Blockage in the liver

Obstructions sometimes arise in the spaces between the particles of the fleshy substance of the liver, due to the density of the blood that feeds it, or the weakness of the expelling force, or the power of the attracting force, and sometimes they arise in the vessels due to what passes through them. Most often, blockages of this category occur in the branches of the “gate,” because the blocking matter first reaches these branches, then seeps from them into the mouths of the vessels branching from the ascending vessel, leaving sediment in them. Therefore, most blockages occur in the concave side of the liver, but sometimes it comes to the point where matter creates blockages in the convex part. If there are many blockages and their residence time in the liver is long, this leads to putrefaction, which gives rise to fevers, to tumors, which cause dropsy, and to the generation of winds, causing severe pain; blockages are, as it were, the “matters” of liver diseases.

The substance that produces the obstruction is either the juice which obstructs due to its thickness, viscosity, abundance or congestion, or swelling, or winds, or the obstruction is caused by the constrictive quality of some medicine. As for the cases of growth of meat or warts in the liver or retention of anything other than thick juice in the liver, which doctors mention, this is far from the truth or happens rarely. The fact is that the mouths of the veins are rich in nerves and nothing grows on them, and besides, there are many of them, and if meat grew on one of them, it would not spread to all the others in the same way. As for the efficient cause which creates the obstruction, it is weakness of digestion and separation, or weakness of Expulsion due to hot or cold distemper of nature or other causes arising in the liver or coming from without, such as air or anything else, and that which is affected , that is, the very substance that forms the blockage is the accepted dishes from coarse meat, especially poultry meat, or what is eaten when the appetite is perverted - clay, coal, gypsum, ushnana, or mushrooms, as well as some varieties of pears, hawthorn and the like . The root here is in the density of the substance: sometimes it is cold, rarefied and liquid and does not cause blockage, and sometimes it is hot, thick, and its warmth corresponds to the density; in this case it creates a blockage.

We have already said in the previous one that a substance can be thick in relation to the bake and not thick in relation to what lies after it, when it is digested in the liver, such as glutinous wheat. Often the nature itself is strong enough to expel the obstructing juices, or is assisted in doing so by treatment, and the matter comes out either in the stool, if the obstruction was on the concave side,  or in the urine, if the obstruction was on the convex side; in this case, thick juices of heterogeneous composition appear.

Signs. The set of signs of blockages boils down to the fact that the liver does not attract chyle into itself, since the chyle does not find a passage into it, or the attracting force is damaged. This necessarily entails two phenomena: one of them has to do with what is expelled, and the other with what is retained. In relation to the expelled substance, this is expressed in the fact that it turns out to be liquid, chyle-like and abundant. Its fluidity depends on the fact that aqueous humor and the pure part of the blood do not find their way into the liver, and its similarity to chyle is explained by the fact that the liver cannot act on it and transfer it from the state of chyle to the state of blood. And its abundance comes from the fact that to the substance that was supposed to be excreted in the form of feces, there was added something that was supposed to penetrate the liver, where a significant part of it would turn into blood, a significant part would be separated in the form of aqueous humor, some would be separated as bile, and some as black bile. All this was added to what should come out in the form of excrement, and they, of necessity, became copious. As for the phenomenon that is necessarily associated with what is retained in the liver, this is the heaviness felt in the liver area. The fact is that if chyle rushing into the liver ends up in it before another chyle comes out of it, at least in feces, even if it does not pass from the liver to other organs at all, then the amount of chyle multiplies and it fills the space, through which it passes to other organs, up to an obstacle that prevents passage, and burdens the liver. This is all the more inevitable if chyle does not leave the liver at all, even in the stool. Heaviness also occurs with a tumor, but if there is a tumor in the liver, the heaviness is felt only in the area of ​​the tumor and is not very great or significant. However, pain with a tumor is stronger than with pure blockages when there is no other cause; then there is no severe pain, although a slight pain is felt, and there is no fever. A tumor is sometimes indicated by the signs of a tumor and the quality of what is passed in the form of urine and feces, as well as other symptoms discussed in the paragraph on tumors; the one suffering from blockages is anemic and has a bad complexion.

If there are winds, a sign of this is, together with heaviness, a burdensome tension. In case of blockages due to constriction, this is indicated by the presence of previous causes of strong constriction; a sign of this is also obvious dryness of the body. Blockages in the liver are sometimes also accompanied by difficulty breathing due to the complicity of the respiratory organs with the liver.

Treatment of blockages. Medicines needed for blockages of the liver caused by juices are cleansing medicines and have the property of moderately relaxing or driving urine, depending on what is needed. If the blockage is on the concave side, then use laxatives, and if it is on the convex side, use diuretics; It is best to pre-administer opening, tearing and clearing agents.

If the blockages become chronic, then you have to bleed the basil and use a laxative; As for the time of giving medicines and the circumstances that should be kept in mind after giving, for example, juices of plant roots and similar substances, this has already been mentioned above in general questions. Such cleansing medicines are sometimes given in a decoction of chicory roots and in its juice, or, for example, in the milk of Arabian camels in foal, which are fed with fennel, chicory, wormwood, chamomile, common chamomile, rush, dodder, fume, or in wine, or in decoction of seeds, or in a decoction of bitter wormwood. If sediment and signs of maturity are not visible in the urine, then you should not give strong medications. If the cause of the blockage is swelling or wind, then that cause should be treated with the remedies mentioned in its place. In case of such a disease, it is useful to give milk to pregnant camels and then to make a relaxation with the help of vegetables, laxative cassia and the like, and also to lightly drive urine with the help of medicines that do not cause swelling and are devoid of warmth from those mentioned in their place. If the cause of the blockage is the narrowness of the passages by nature and the incorrect position of the vessels, then the patient is treated in the same way as those who have a small liver. If the blockage has formed as a result of compression or dryness, then use emollients and opening agents - milk of various animals and other medicines mentioned in the paragraph on moisturizing the liver.

Opening medicines include cold or near-equilibrium medicines or hot medicines, which are needed for chronic blockages. Cold medicines are, for example, chicory, garden and wild, dandelion, plantain juice with its leaves and roots, and everything that drives urine and at the same time cools. Dodder is an excellent opener, not too hot, rhubarb is also good, and so is wormwood; even if there is some warmth in it, it is still a good idea to use it for blockages that are combined with both warmth and coldness. It should be given at night or consumed as a decoction, especially in dodder juice, in the juice of chicory or its roots, in a decoction of saplings or bitter almonds: all these medicines are similar in action. Close to this is also squeezed fresh fennel juice and squeezed celery juice with strong sikanjubin with seeds; if greater warmth is required, then it is drunk with honey, water sweetened with honey and honey sikanjubin. As for medicines that are close to balance, such are lupine and fern; This is the best remedy when they want to open up more blockages in the liver and other organs without warming and cooling. Dubrovnik is close to lupine, although it is a little hot, but if you drink it with chicory juice, its nature is balanced.

Sea onion vinegar, sea onion sikanjubin, asparagus and iris rhizome belong to this category, and so does lakk. These medicines are given, depending on the need, or, for example, with chicory juice or dodder juice, if the nature of the liver is somewhat hot, or with wine, with caper juice, with lupine juice, with a decoction of wormwood and similar plants, as well as with various genus sikanjubins with seeds, garlic vinegar, stinking ferula vinegar, viper onion vinegar and caper vinegar. Several hot medicines are highly diuretic substances, for example, hoofed grass, Ceylon cinnamon, mountain parsley, round aristolochia, madder, orris, pistachios, agaric, dodder, sea onion, Dubrovnik polyum, centaury and its squeezed juice, gentian , lupine, honey sikanjubin from sea onions, which is prepared with madder and similar substances, figs soaked in almond oil. Among the strong complex medicines, this includes many lozenges that we mentioned in the Pharmacopoeia, for example, lakka and wormwood lozenges, uksulufandriyun lozenges, lakka medicine, turmeric medicine, amrusiya, atanasiya, teryak of four medicines, shajazaniyya, aristun, gentian porridge , rhubarb porridge, with scammonium resin or without scammonium resin, fanharitus porridge, black porridge from ferula stinking, shahriyarani porridge, porridge with pepper and especially with mint, filunia, a bitter medicine made from musk, porridge, which we mention in the Pharmacopoeia , made from musk, as well as the powders and pills mentioned therein, and the medicines of which we speak in the paragraph on the hardening of the liver and spleen.

Here is a porridge that strongly opens blockages in the liver and spleen.

Copy. Ushshaka - one ukiya, mastic and incense - five karams each, bush, sapling - four karams each, pepper and long pepper - six karams each, sadadja - eight karams, fragrant sumbul, hare feces - nine karams. All this is mixed with honey, from which the foam has been skimmed, and at each time one is given to drink one milaka with wine, in which some medicine for blockages was soaked, or with the juice of plant roots. Here is one of the easier remedies of this kind: take Rum sumbul - three parts, bitter wormwood - one part, pound, mix with honey and Give. Also: agaric with squeezed sapling juice is very useful. This also includes the following remedy: watering the roots of peony with sikanjubin.

A decoction useful for blockages of the liver and spleen: take equal parts of sea onion, maidenhair, bitter almonds, fenugreek, and the ends of the stems of wormwood, boil and take this decoction with honey. A porridge that is useful for recent blockages in the liver: take pepper - uqiya, aromatic sumbul - three karamis or six, according to the discrepancy in the recipes, fenugreek, bush, usshak and kopytnya - six karamis each and one and a half rittl of honey, with which all this is kneaded. Milaka is given at a time with some drinks suitable for such an occasion. Similar drinks include sugar sikanjubin with seeds; stronger than this are honey with seeds and sikanjubin from sea onions. Also useful are water sweetened with honey, in which fragrant spices with astringent properties have been strongly boiled, a decoction of bitter lupine, to which squeezed sapling juice has been added, a decoction in which they have added caper root, fennel root, celery root, rush plant, lacquer, madder and fenugreek. . This also includes a decoction of fenugreek, wine from wormwood, its infusion and infusion prepared from sabur, anise and bitter almonds.

As for the laxatives that are suitable in this case, if relaxation is required, then you should not use strong laxatives unless absolutely necessary. On the contrary, they should be light, because the matter is close to the medicine, and the diseased organ, if it still has strength, needs only the slightest help in expulsion. Good medicines for such a case are bitter iyaraj, polypodium, agaric, and wormwood. A strong patient is given up to one and a half mithqals to drink bitter iyaraj, and a weak one - up to a mithqal; with castor oil it works stronger and better. Powders from turbite with Dubrovnik polyum, mentioned in the Pharmacopoeia, are a useful and good medicine: it simultaneously opens blockages and relaxes. When a stronger laxative is required, one cannot do without ustumahikun pills and sagapen pills, and sometimes one has to resort to tiyadaritus and lugaziyi.

As for useful medicinal dressings, this is, for example, a dressing prepared from Dubrovnik polyum, lupine flour and diuretic seeds, or a dressing prepared from asafoetida, usshak, wormwood, Dubrovnik, mastic and saffron and with spikenard oil and wax. Regarding the diet, the patient should avoid all coarse meat, unleavened bread, bread made from viscous, sticky white flour, thick and sweet wine, rice, millet, lamb legs and heads, drying hot and drying fried foods; Boiled is more suitable for him. Let him also abstain from dates and all kinds of sweets, especially those that have viscosity and coarseness, such as habisa, bahat, faludaj and rice porridge with milk. He must avoid all the substances we have mentioned that cause blockages, and it is not appropriate for him to have a bath after food, for then nature would strive to attract nutrients to replace those that have dissolved but not been digested. You should also not move or exercise after eating and drink a lot of water; It is necessary to distance food from drinking, especially from drinking wine:  wine introduces food into the liver undigested. The bread dough for such patients should contain a lot of leaven and salt and it should fit well. Barley, spelt, chickpeas, fava beans and light-weight wheat are all good for such a patient; There is nothing bad in old, liquid and pure wine. Leeks and the like should be mixed into the patient’s food; asparagus is good for him, as well as capers.