Active and successful abstinence is the most effective measure to prevent and treat alcoholic hepatitis, because according to domestic research, most patients with alcoholic hepatitis can obviously improve their histology and liver function after 2-4 weeks of complete abstinence, and even return to normal. Therefore, for the degree of alcoholism and alcohol dependence of patients with alcoholic hepatitis, in addition to personal wishes, drug-assisted treatment can be taken accordingly to stop drinking as soon as possible.
2, according to the clinical symptoms, choose the corresponding drug treatment.
Generally, in addition to abstinence from alcohol, some liver-protecting drugs and vitamins can be used for early or mild alcoholic hepatitis, such as polyene phosphatidylcholine drugs and glycyrrhizic acid preparation silymarin. However, drugs should not be used too frequently, so as not to increase the burden of liver function. The treatment of alcoholic hepatitis should be based on clinical symptoms. Generally, in addition to abstinence, early or mild alcoholic hepatitis can be treated with some liver-protecting drugs and multivitamins, and polyene phosphatidylcholine drugs can be taken to reduce the damage of alcohol to the liver through antioxidant effect, which will have a good effect on protecting the liver and preventing or reversing liver fibrosis. If alcoholic cirrhosis has occurred, corresponding comprehensive liver protection treatment and symptomatic support treatment should be taken to minimize the severity of alcoholic liver disease. If the transaminase of patients with alcoholic hepatitis is high, support therapy such as intravenous infusion and diet conditioning can be considered to treat both the symptoms and root causes.
3. Improve the secondary malnutrition of patients.
According to the investigation, the change of nutritional status is closely related to the prognosis of alcoholic liver disease, so nutritional support therapy is particularly effective in improving the prognosis of alcoholic liver disease. Dietary therapy for patients with alcoholic hepatitis needs a diet rich in energy, protein and vitamins to correct the co-existing malnutrition and help the recovery of the disease. Remind those who have signs of hepatic coma that they should be given a low-protein or protein-free diet to avoid aggravating the condition.
Dietary therapy for alcoholic hepatitis
1, Danggui Yujin Hawthorn Orange Drink: Danggui and Yujin each 12g, Hawthorn Orange Cake each 25g. Decoct that above four medicines in wat, and collecting juice. Take it in 2~3 times. 2. Huangzhizexiang Drink: Polygonatum sibiricum and Ganoderma lucidum each 15g, Pericarpium Citri Reticulatae and Rhizoma Cyperi each 10g, and Alisma orientale 6g. Decoct that above raw materials in wat, and collecting juice. Take it in 2~3 times. 3. Amomum villosum with Lysimachia christinae: 60g for Lysimachia christinae and 60g for Plantago, 0/0g for Amomum villosum, 0/0/for carp, and appropriate amounts for salt and ginger. Scales, gills and viscera of carp are removed, and carp is boiled with other three ingredients. When the fish is cooked, add salt and ginger to taste. 4. Fish brain powder: appropriate amount of fish brain (or roe). Grilled fish brain or roe, ground into fine powder. Take it with warm boiled water, 3 ~ 5g each time. Suitable for fatty liver. 5, corn stigma, winter sunflower and red bean soup: 60 grams of corn stigma, winter sunflower 15 grams, red beans 100 grams, appropriate amount of sugar. Stigma Maydis and sunflower seeds are decocted in water to get juice, and red beans are added to make soup, and sugar is added to taste. Eat twice, eat beans and drink soup. 6. Atractylodes macrocephala and Jujube: Atractylodes macrocephala, Plantago asiatica, Radix Curcumae each 12g, Jujube 120g. Wrap Atractylodes Macrocephala, Plantago asiatica and Curcuma aromatica in gauze, add water and cook with Jujube, so that Jujube can suck out the liquid medicine as much as possible, and eat Jujube by removing residues. 7, safflower hawthorn orange peel drink: safflower 10 g, hawthorn 50 g, orange peel 12 g. Decoct that three medicines in wat, and collecting juice. Take it in 2~3 times. 8. Huangqi Yujin Lingzhi Drink: 30g of Huangqi, 0/5g of Ganoderma Poria, 0/0g of Yujin/kloc, 6g of tea. Decoct the above four kinds of water to get juice, boil and soak tea leaves. 9, spine seaweed soup: seaweed silk, animal spine, the right amount, a little seasoning. Wash kelp silk and steam it first; Stew the animal's spine in the soup, skim the foam after the soup is boiled, put it into the sea to stew, and add seasoning such as salt, vinegar, monosodium glutamate and pepper. Eat kelp and drink soup.
Ganoderma lucidum in preventing and treating alcoholic hepatitis.
Ganoderma lucidum has obvious liver protection effect, and can be used as a liver protection drug to treat viral hepatitis and chemical liver injury such as alcohol or drug hepatitis. Its immunomodulatory effect is also beneficial to the treatment of viral hepatitis. Ganoderma lucidum triterpenoids are important effective components for protecting liver. Although Ganoderma lucidum has no obvious anti-hepatitis virus effect, it has immunomodulatory and liver-protecting effects, and can be used as a liver-protecting and immunomodulatory drug to treat viral hepatitis. In 1970s, China began to treat viral hepatitis with Ganoderma lucidum preparation. According to various reports, the total effective rate is 73. 1%~97.0%, and the remarkable effective rate (including clinical cure rate) is 44.0%~76.5%. Its curative effect is manifested as fatigue, loss of appetite, abdominal distension, pain in liver area and other subjective symptoms. Serum alanine aminotransferase and other liver function tests returned to normal or decreased. The swollen liver and spleen returned to normal or shrank to varying degrees. Generally speaking, the curative effect on acute hepatitis is better than that on chronic or persistent hepatitis. Clinically, the combination of Ganoderma lucidum and some drugs that can damage the liver can avoid or alleviate the liver injury caused by drugs and protect the liver. The protective effect of Ganoderma lucidum on liver is also related to its "nourishing liver qi" and "benefiting spleen qi" discussed in ancient Chinese medicine books.
Editing this liver has four characteristics.
First of all, the liver is the busiest organ in the human body. The human body is a huge and complex chemical plant, and the liver is the "reaction center" of this chemical plant. Because the liver is too busy and consumes too much, it needs enough nutrition to maintain it. Second, the liver is the organ that the human body dares to sacrifice itself most. The liver is a "treatment plant" for toxic and harmful substances entering the human body, and it is increasingly polluted by the atmosphere, drinking water, food and drugs we use. The liver should try its best to detoxify, sacrifice itself and preserve our health, so our atmosphere, drinking water and food should be as clean as possible, and at the same time, we should take medicine as little as possible. Third, the liver is the most silent organ in the human body. Liver work is very hard, doing the most things every day, and doing the hardest things. Even if he is sick, he never reports the situation voluntarily and never screams in pain. Because of this characteristic of the liver, we often ignore the feelings of the liver, which leads to more and more serious liver diseases and even cancer. Fourth, the liver is the most vulnerable organ of the human body. Because the liver is the busiest and most tired, because it is attacked by toxic and harmful substances, and because it works the hardest, it is the most fragile, the most serious and the most difficult to treat, such as hepatitis A, hepatitis B, hepatitis C, alcoholic hepatitis, fatty liver, cirrhosis and so on. Knowing the characteristics of the liver, we can treat and protect our liver well. Judging from medical research and clinical time, it is difficult to cure most liver diseases with drugs alone. Ganoderma lucidum polysaccharide and Mulberry polysaccharide, which have good effects of protecting, nourishing and softening the liver, have doubled their effects and maintained the "self-healing efficacy" of the human body in the best state. Studies have confirmed that the combination of Ganoderma lucidum and mulberry polysaccharide can effectively activate the human immune system, regulate liver metabolism, eliminate toxins in the body, help repair damaged liver cells, and be beneficial to hepatocyte generation.