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The liver essence of all sorts of reason be caused by is damaged, the person that course of diseases exceeds 6 months is chronic liver disease. In the remedial process with slow complex liver, the method that how adopts optimization in order to obtain optimal curative effect? The author is experienced from inside many clinical practice, the relation that has handled the following sides comes for the key. Cure of doctor of traditional Chinese medicine and the concern that cure treats on the west are current and clinical the circumstance common occurance that treats chronic liver ill traditional Chinese medical science to use Chinese traditional medicine with Western medicine, Western medicine. Because,this is pure traditional Chinese medical science or pure Western medicine all difficult the curative effect that obtains ideal. In clinical in existing two kinds of common errors: It is mobile period uses Western medicine, use Chinese traditional medicine firmly regularly. 2 it is Western medicine the doctor of traditional Chinese medicine can search to try when cure is invalid. Actually, many clinical practice makes clear, the remedial respect traditional Chinese medical science in slow liver, Western medicine is each other has short long. If Zhang Zhong scene is in cure of Chinese generation name golden deficient summary in put forward lienal flourishing of the four seasons does not get unhealthy environmental influences that cause disease viewpoint and the disease that sees liver, know liver to pass lienal, in the van is solid lienal study summary idea. This and contemporary liverish immunity treat be exactly the same. These two words can say how the one class in reflecting contemporary precaution medicine respectively prevents and 　 of thought of 2 class precaution accomplishs the experience that learning from others's strong points to offset one's weakness is clinical cure and art. Like virus sex hepatitis mobile period must duplicate with restraining virus, protective liver function is should. The disease-resistant poison of Western medicine is treated is must, but to heighten curative effect, differentiate card cooperates to use Chinese traditional medicine also is indispensable. Current and clinical those who go up to be used generally is not little Western medicine actual the extraction content that is Chinese traditional medicine. Those who need an attention is, this kind of medicaments should consider the application below treated thought guidance in card of differentiate of doctor of traditional Chinese medicine likewise. Differentiate card cure and the relation differentiate disease that differentiate disease treats are condition of function of some phase airframe reachs side overweight disease its are located the integral understanding of environmental difference, and the understanding that overweight of differentiate ill side changes to disease pathology. Both should supplement each other. Be like virus sex hepatitis, abdominal distension, accept is slow-witted after differentiate card is treated, the symptom such as lumbar acid can be reduced or disappear, but liver cell denaturation necrotic, liver function still may exist continuously unusually. This involves the issue of card of alleged and macroscopical differentiate and microcosmic differentiate card. And microcosmic differentiate card is in liver disease cure particularly important, because liver is expression is silent organ, not little case of illness experienced cancer of cell of liver of sclerotic → of liver of chronic hepatitis → in pathological changes trilogy hind still lack distinctive symptom. Still answer to undertake according to the examination index of the lab differentiate disease is treated further so, use scanty liver in time be good at the square medicine such as detoxify of lienal, invigorate the circulation of blood restores with promoting liver function, achieve true normal treatment to heal. The author thinks, in have a symptom but when differentiate, it is with differentiate card first; clinical expression does not have particularity, criterion with differentiate disease advisable. Had better be card of differentiate of the union on differentiate ill foundation. If liver fiber is changed,be the only way that all sorts of chronic liver disease develop to liver cirrhosis. Injure liver cirrhosis to all put those who change in fiber to undertake the gender is changed from liver. The lab discovers certain invigorate the circulation of blood changes Yu medicine to have the effect that combats fiber to change, so clinical fiber seeing liver is changed change Yu way with invigorate the circulation of blood surely. The cause of disease that causes fiber to change actually is different place sees its histology also differ. If fiber of alcohol sex liver is changed, the fiber after hepatitis is changed, fiber of biliary deposit sex is changed reach congenital fiber to change. Just bringing about liver essence cell and place to take dimensional reductive final result is collective. Consequently clinical often use invigorate the circulation of blood changes Yu law to disable, and the case that takes effect via the law such as expectorant, filling gas. Standardization and individual the relation liver that change is the organ with human body the most exuberant metabolism, the biochemical reaction that has inside liver amounts to 500 kinds of above, contain 700 a variety of enzymatic, it is the mainest component in airframe defense system. Be this kind of complexity and diversity, decided a kind of any chronic liver are ill, do not exist standard , unified remedial program. Clinical and true optimization should be individual change, this also is the development direction of modern medicine. Clinical must consider case of illness, opportunity and specific the different option that uses drug. The second liver with slow for instance common liver and third liver, hepatitis virus positive and negative are different its treat plan to differ, although assay index close, different patient also is distinguished somewhat, cannot too constrained and alleged standardize . Below the premise that respects uniform treatment standard, adopting flexible remedial plan according to different patient and different illness should be clinical optimal choice. The factor causing disease with pathogeny cure and the clear, single concern that treat to disease, pathogeny cure is essential. And causal simplification is current a problem of clinical existence. To slow liver, refusing ill poisonous treatment should not be isolated, supportive cure, right disease cure also is necessary, this can rise not only live quality, conduce to likewise control and prevent illness progress. But must trace the cause of disease, with treat its symptom urgently, delay treats his this to treat a principle basically. Specific can divide for the following kinds of circumstances. Specimen give attention to two or morethings: Interferon treats liver of second, third, have disease-resistant poisonous effect already, have immune adjustment effect again. But have its optimal get used to card, namely Gao Shuiping ALT and low-level HBV-DNA. Even so its turn shade rate also is finite, and existence is able to bear or endure the problem such as medicine, answer this world. When distinguishing specimen emergency hard, if liver sex head is ill, reduce ammonia generate with absorb, those who promote toxic substance is cleared, adjust unbalance of amino acerbity metabolization, support, right the measure such as disease, must multibarrel falls together, cannot do one thing and neglect another. The effect a permanent cure gives priority to: Wait for the person that the element that cause disease is made clear to virus, alcohol, schistosome, medicaments, pathogeny cure is main. If alcohol sex liver is ill, abstinence is the most primary pathogeny treatment. Liver of most medicaments sex is ill, out of service is doubtful medicaments can recover by oneself 　 take temporary solution gives priority to: No matter why be planted reason, when liver function is damaged badly, must protect liver in order to protect liver to be first job, after other treatment should wait for liver function to stabilize, consider again. (the exercitation edits: Plum apricot)