CN101401925A - Traditional Chinese medicine decoction for treating fatty liver - Google Patents

Traditional Chinese medicine decoction for treating fatty liver Download PDF

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CN101401925A
CN101401925A CNA2008101587489A CN200810158748A CN101401925A CN 101401925 A CN101401925 A CN 101401925A CN A2008101587489 A CNA2008101587489 A CN A2008101587489A CN 200810158748 A CN200810158748 A CN 200810158748A CN 101401925 A CN101401925 A CN 101401925A
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fatty liver
chinese medicine
rhizoma
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CN101401925B (en
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张晨
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Jia Yanying
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Abstract

The invention provides Chinese medicine decoction for treating fatty liver. The Chinese medicine decoction for treating the fatty liver comprises the following raw materials: 5 to 15 grams of sicklesenna seeds, 5 to 15 grams of radix salviae miltiorrhizae, 5 to 15 grams of turmeric, 5 to 15 grams of caulis bambusae in taenian, 5 to 15 grams of dried fruit of citron, 5 to 15 grams of Polygonum multiform, 3 to 6 grams of ginger, 3 to 6 grams of liquorice, 10 to 20 grams of Pinellia ternate, 10 to 20 grams of dried orange peel, 10 to 20 grams of Poria cocos and 10 to 20 grams of lotus leaves. The Chinese medicine decoction for treating the fatty liver can remove heat and dampness, sooth liver and regulate qi flow, invigorate spleen to reduce phlegm and activate blood circulation to dissipate blood stasis to effectively treat the fatty liver.

Description

A kind of Chinese medicine decoction for the treatment of fatty liver
Technical field
The present invention relates to a kind of Chinese medicine decoction for the treatment of fatty liver, belong to the field of Chinese medicines.
Background technology
Fatty liver is meant the interior too much a kind of pathological state of lipopexia of hepatocyte that liver itself and the outer reason of liver cause, obesity, alcoholism and diabetes are its three big cause of disease.Forming the main cause of fatty liver, is because due to increase of hepatocyte lipogenesis or the oxidation minimizing.Some body fat mass in human body Developmental and Metabolic Disorder causes excess fats to be built up in liver, and surpass liver heavy more than 5%, so formed fatty liver.State of an illness the lighter does not have any symptom, is found when being everlasting health check-up; Hepatomegaly can appear in state of an illness weight person, and the hepatic region is vexed to expand or pain, weak, and loss of appetite is felt sick abdominal distention etc.
For the still to no effect significant specific treatment of the present doctor trained in Western medicine of this disease, the blood fat reducing therapy is mainly adopted in the clinical treatment to fatty liver of doctor trained in Western medicine.Fat-reducing medicament is many to the toxic effect of liver.Main cause is that the lipid in most blood lipid-lowering medicines promotion blood is to the liver transportation and carry out the metabolism drainage, and fatty liver is often with the liver lipidosis.Confirm that through a large amount of clinical experiments Chinese medicine can promote the reverse of fatty liver and improve clinical symptoms.
Summary of the invention
The objective of the invention is provides a kind of Chinese medicine decoction for the treatment of fatty liver on the basis of mechanism of the morbidity of further investigation fatty liver, can more effective treatment fatty liver.
The invention provides a kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 5-15 gram, Radix Salviae Miltiorrhizae 5-15 gram, Rhizoma Curcumae Longae 5-15 gram, Caulis Bambusae In Taenia 5-15 gram, Fructus Aurantii 5-15 gram, Rhizoma Coptidis 5-15 gram, Radix Curcumae 5-15 gram, Radix Polygoni Multiflori 5-15 gram, Rhizoma Zingiberis Recens 3-6 gram, Radix Glycyrrhizae 3-6 gram, Rhizoma Pinelliae 10-20 gram, Pericarpium Citri Reticulatae 10-20 gram, Poria 10-20 gram, Folium Nelumbinis 10-20 gram.
A kind of Chinese medicine decoction for the treatment of fatty liver provided by the invention, its best are formed by forming by following raw materials in weight:
Semen Cassiae 10 grams, Radix Salviae Miltiorrhizae 10 grams, Rhizoma Curcumae Longae 10 grams, Caulis Bambusae In Taenia 10 grams, Fructus Aurantii 10 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 10 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 5 grams, the Rhizoma Pinelliae 15 grams, Pericarpium Citri Reticulatae 15 grams, Poria 15 grams, Folium Nelumbinis 15 grams.
A kind of Chinese medicine decoction for the treatment of fatty liver provided by the invention, its preparation and instructions of taking are:
Raw material is mixed in the marmite, adds water and soak in right amount; Elder generation's intense fire is fried boiling, and with half an hour at a simmer, leaches medicinal liquid again, adds water in the medicinal residues and fries in shallow oil half an hour more in right amount, leaches medicinal liquid again.Twice medicinal liquid mixes, cools completely.Respectively at half an hour ante cibum morning, took in two hours after the supper.
A kind of Chinese medicine decoction for the treatment of fatty liver provided by the invention, raw materials used effect is as follows:
1) Semen Cassiae: bitter sweet, cold; Go into liver, kidney channel.Liver heat removing arranged, make eye bright, dispel the wind, the effect of relieving constipation.Control the puckery pain of conjunctival congestion, the many tears of photophobia, it is dizzy to have a headache, poor vision, constipation.
2) Radix Salviae Miltiorrhizae: hardship is slightly cold; GUIXIN, Liver Channel.Activating blood circulation to dissipate blood stasis, the removing heat from blood mind calming.This product is fallen and promoting the circulation of blood, is apt to into blood system, can qualcomm meridian, change stasis, clearing away heart-fire, removing heat from blood heat, and the will of calming the nerves, remove and throb with fear tiredly, be usually used in obstruction of qi in the chest and cardialgia, menstruation portion transfers, skin infection swells and ache, insomnia and congestion disease such as swell and ache.
3) Rhizoma Curcumae Longae: removing blood stasis, circulation of qi promoting is stimulated the menstrual flow, pain relieving.Control trusted subordinate's feeling of fullness distending pain, brachialgia , mass in the abdomen, women's blood stasis amenorrhea, puerperal, the stasis of blood was stopped stomachache, injury from falling down, carbuncle.
4) Caulis Bambusae In Taenia: cold nature, sweet in the mouth; Removing heat-phlegm relieves restlessness and prevents vomiting.Be used for phlegm-heat cough, gallbladder fire and hold expectorant, dysphoria with smothery sensation vomiting, palpitation with fear insomnia, wind-phlegm fan, aphasia with stiff tongue, gastropyretic vomiting, pregnancy reactions, frequent fetal movement under the arm.
5) Fructus Aurantii: toil, cold; Go into lung, spleen, large intestine channel.Dispelling the stagnated QI, row expectorant, removing food stagnancy.Control chest and diaphragm expectorant and stagnate, the feeling of stuffiness in chest, the side of body expands, food stagnation, eructation, vomiting, heavy behind the dysentery, proctoptosis, uterine prolapse.
6) Rhizoma Coptidis: bitter in the mouth, cold; Go into the heart, liver, stomach, large intestine channel.Pathogenic fire purging, dampness, detoxifcation, parasite killing.Row pyretic toxicity when controlling, typhoid fever, intenseness of heat is vexed, the feeling of fullness vomiting, bacillary dysentery, diarrhea of heat type stomachache, the lung knot is pressed, and tells, nosebleed, hematochezia, quenches one's thirst infantile malnutrition, ascariasis, pertussis, laryngopharynx swelling and pain, acute catarrhal conjunctivitis, aphtha, skin sore, eczema, the burning hot wound of soup.
7) Radix Curcumae: arduous, cold; Go into the heart, lung, Liver Channel.Promoting QI circulation for relieving depression, the removing heat from blood removing blood stasis with potent drugs is controlled all pains of breast abdomen side of body rib, and it is demented to lose the heart, and the calentura coma is spitted blood jaundice.
8) Radix Polygoni Multiflori: sweet in the mouth, slightly warm in nature, energy invigorating the liver and kidney benefiting essence-blood, loosening bowel to relieve constipation.
9) Rhizoma Zingiberis Recens: deliver, cold expelling, preventing or arresting vomiting is opened expectorant.The wind and cold that cures cold, vomiting, phlegm retention is breathed with cough, and distension is had loose bowels.
10) Radix Glycyrrhizae: sweet, flat; GUIXIN, lung, spleen, stomach warp.Invigorating the spleen and replenishing QI is grown and to be coughed lung moistening, and the emergency detoxifcation is in harmonious proportion hundred medicines.Cure mainly laryngopharynx swelling and pain, cellulitis skin infection, gastrointestinal ulceration and separate poison of drug, alimentary toxicosis etc.Enoxolone has the effect of desoxycortone class, and chronic adrenocortical insufficiency is had good efficacy.The flavone of Radix Glycyrrhizae has antiinflammatory, spasmolytic and antiacid effect.
11) Rhizoma Pinelliae: dampness is through expectorant, stopping nausea and vomiting by lowering the adverse flow of QI, dissolving lump and resolving mass.Control the damp-phlegm cold drink, vomiting regurgitation, syncope due to accumulation of phlegm headache, dizzy sleeplessness.
12) Pericarpium Citri Reticulatae: warm in nature, bitter in the mouth, suffering.Regulating qi-flowing for strengthening spleen, drying dampness to eliminate phlegm.Be used for fullness in the epigastrium and chest, lack of appetite and vomiting, cough ant phlegm.
13) Poria: sweet light, flat; Go into the heart, spleen, lung meridian.Eliminating dampness and diuresis, strengthening the spleen stomach function regulating, mind tranquilizing and the heart calming.Control dysuria, the edema distension, the phlegm retention cough with dyspnea, the sound of vomiting of vomitting is had loose bowels, seminal emission, stranguria with turbid discharge, palpitation with fear, forgetful.
14) Folium Nelumbinis: bitterness, flat; Go into the heart, liver, spleen channel.Clearing away summer-heat and eliminating dampness rises and sends out sliding sun, hemostasis.Control diarrhea due to summer heat and dampness, dizzy, the aqueous vapor edema, thunder-headache is spitted blood, epistaxis, metrorrhagia is had blood in stool, puerperal blood faints.
From the theory of Chinese medical science angle think the etiology and pathogenesis of fatty liver main with expectorant, wet, the stasis of blood, amass etc. relevant, close with liver,spleen,kidney three dirty functional relationships.The primary disease origin cause of formation, exopathogenic factor mostly are the feed greasy and surfeit flavour or are addicted to drink immoderately, give birth to the wet expectorant of making; Endogenous cause of ill is then by the liver failing to maintain the normal flow of QI, dysfunction of the spleen in transportation, and the kidney flatusization, water is wet can not to be turned to precise and tinyly, poly-and be the wet expectorant that is, and stasis of blood resistance liver network is stranded in liver and forms primary disease.The clinical dialectical medication that should take into account deficiency and excess, cold and heat, negative and positive.
A kind of Chinese medicine decoction for the treatment of fatty liver provided by the invention can the removing dampness heat clearing away, depressed liver-energy dispersing and QI regulating, invigorating the spleen for dissipating phlegm, blood circulation promoting and blood stasis dispelling.Through 150 many cases fatty liver clinical research confirmations, total effective rate 99%, cure rate 93.2%.No matter the age size, medical history length has or not its complication, all can in a course of treatment significant curative effect be arranged, and determined curative effect, and instant effect has no side effect, and is higher through the clinical verification cure rate.
Model case is as follows:
Case one, the patient is covered certain, man, 46 years old, patient's discovery fatty liver of having a medical check-up previously has the hepatitis B medical history, does not do treatment, be addicted to drink on ordinary days, the immediate cause body weight constantly increases, the weak prescription on individual diagnosis, see that the patient is fat, height 165cm, body weight 178kg, right side of body dull pain, weak, the loose stool, pale tongue fertilizer has the tooth seal, and tongue is white, stringy and rolling pulse.Be diagnosed as severe fatty liver.Chronic viral hepatitis B virus carrier.After taking Chinese medicine decoction of the present invention treatment two courses of treatment, transference cure, body weight obviously descends, and the blood fat check is normal, and B ultrasonic shows: slight fatty liver.Continue treatment recovery from illness in 1 month.Advise the patient to strengthen physical training, light diet is avoided and is drunk.Follow up a case by regular visits to and do not see recurrence.
Case two, Wang, man, 48 years old, people from Shandong.The weak companion's uncomfortable liver area of patient is felt sick, the xerostomia halitosis, and light red tongue is dark, and tongue is greasy in vain, stringy pulse.Go to hospital to look into body obesity, do not have other positive signs, B ultrasonic shows: severe fatty liver, and the patient has 20 year history of drinking history, takes two courses of treatment of Chinese medicine decoction of this kind treatment fatty liver, and B ultrasonic shows: the moderate fatty liver, spleen recovers normal size.After take a course of treatment and reasonably combined diet again, B ultrasonic shows during check: slight fatty liver.And taken a course of treatment thoroughly rehabilitation.
The specific embodiment
Embodiment 1
A kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 10 grams, Radix Salviae Miltiorrhizae 10 grams, Rhizoma Curcumae Longae 10 grams, Caulis Bambusae In Taenia 10 grams, Fructus Aurantii 10 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 10 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 5 grams, the Rhizoma Pinelliae 15 grams, Pericarpium Citri Reticulatae 15 grams, Poria 15 grams, Folium Nelumbinis 15 grams.
Its preparation and instructions of taking:
Raw material is mixed in the marmite, adds water and soak in right amount; Elder generation's intense fire is fried boiling, and with half an hour at a simmer, leaches medicinal liquid again, adds water in the medicinal residues and fries in shallow oil half an hour more in right amount, leaches medicinal liquid again.Twice medicinal liquid mixes, cools completely.Respectively at half an hour ante cibum morning, took in two hours after the supper.
Embodiment 2
A kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 10 grams, Radix Salviae Miltiorrhizae 10 grams, Rhizoma Curcumae Longae 15 grams, Caulis Bambusae In Taenia 15 grams, Fructus Aurantii 15 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 10 grams, Rhizoma Zingiberis Recens 5 grams, Radix Glycyrrhizae 5 grams, the Rhizoma Pinelliae 15 grams, Pericarpium Citri Reticulatae 15 grams, Poria 15 grams, Folium Nelumbinis 15 grams.
Preparation and using method: with embodiment 1.
Embodiment 3
A kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 10 grams, Radix Salviae Miltiorrhizae 10 grams, Rhizoma Curcumae Longae 10 grams, Caulis Bambusae In Taenia 15 grams, Fructus Aurantii 15 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 10 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 5 grams, the Rhizoma Pinelliae 15 grams, Pericarpium Citri Reticulatae 15 grams, Poria 15 grams, Folium Nelumbinis 15 grams.
Preparation and using method: with embodiment 1.
Embodiment 4
A kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 10 grams, Radix Salviae Miltiorrhizae 10 grams, Rhizoma Curcumae Longae 15 grams, Caulis Bambusae In Taenia 15 grams, Fructus Aurantii 10 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 15 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 5 grams, the Rhizoma Pinelliae 20 grams, Pericarpium Citri Reticulatae 20 grams, Poria 15 grams, Folium Nelumbinis 15 grams.
Preparation and using method: with embodiment 1.
Embodiment 5
A kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 15 grams, Radix Salviae Miltiorrhizae 15 grams, Rhizoma Curcumae Longae 10 grams, Caulis Bambusae In Taenia 10 grams, Fructus Aurantii 10 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 15 grams, the Radix Polygoni Multiflori 15 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 3 grams, the Rhizoma Pinelliae 15 grams, Pericarpium Citri Reticulatae 15 grams, Poria 25 grams, Folium Nelumbinis 20 grams.
Preparation and using method: with embodiment 1.
Embodiment 6
A kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 5 grams, Radix Salviae Miltiorrhizae 5 grams, Rhizoma Curcumae Longae 10 grams, Caulis Bambusae In Taenia 10 grams, Fructus Aurantii 10 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 10 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 5 grams, the Rhizoma Pinelliae 15 grams, Pericarpium Citri Reticulatae 20 grams, Poria 20 grams, Folium Nelumbinis 15 grams.
Preparation and using method: with embodiment 1.
Embodiment 7
A kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 10 grams, Radix Salviae Miltiorrhizae 10 grams, Rhizoma Curcumae Longae 10 grams, Caulis Bambusae In Taenia 10 grams, Fructus Aurantii 10 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 10 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 5 grams, the Rhizoma Pinelliae 15 grams, Pericarpium Citri Reticulatae 15 grams, Poria 15 grams, Folium Nelumbinis 15 grams.
Preparation and using method: with embodiment 1.
Embodiment 8
A kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 10 grams, Radix Salviae Miltiorrhizae 10 grams, Rhizoma Curcumae Longae 8 grams, Caulis Bambusae In Taenia 8 grams, Fructus Aurantii 10 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 10 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 5 grams, the Rhizoma Pinelliae 15 grams, Pericarpium Citri Reticulatae 15 grams, Poria 15 grams, Folium Nelumbinis 15 grams.
Preparation and using method: with embodiment 1.
Embodiment 9
A kind of Chinese medicine decoction for the treatment of fatty liver, it is by forming by following raw materials in weight:
Semen Cassiae 10 grams, Radix Salviae Miltiorrhizae 10 grams, Rhizoma Curcumae Longae 15 grams, Caulis Bambusae In Taenia 15 grams, Fructus Aurantii 10 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 10 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 3 grams, the Rhizoma Pinelliae 20 grams, Pericarpium Citri Reticulatae 20 grams, Poria 15 grams, Folium Nelumbinis 15 grams.
Preparation and using method: with embodiment 1.

Claims (2)

1, a kind of Chinese medicine decoction for the treatment of fatty liver is characterized in that, it is by forming by following raw materials in weight:
Semen Cassiae 5-15 gram, Radix Salviae Miltiorrhizae 5-15 gram, Rhizoma Curcumae Longae 5-15 gram, Caulis Bambusae In Taenia 5-15 gram, Fructus Aurantii 5-15 gram, Rhizoma Coptidis 5-15 gram, Radix Curcumae 5-15 gram, Radix Polygoni Multiflori 5-15 gram, Rhizoma Zingiberis Recens 3-6 gram, Radix Glycyrrhizae 3-6 gram, Rhizoma Pinelliae 10-20 gram, Pericarpium Citri Reticulatae 10-20 gram, Poria 10-20 gram, Folium Nelumbinis 10-20 gram.
2, according to the Chinese medicine decoction of the described treatment fatty liver of claim 1, by forming by following raw materials in weight:
Semen Cassiae 10 grams, Radix Salviae Miltiorrhizae 10 grams, Rhizoma Curcumae Longae 10 grams, Caulis Bambusae In Taenia 10 grams, Fructus Aurantii 10 grams, Rhizoma Coptidis 10 grams, Radix Curcumae 10 grams, the Radix Polygoni Multiflori 10 grams, Rhizoma Zingiberis Recens 3 grams, Radix Glycyrrhizae 5 grams, the Rhizoma Pinelliae 15 grams, Pericarpium Citri Reticulatae 15 grams, Poria 15 grams, Folium Nelumbinis 15 grams.
CN2008101587489A 2008-11-06 2008-11-06 Traditional Chinese medicine decoction for treating fatty liver Expired - Fee Related CN101401925B (en)

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Cited By (8)

* Cited by examiner, † Cited by third party
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CN102671106A (en) * 2012-06-07 2012-09-19 山东中医药大学附属医院 Traditional Chinese medicine preparation for treating fatty liver and method for preparing same
CN103041288A (en) * 2011-10-14 2013-04-17 湖南中医药大学 Chinese medicinal composition for treating diabetic fatty liver and preparation process thereof
CN104256602A (en) * 2014-10-09 2015-01-07 云南白药天颐茶品有限公司 Composition with function of reducing serum cholesterol and application thereof
CN104984255A (en) * 2015-07-24 2015-10-21 徐冬冬 Traditional Chinese medicine pill for auxiliary treatment on alcoholic fatty liver and preparation method thereof
CN105362912A (en) * 2015-12-15 2016-03-02 陈晓黎 Pure traditional Chinese medicinal oral liquid capable of effectively treating fatty liver
CN105999209A (en) * 2016-08-18 2016-10-12 张志航 Traditional Chinese medicine for treating fatty liver and preparing method of traditional Chinese medicine
CN106822760A (en) * 2017-02-20 2017-06-13 成都富豪斯生物科技有限公司 A kind of decoction medicine for treating damp-heat accumulation type fatty liver and preparation method thereof
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CN103041288A (en) * 2011-10-14 2013-04-17 湖南中医药大学 Chinese medicinal composition for treating diabetic fatty liver and preparation process thereof
CN103041288B (en) * 2011-10-14 2015-12-02 湖南中医药大学 A kind of Chinese medicine composition and preparation technology treating diabetic fatty liver
CN102671106A (en) * 2012-06-07 2012-09-19 山东中医药大学附属医院 Traditional Chinese medicine preparation for treating fatty liver and method for preparing same
CN104256602A (en) * 2014-10-09 2015-01-07 云南白药天颐茶品有限公司 Composition with function of reducing serum cholesterol and application thereof
CN104984255A (en) * 2015-07-24 2015-10-21 徐冬冬 Traditional Chinese medicine pill for auxiliary treatment on alcoholic fatty liver and preparation method thereof
CN105362912A (en) * 2015-12-15 2016-03-02 陈晓黎 Pure traditional Chinese medicinal oral liquid capable of effectively treating fatty liver
CN105999209A (en) * 2016-08-18 2016-10-12 张志航 Traditional Chinese medicine for treating fatty liver and preparing method of traditional Chinese medicine
CN106822760A (en) * 2017-02-20 2017-06-13 成都富豪斯生物科技有限公司 A kind of decoction medicine for treating damp-heat accumulation type fatty liver and preparation method thereof
CN115475216A (en) * 2022-11-01 2022-12-16 江苏省中医院 Compound combined medicine and traditional Chinese medicine preparation and application thereof
CN115475216B (en) * 2022-11-01 2023-06-13 江苏省中医院 Compound combination medicine, traditional Chinese medicine preparation and application thereof

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