The word "Xuanfu" first appeared in "Su Wen Shui Re Xue Lun", which said: "The so-called Xuanfu is also sweaty". It was first understood as a sweat hole, and later Liu Wansu inherited the ancient innovation. It was recorded in "Su Wen Xuan Ji Yuan Disease Type" that "the Xuanfu is also called a micro-Xuanfu." That is to say, its morphological structure Xuan Ming is subtle, which can not be seen by the naked eye; It is also pointed out that "the Xuanfu people have nothing, human viscera and fur, muscle fascia, bone marrow paws, and everything in the world has everything, which is also the gateway to the rise and fall of qi". It is pointed out that Xuanfu is a micro-channel with ubiquitous material connection, and qi and blood, body fluid, camp and health, and the operation of mental machinery are closely related to Xuanfu, and the Xuanfu is opened smoothly and closed reversely. At present, the theory of liver-intestine-brain axis is the most recognized theory in the pathogenesis analysis of hepatic encephalopathy (HE), which holds that the pathogenesis of HE lies in the liver, intestine and brain. Clinical application of the theory of liver, intestine and brain axis to treat hepatic encephalopathy has achieved very good results. Based on the theory of the five zang-organs Xuanfu in traditional Chinese medicine, this paper puts forward the micro-pathogenesis of hepatic encephalopathy caused by "the five zang-organs Xuanfu is unfavorable to open and close, and it interferes with the brain". On the basis of syndrome differentiation, the treatment pays attention to dredging Xuanfu and has achieved good results. The tutor thinks that the occurrence of hepatic encephalopathy is closely related to the brain and intestines, and also to the disorder of the opening and closing of the five zang-fu organs. In the treatment, the opening of the xuan-fu organs should be the key link, and then according to the severity of the depression of the intestines, the brain and the five zang-fu organs, respectively, the treatment should be based on dispersing the lung, clearing the heart, refreshing the brain, invigorating the spleen, eliminating dampness, warming the kidney and fixing the xuan, soothing the liver, relieving depression and opening the xuan, so as to give full play to the advantages of traditional Chinese medicine and improve the curative effect.

Li Jiajia, Chang Zhanjie. Treatment of Hepatic Encephalopathy Based on the Theory of Five Zang-organs Xuanfu. Academic Journal of Medicine & Health Sciences (2023) Vol. 4, Issue 7: 14-19. https://doi.org/10.25236/AJMHS.2023.040703.

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