factors such as post-hepatitis cirrhosis, chronic myelocytic leukemia, kala-azar, Niemann-Pick syndrome, subacute bacterial endocarditis, and others.

　　This disease should pay attention to the prevention of liver diseases and vascular inflammation. Foods rich in protein, minerals, vitamins, and fats such as milk, dairy products, and eggs are known for their rich nutrition. Foods such as fish, meat, and soy products help the growth of human blood and muscle tissues after being absorbed by the body. Foods rich in vitamins and minerals such as vegetables, fruits, taros, mushrooms, and seaweed help maintain the nutritional balance of the human body to prevent liver diseases.

　　1, Laboratory Examination:Red blood cells, white blood cells, hemoglobin, and platelet count are reduced in the whole blood, the bone marrow shows active proliferation of nucleated cells with maturation disorders, serum iron may decrease, total iron-binding capacity may increase, and liver function may be damaged to varying degrees.

　　2, X-ray Examination:There may be varices in the esophagus or gastroesophageal junction.

　　Liver-Nourishing Diet Recipes:

　　1, Pork Liver Porridge:50 grams of pork liver (or sheep liver, cow liver, or goose liver can also be used), 100 grams of glutinous rice. Wash and chop the pork liver, and cook it with glutinous rice to make porridge. It has the effects of invigorating the Qi, generating blood, nourishing the liver, and tonifying deficiency, and is suitable for those with weakness or chronic liver disease.

　　2, Carrot Pork Liver Porridge:50 grams of carrot, 50 grams of pork liver, 100 grams of glutinous rice. Wash and chop the carrot and pork liver, and cook them with glutinous rice to make porridge. It has the effects of nourishing the liver and kidney, nourishing the blood and improving eyesight, and is suitable for those with insufficient liver and kidney yin and blood, blurred vision, dry eyes, night blindness, and other symptoms.

　　3, Raw Earth Pork Liver Soup:20 grams of raw earth, 100 grams of pork liver. Wash the raw earth and slice the pork liver, add scallions, ginger, vinegar, and salt for seasoning, and cook for 40 minutes. Eat pork liver and drink the soup. It has the effects of nourishing the yin and blood, nourishing the liver and improving eyesight, and is suitable for those with insufficient liver blood, pale complexion, dry eyes, blurred vision, and numb limbs.

　　4, Goji Turtle Soup:Goji berries 30 grams, turtle 500 grams. Wash and chop the goji berries, kill the turtle and remove the internal organs, cut into pieces, and put them in a pot with a little ginger, scallion, salt, and vinegar to season. It has the effects of nourishing the liver and kidney, moistening the essence and strengthening the body, and is suitable for those with weakness and insufficient liver and kidney, weakness and lack of strength, night sweats, blurred vision, and pale complexion.

　　The main treatment is splenectomy and shunting or truncation surgery; symptomatic and supportive therapy. For patients with impaired liver function, liver protection therapy should be given. To prevent upper gastrointestinal bleeding caused by portal hypertension, calcium channel blockers such as nifedipine can be used, 10-20mg each time, three times a day, or β-receptor blockers such as propranolol, 10-30mg each time, three times a day, to reduce heart rate to about 25%.