Liver Hardness, Cirrhosis

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Western Tradition Simples Wormwood Costus Bitter Almond Rhubarb Gum Ammoniac Agrimony Orris Asarum Saffron Black Nightshade 1. Costus (2 drams) taken in wine and water 2. Give 2 drams of Rhubarb with Milk. (Brunschwig, 1561) Formulas Hepatis Duritiei–Hardness of the Liver Potion for Schirrhus of the Liver Electuary of Saffron Greater (Diacurcuma Majores) Electuary of Elecampane (Unani) Troches of Agrimony Troches of Wormwood Lesser (Mesue) Troches of Wormwood Greater (Mesue) Troches of Rhubarb (Mesue) Troches of Gum Lacca (Mesue) Troches for Hardness of the Liver Troches Praised for Liver Hardness (Nicholas) Troches Proven for Hardness of the Liver (Nicholas) Dialacca Major (Mesue) Pills of Agrimony Lesser (Mesue) Pills for Fibrosis of the Liver (Riverius) Tincture Against Schirrus of the Spleen Oil of Sesame Ointment Martiatum Diachilon Simplex Plaster of Meliot Plaster of Sesame Plaster of Diachilon Plaster of Meliot Cerate of Hyssop

TCM Classification Simples Salvia Dan Shen Sophora Ku Shen Peach kernel (Tao Ren) Zedoary (E Zhu) Notoginseng San Qi Artemisia Yin Chen Hao Safflower (Hong Hua) Rhubarb (Da Huang) Formulas Qi Stagnation (Early Stages) Xiao Yao San Dan Zhi Xiao Yao San Damp Heat (Early Stages) Xiao Chai Hu Tang Yin Chen Hao Tang Gan Cao Xie Xin Tang Ban Xia Xie Xin Tang Chai Hu Gui Zhi Tang Blood Stasis (Chronic) Blood stasis is associated with chronic cases; there may be sharp pain, dull complexion, cyanosis of the lips, nails and tongue Huo Luo Xiao Ling Dan Ge Xia Zhu Yu Tang Xue Fu Zhu Yu Tang Da Huang Zhe Chong Wan Yang Deficiency (With ascites) Fu Zi Tang Zhen Wu Tang

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Special Formula

1. Oil of Walnuts taken with infusion of Fenugreek, Rue, Spikenard. 2. Oil of Spikenard or Costus (2 spoonfuls) taken in an infusion of Rue and Dill, taken for 7 days. HARDNESS OF THE LIVER (WITH NO HEAT) i. Liverwort and Celery juice boiled in wine or water. (Brunschwig, 1561) ii.  Fenugreek     Rue     Spikenard     Cypress nuts                  equal parts Prepare an infusion, take with some Oil of Walnuts, continue for 3 days. (Syrian ‘Book of Medicine‘, Budge, 1913) iii. Costus     Agrimony     Fenugreek     Raisins                              equal parts Prepare an infusion, take with some Oil of Walnuts, continue for 3 days. (Syrian ‘Book of Medicine‘, Budge, 1913) iv. Wormwood     Rhubarb     Costus     Rue     Mastic     Pepper     Raisins Prepare an infusion v.  Gentian     Wormwood     Asarum     Costus     Agrimony     Madder     Rue     Mastic     Thyme     Raisin MYROBALAN POWDER For Liver Tumors     Black Myrobalan     Chebulic Myrobalan   40 drams ea.     Celery seed     Aniseed     Fennel seed                    5 drams ea. Powder, traditionally taken with Camel Milk (Pharmacopoeia Persica, 1681) TROCHES FOR THE LIVER OF ALEXANDER     Almonds cleansed     Wormwood     Asarum     Anise     Celery seed                    equal parts Form troches with water. Used for Hardness and Inflammation of the Liver. Rhubarb was sometimes added. ELECTUARY OF GENTIAN     Gentian     Pepper                             10 drams each     Costus     Indian leaf       Spikenard     Rhubarb                           1 oz. each     Honey                               sufficient Form an Electuary. Hardness of the Liver, Pain and obstruction of the Liver, Stomach, Spleen and Kidneys. Dose: 1 dram (Syrian “Book of Medicine“, trans. by Wallis Budge, 1913) TROCHES FOR LIVER OBSTRUCTION     Mastic     Agrimony juice     Wormwood juice     Fennel seed     Annis                               2 drams ea.     Rhubarb                         8 drams     Madder     Lacca                              4 drams ea.     Celery seed     Agrimony     Annis                               3 drams ea. Form Troches. Used for obstruction or Hardness of the Liver or Spleen.

DEN SHEN TAO XIONG TANG     Salvia Dan Shen     Peach kernel (Tao Ren)     Ligusticum Chuan Xiong It has demonstrated efficacy in Liver fibrosis. YIN CHEN HAO TANG     Artemisia Yin Chen Hao     Rhubarb (Da Huang)     Gardenia Zhi Zi This has also demonstrated efficacy.