A company manager, recently told Zhejiang Chinese Medical University Second Affiliated Hospital (province, Xinhua Hospital) Schwing, director of liver disease group, Professor complain: I thought this year we do more tight end of the year will be less entertaining. I did not expect, precisely because the economic downturn, in order to have a good sign for next year, easy to ask for something more, and the dinner they came in more full than usual. As the manager last week, four days are Japan unveils drunk three times.

Economic pressures translate into pressure on the liver, which is not a lot of people had expected. However, the situation is the recent out-patient liver disease clearly validates this fact. “This year’s peak of liver disease has been ahead of the arrival of out-patient,” Schwing group said that in previous years, in December, January is a liver disease clinic, a peak in November this year had been the growing number of patients with liver disease, at present outpatients have been more than ever, as 23, entertainment alcohol is the main reason for liver injury.

It is noteworthy that, in the clinic added a lot of fatty liver patients face. Gradually increased the incidence of fatty liver to alcohol and nutrition, the incidence of excess fats in the liver up to the crowd. To go out in cars, less sports, I like to drink alcohol when socializing communication overload, likes to eat high-fat, high-calorie food, high-quality low protein intake, nutritional imbalance, such as lifestyle and eating habits easily lead to fatty liver formation.

Who says it does not matter fatty liver

“Many were found to suffer from fatty liver in middle-aged, hearing diagnosis often disagree, until they do not come to review”, the expert was worried to really help these people to sweat.

Usually people are more afraid of hepatitis A, hepatitis B and other viral hepatitis, because we all know that the spread of infection, but we all are not afraid of fatty liver, fatty liver disease is not infectious, many people thought the risk of fatty liver does not matter, as long as a medicine as soon you’ll be cured. There are more people to choose the paid no attention to, because mild fatty liver no noticeable symptoms.

Fatty liver really does not matter? Schwing had encountered a group of professors of private enterprises in Shaoxing veterans, from the 15-year-old debut, he has more than 30 years of wine drinking, so he is proud or inability to drink, meal had nothing to drink two bottles of white wine, rice wine is more is no intoxication. Long-term “bubble” in alcohol liver In fact, in 2078 before the start to issue warning: alcoholic fatty liver, but the bosses do not care, still drinking! More recently, the boss finally pay for their own negligence: in November of physical examination, he was diagnosed with advanced liver cancer.

Viral hepatitis is a high incidence of liver cancer incentives, the people are more familiar with, while the fatty liver induced liver cancer, domestic professional medical literature rarely been reported. “In fact, international scholars are increasingly recognized liver disease, fatty liver is a risk factor for liver cancer caused.” Schwing group said, the boss is a typical case. Japan has had 16-bit liver experts, patients with fatty liver had a ten-year follow-up observations, because fatty liver is not effectively controlled, there are six cases of liver cancer eventually become. Similarly, in 2007, the annual meeting of the European liver disease, liver disease experts agree agree to such a view, if there is no scientific control and treatment of fatty liver will be occurring in benign lesions, that is cancerous.

Progress from fatty liver to liver cancer, how far? Experts say that if not treated in time, will deteriorate into fatty fatty liver hepatitis, and then degenerate into cirrhosis of the liver, and eventually liver cancer. The international medical community that progress from fatty liver to liver cancer, take 20 years.

Drink alcohol more than calculate the formula

The proportion of fatty liver to liver cancer is not high, about 0.1%, but fatty liver disease in our country the incidence of urban population has exceeded 15%, the current rate is still higher. Experts believe that the risk of fatty liver and upgrade the process of liver cancer, alcohol plays a very important role in the catalyst. Alcoholics in 57.7% of people with fatty liver.

Then how much is drunk? Schwing Group Professor, in two weeks time, the average daily volume of drinking alcohol more than 80 grams, they are drinking heavily. There is alcohol conversion formula: the amount of ethanol (g) = alcohol consumption (ml) × ethanol concentration (%) × 0.8, with a bottle of beer, 500ml, alcohol content of 5%, 500 × 0.05 × 0.8 = 20 grams, then the four drink bottles of beer had been considered fast.

Adhere to the scientific way of life, prevention and treatment of fat

The liver is very important. Fatty liver patients first have to adjust their diets to correct excessive eating, drinking, eating supper and other bad habits. Eat more vegetables, fruits, meat and other high-protein, high-vitamin, multi-fiber foods, eat less animal offal, sweet, high-fat, high sugar foods, take part in more physical exercise. Through dietary modification, exercise, correct the bad behavior or lifestyle, the majority of mild or moderate, simple fatty liver will be dissipated, or even completely back to normal. While also reducing weight steadily, to 0.5 kg -1 kg a month is appropriate. To lose weight too fast, it will also cause liver damage. If there is no change in the way of life circumstances, the weight continued to decline for unknown reasons, we must be vigilant, and is likely to have in the event of malignant liver lesions.

Here are the 18 measures in self-treatment of fatty liver in self-support is very important:

An absolute prohibition.

2. Use fat-free milk or yogurt.

3. The egg yolk does not eat more than 2.

4. Jiyong animal oil; the total amount of vegetable oil no more than 20 grams.

5. Do not eat animal intestines (ie, into the water, under the goods), chicken skin, fat and roe, Crab.

6. Not eat fried food.

7. Do not eat chocolate.

8, eat less fat in soy and gluten.

9. Daily consumption of 500 grams of fresh green vegetables.

10. Eat the fruit to reduce the staple food, after food intake, such as eating a large apple, 50 grams of staple food should be reduced.

11. Yams, sweet potatoes, taro potatoes and so on, with the staple food rice, flour exchange to eat, the total should be limited.

12. Daily salt intake to 5 – 6 grams limit.

13. Onions, garlic, ginger, chili and other “four hot enough” to eat, but it is not appropriate to eat.

14. Often eat fish, shrimp and other seafood.

15, lipid-lowering foods include: oats, millet and other coarse grains, black sesame, black fungus, kelp, hair, and cauliflower, etc. Lay the green fresh vegetables.

16. Supper should eat less, avoid snacks before going to sleep.

17, Hawthorn 30 grams every day, grass cassia seed 15 grams, add water 1000 ml on behalf of the tea.

18. If the fatty liver caused by liver dysfunction, or elevated aminotransferases should be under the guidance of a doctor taking lipid-lowering drugs, medicines and fish oil JiangMei type of health products, but not too much to take.

Sort out the fact that fatty liver in nine major

Fact 1: Fatty liver is a disease, not sub-health; Fact 2: Fatty liver governance and died, results to differ materially; Fact 3: Fatty liver is not a fat person’s patents, excessive weight loss may have fatty liver; Fact 4: liver function was normal or not, whether the clinical symptoms, with no significant correlation between the severity of illness; Fact 5: Fatty liver treatment is a systematic project, not individual behavior, the need under the guidance of a doctor; the fact that 6: The treatment of fatty liver, do not rely on drugs to rely on willpower; Fact 7: Fatty liver damage is not limited to the liver; the fact that 8: ultrasound report normal, fatty liver can not be completely ruled out; the fact that 9: Children of fatty liver fatty liver even greater hazards than adults.

Treating long-term global start

Although the targets of fatty liver in large groups, but people with fatty liver level of awareness of and attention, but surprisingly shallow. In this regard, Shanghai Jiao Tong University School of Medicine Renji Hospital, Professor Zeng Minde pointed out that the treatment of fatty liver needs “overall point of view”, because fatty liver is an integral part of the metabolic syndrome, the harm not only in the liver, so it’s diagnosis and treatment can not be limited to Gastroenterology, but also endocrine, cardiovascular, nutrition, rehabilitation and many other disciplines, to conduct individualized comprehensive treatment.

As a patient, once diagnosed with fatty liver, we should do long-term treatment of the psychological preparation. As a doctor, the process of medical treatment must not be regarded as a “prescription” process, attention should be given basic treatment (diet, exercise, lifestyle changes) importance.

Symptoms of fatty liver

● nausea, vomiting and other symptoms: nausea and vomiting are common clinical symptoms.

● loss of appetite, fatigue, liver pain, nausea and other symptoms of discomfort or swelling: these are patients with liver disease often accompanied by symptoms. In case of fatty liver in patients with loss of appetite, disgust oil, bloating, fatigue, liver pain and so on, the exclusion of a cold, acute gastritis, and other liver disease cases, which has the potential to fatty liver.

● enlargement of the liver: enlargement of the liver caused by a variety of diseases, diagnosis should be combined symptoms, laboratory tests, imaging studies (B Chao, CT, etc.) to confirm the diagnosis.

● vitamin deficiency: Fatty liver is the

Fatty liver can lead to five kinds of common diseases

A, digestive disease, fatty liver disease directly affect the digestive function of the liver, resulting in indigestion, loss of appetite, loss of appetite, abdominal distension often feel after eating, nausea, lipid metabolism disorders. The long-term loss of appetite and lead people to lack of energy, nerve weakness, skin dry, dull looking, seriously affecting work and study.

2, cirrhosis and liver cancer fatty liver disease is not treated may cause long-term liver cell necrosis, which induced liver fibrosis and cirrhosis of the liver and other malignant liver disease. Clinical statistics show that patients with fatty liver complicated by cirrhosis, liver cancer, the probability is 150 times normal. At the same time, due to fatty liver in patients with relatively low immunity, infection hepatitis A and B was significantly higher than normal chance.

Third, atherosclerosis, and cardiovascular and cerebrovascular diseases, fatty liver and atherosclerosis, and cardio-cerebral vascular diseases very close relationship is particularly evident in the young crowd. Patients with fatty liver often accompanied by high blood lipids, high cholesterol and other state, blood viscosity increased, vascular cavity smaller blood vessels lose their elasticity, blood flow is slow easy to thrombosis, eventually leading to vessel wall thickening harden to form artery atherosclerosis. The heart, therefore do not have adequate blood supply, thus triggering cardiac ischemia, cardiac spasm, angina or myocardial infarction. If insufficient blood supply to the brain or rupture of blood vessels is caused by cerebral infarction, stroke.

Fourth, the impact vision because the eyes are intrinsically linked with the liver, liver function is normal, often in the eyes respond. Patients with fatty liver often visually demonstrate the following phenomena: an immediate transient amaurosis can not see the surrounding objects, moments after the recovery; reading the eyes, easy fatigue; to see distant objects unclear; dry eyes; and decreased vision. These symptoms occur, you should go to check if the liver problem.

5, affecting sexual function after liver injury caused by fatty liver, in vivo hormone inactivation mechanism has obstacles, male body is relatively higher estrogen levels, there obviously women’s sexuality. Outstanding performance as follows: abnormal breast development, breast hyperplasia, papillary melanosis, testicular smaller, soft, impotence, premature ejaculation, loss of libido and so on.

Six culprits create fatty liver

Alcohol: Alcohol is the most common causes of fatty liver caused by long-term drinking lead to alcoholism, the liver triglyceride metabolism has a direct toxic effect, resulting in reduction of hepatic fat oxidation, causing a large number of fat accumulation. Nearly 60% of chronic alcoholics occurrence of fatty liver, 20% ~ 30% will eventually develop cirrhosis, liver cancer.

Nutritional excess: long-term eating lavish meals, fried food and sweets, so that the liver synthesis of too much fat. When eating foods high in fat content, more than the limits of dealing with the liver, so that the burden of the liver increases, interfering with the metabolism of fat, breaking the balance between input and output of the liver, fat accumulation in the liver, the formation of fatty liver.

Obesity: About half of the obese tendency to merge fatty liver. The main reason is obesity the blood contains large amounts of free fatty acids, continuously transported to the liver, much higher than the liver, transport metabolism, causing accumulation of fat in the liver caused by obesity, fatty liver.

Diabetes: About half of patients with type 2 diabetes mellitus associated with fatty liver, it is because diabetes glucose and fatty acids the body can not be put to good use, lipoprotein synthesis of obstacles have emerged, most of glucose and fatty acids in the liver into fat, the end, the product down the fat in the liver of memory, triggering fatty liver.

Hyperlipidemia: in the blood fatty substances, collectively known as lipids. Plasma lipids, including cholesterol, triglycerides, phospholipids, etc., who is in the blood together with different proteins in order to “lipoprotein” in form. High cholesterol refers to the blood cholesterol and triglyceride levels are too high or high-density lipoprotein, cholesterol is too low, when the blood lipids in the liver can handle much more than the limit will result in the accumulation of fat in the liver, cause fatty liver.

Malnutrition: Nutrition surplus will cause fatty liver, which can also cause fatty liver of malnutrition why? Because of excess nutrients are too many raw materials, while malnutrition are processing the auxiliary materials is not enough, the same can not produce qualified products. When the malnutrition, the lack of protein, which led to very low density lipoprotein synthesis reduced, thus causing liver triglyceride transfer took place obstacles, fat accumulation in the liver, causing fatty liver.

The most important is to control drinking. 90% -95% of alcohol metabolism through the liver, usually per kilogram of body weight per hour, 60-200 mg of alcohol metabolism require 3-10 hours after the body to clear out all of the alcohol. Frequent drinking, the liver burden too heavy, even if the alcohol does not exceed the daily limit, they will endanger the health of the body especially the liver, so not only to drink less alcohol, but also dilute drink. Alcohol consumption (the number and frequency) determine the risk and extent of liver damage. More women than men suffer. Drinking a few years of women, alcohol consumption per day up to 19 grams of pure alcohol (about 182 grams of wine, 364 grams of beer, whiskey 56 grams), can cause liver damage; drinking a few years men, alcohol consumption per day up to 56 grams of pure alcohol consumption (560 grams wine, 1120 grams or 168 grams beer, whiskey) can cause liver damage. Nevertheless, the liver damage caused by alcohol consumption should also consider individual differences.

It should be reminded, now that people are often fond and after going to a cup of tea, this is not conducive to the prevention of fatty liver. Do not drink tea immediately after everybody eats meat’s. Tea contains large amounts of tannic acid with the protein synthesis of the target with a suction convergence acid protein that can slow down the intestinal tract motility, likely to cause constipation, an increase of toxic substances toxic effects on the liver, causing fatty liver.

In addition, regular diet should be quantitative, in particular, to control the dinner intake, in order to account for 30% of the total day is suitable; nutrition should be balanced, food arrangements should be diversified, it is best to cereal-based; eat more vegetables , fruits, dairy products, soy products; eat the right amount of fish, poultry, eggs, lean meat, Eat less fat and animal fat. Of food intake and physical activity to balance and maintain smooth stool, maintaining appropriate body weight; adhere to physical and reasonable exercise to increase the decomposition and consumption of liver fat, fat content decreased, in favor of the reversal of fatty liver, improving liver function; if lipid , blood glucose increased, use of drugs control high blood lipids and diabetes mellitus.

1, tongue pain

Consciously tongue has a bitter taste, a total of 36 cases of diagnosis, both high blood lipids, and b super-fatty liver were confirmed. Have abdominal distension Xietong more clinical, dizziness ringing in the ears, or constipation, throat Kouzao, tongue Baini or yellow greasy, slippery pulse string, but most only I suffer constipation, loss of more than disease. Cover bitter taste of bile, and liver of the Shuxie-related; hard is fire, Huosheng the mouth bitter. “Su asked atrophy theory”: “qi hot, then the vent port biliary pain … …” “Lingshu inflation theory”: “gall bladder bulging who Xiexia pain, swelling, mouth pain.” Rule when Kiyotoshi liver and gallbladder, sparse liver Jieyu, Long Dan Xie Gan subtraction: Bupleurum root, Chinese angelica, Alisma, Huang Qin, gardenia, Cassia obtusifolia, rhubarb, peony root, turmeric, Fructus Toosendan, public Britain, Patrina grass, hawthorn, Radish Seed . The above cases a slight improvement after treatment by 2 to 4 months of treatment were all cured.

2, tongue Gan

Suprahyoid have consciously sweet, a total of 29 cases of rule, were characterized by lipid and b super-diagnosed. Abdominal distension over a Zhongwan clinical pain, do not think of eating, vomiting, nausea, looking pale yellow, or pond will be unhappy, and the body sleepiness, tongue Baini or thick, slow pulse, or moisten, but there are obvious symptoms, only a sense of sweet tongue persons. Mostly sweet tongue on the wet muddy pan, and spleen close. Hi evil spleen dry wet, wet easily trapped spleen, air-was blocked, loss of normal transport of blood lipids, blood accumulation in the sputum of stasis, Bizu in the liver, fat as a fatty liver. Rule when the aromatic Huazhuo, Fang election Sanren soup, soup of the Conference Yinchenhao: almonds, plantago Yan, white Kou-jen, Magnolia, Pinellia, cloud-ling, Perrin, capillaris, talc, rhubarb, angelica, Cassia obtusifolia , turmeric, red peony, Tung grass, bean volumes, Agastache rugosa. Course of 2 to 3 months, were cured.

3, tongue pale

Mouth consciously tasteless, that is, decreased sense of taste, or taste not sensitive to slow, multi-and lost to the spleen and stomach health related transport. “Lingshu Pulse degree”: “temper pass the mouth, spleen, and then I kept in the dark grains carry on,” “Preparation of Traditional Chinese Medicine Clinical symptoms to the lips,” says: “I light odor, diet fragrance.” Full of common clinical threatening abdominal distension, loss of appetite, or vomiting, or diarrhea, limb fatigue, belching when, Shebai or greasy, slow pulse, or thin and delicate, a total of diagnosis, 31 cases were characterized by lipid and b super-diagnosed. When the Spleen Qi Zhi, Fang election SHENLINGBAISHU dispersed, Yi Gong Decoction: Codonopsis, Poria, Atractylodes, Citrus, yams, lentils, plantago-jen, Amomum villosum, costas, Chinese angelica, Cassia obtusifolia, hawthorn, radish son, citrus aurantium, the leaves. After 2 to 4 months of treatment, 27 cases cured, 4 cases improved.

4, tongue acid

When You Suanwei consciously suprahyoid and mouth, but no acidic water Fan Chu, a total of 18 cases of treatment by the lipids and b super-diagnosed. Multi-shipped from the spleen disorders, Shi Zhi is not based, or overeating injured spleen, food plot gastrointestinal, liver and spleen are not, and, sewage due to the pan. Yu Tuan, “The Story of Medicine” said: “The wood is also a weak spleen and stomach gas by acid soil-bit and mouth were,” hepatogastric discord, Qi stagnation of dampness, phlegm and blood stasis to stop, Bizu liver network, so when you see the Zhongwan abdominal pain, threatening bulge want to vomit, belching noisy, stool or abdominal pain are not transferred under the profit dirty muddy, thick greasy tongue, or yellow, or pragmatic and slippery pulse string. Governance in order to attack plot dredge stasis, Qi Xiaopi, Fang election Zhishi dredge stasis pills, pills of cutting wood betel nut: rhubarb, citrus aurantium, Divine Comedy, malt, hawthorn, Yun-ling, costas, betel nuts, dried tangerine peel, Huang Qin, Alismataceae, Coptis, Curcuma, Sanleng, Amomum villosum, Angelica sinensis, Cassia obtusifolia, lotus leaf, Cyperus rotundus, turmeric. 1 to 3 months treatment were cured.

5, salty tongue

Suprahyoid have consciously salty, very salty phlegm discharge, there were 23 cases of diagnosis and treatment. Salty into the kidney, in general, multi-lingual salt on the pan with the kidney or Kansui relevant. Such as “Popular Treatise on Febrile Diseases”, said: “I salt Tubai Mo persons, kidney water pan,” “Doctor Chang Tong” said: “I salt and renal fluid is also excellent”; I also impassioned salt, the flavors too : “When a man mouth of the sick … … or see sour, bitter, sweet, Sim, salty, the original its due, no not because of the impassioned annoyance, Gomi had caused injury” ( “The Story of Medicine and Mouth Disease” ).

Fatty liver disease mostly middle-aged and elderly more than the previous period, this time often in physiological kidney condition, or because of bother excessive and disorderly life, organs dysfunction, a long period and renal. Kidney essence deficiency, yin-yang balance, water is not warm wood culvert soil, loss of normal lipid transport, the formation of hyperlipidemia, Bizu in the liver. Common Yaoxisuanruan, insomnia, amnesia, tinnitus and deafness, threatening abdominal fullness. If the deficiency who see aversion to cold, wet dream, premature ejaculation, sexual indifference, or with face swelling. Rule when the Onyang kidney, with the right side return Pill: Rehmannia, Dodder, Eucommia, cinnamon, system tuber, yam, wolfberry fruit, cornus, the system Shouwu, Cyperus rotundus, Zhishi, hawthorn, lotus leaf, Loranthaceae, Ligustrum lucidum, Colla Cornus Cervi. If the kidney-yin deficiency see upset, insomnia, hot flushes and night sweats, Kouzao throat, mamillata little moss, pulse small, or the number of governance as nourishing kidney yin, with Zuoguiwan of the Conference: Rehmannia, paeonol, cornus, Chinese yam , Alismataceae, hawthorn, turtle gum, Dodder, Ligustrum lucidum, Eclipta prostrata, winter days, Radish Seed, Chinese angelica, citrus aurantium, the leaves. The above cases 2 to 4 months after the all cured.

6, tongue Xin

Suprahyoid conscious there are spicy, or spicy, or smell, clinical rare, diagnosis and treatment of 4 cases diagnosed by blood lipids and b super. Restless Heart bile, phlegm folders invisible gas fire mainly in line with the pathogenesis of fatty liver. “Popular Treatise on Febrile Diseases”: “I Xin who Hyperactivity Abdominal,” Zhu Dan-xi said: “Hyperactivity mouth Sim, Yi Gan Jie Tang, diarrhea white powder.” See Zhongwan clinical abdominal fullness, chest tightness, shortness of breath, or hold the spit Yongsheng can not lie horizontally, rather then face edema, stool is not real, thin greasy tongue dark moss, slippery pulse string. Rule when the Xiefei heat, Shugan and stomach, a square white powder election diarrhea, Chaihushugan Decoction: Huang Qin, Pinellia, Morus alba L., Digupi, dried tangerine peel, Radish Seed, Mustard Seed, Cyperus rotundus, Yu Gold, Fructus Toosendan, Cassia obtusifolia, Alismataceae, hawthorn. The above four cases of a ~ 3 months were cured.

1. Fatty liver leading to cirrhosis, liver cancer

Fatty liver is a product of hepatic lipid metabolism disorders, is also a causal factor in increased liver injury. The long-term liver cell degeneration and regeneration of liver cells will lead to obstacles and necrosis, and thus the formation of liver fibrosis and cirrhosis. Cirrhosis of the liver secondary to a higher risk of liver cancer, once developed to decompensated cirrhosis is easy to hepatic coma, liver ascites, gastrointestinal bleeding, liver failure, hepatorenal syndrome, and so on, then from the end of life not far away.

2. Fatty liver induced by high blood pressure, arteriosclerosis

In patients with fatty liver lipid metabolism disorders, high blood triglycerides, and often accompanied by hyperlipidemia, increased blood viscosity, promoting the formation of atherosclerosis. Atherosclerosis and hypertension, the close relationship between coronary heart disease, research shows that patients with alcoholic fatty liver disease combined with hypertension, coronary heart disease, easily lead to myocardial infarction and sudden death.

3. Fatty liver induced or exacerbated by diabetes

Patients with fatty liver lipid metabolism disorders, trigger, and increase the glucose metabolism disorders. Diabetes was mainly due to lack of insulin secretion or insulin resistance and the formation of sugar-based diseases metabolic disorder, characterized by high blood sugar, high blood lipids, high amino acid hyperlipidemia. Diabetes mellitus complicated by fatty liver by about 50%, showing that fatty liver and diabetes are a pair of fellow sufferers.

4. Fatty liver reduce the body’s immune and detoxification function of

In patients with fatty liver fatty degeneration or necrosis of liver cells, so that the liver and decreased immune function, fatty liver disease often accompanied by hepatosplenomegaly. The spleen is also important to the immune organs of the body, can cause splenomegaly and hypersplenism, splenic dysfunction suppressed immune function, so patients with fatty liver due to reduced immune function, resistance is poor, more likely to be infected. In addition, fatty degeneration of liver cells, the detoxification function of reduced, likely to cause endotoxin, exotoxin retention in the body, causing harm to the body.

Stomach, intestines, liver, gall bladder are all the vital organs of the digestive system, the body uptake of the three major nutrients (protein, fat, sugar) to go through the liver metabolism in order to be utilized by the body. Liver function in patients with fatty liver damage over time will be involving the spleen, gall bladder, stomach, intestines. Illness often affect the liver function of the gallbladder and fatty liver patients by about 20% to 30%; associated with chronic cholecystitis, gallstone disease, therefore, early prevention and treatment of fatty liver is particularly important.

● nausea, vomiting and other symptoms: nausea and vomiting are common clinical symptoms. Fatty liver, if accompanied by liver damage, may be accompanied by nausea and want to vomit, disgust oil, on the Department of abdominal distension and other symptoms of liver.

● loss of appetite, fatigue, liver pain, nausea and other symptoms of discomfort or swelling: these are patients with liver disease often accompanied by symptoms. In case of fatty liver in patients with loss of appetite, disgust oil, bloating, fatigue, liver pain and so on. The exclusion of a cold, acute gastritis, and other liver disease cases, which has the potential to fatty liver.

● enlargement of the liver: enlargement of the liver caused by a variety of diseases, diagnosis should be combined symptoms, laboratory tests, imaging studies (B Chao, CT, etc.) to confirm the diagnosis.

● vitamin deficiency: Fatty liver is due to fat accumulation of the merger to the effect of dietary vitamin deficiency, the patient prone to a variety of vitamin deficiency. Clinical Visibility: glossitis, angular cheilitis, skin purpura, neuritis, hyperkeratosis and so on.

● Endocrine disorders: got fatty liver, the patients Except for spider angioma, but also may have gynecomastia, impotence, testicular atrophy, women will appear menorrhagia, amenorrhea, patients such as significant weight loss or to increase performance.

● spider angioma: spider angioma is a skin small artery terminal branches formed by dilated blood vessels mole, the shape of spiders, so called spider angioma. Angioma that the occurrence of medical and liver in vivo inactivation of estrogen in the weakening.

Researchers in 52 cases of ALD patients and 151 cases of NAFLD patients was studied by logistic regression analysis identified distinguish between ALD and NAFLD of the four most important variable, namely, MCV, AST / ALT ratio, BMI and gender. These variables are calculated based on ANI index [ANI = 0.637 × MCV +3.91 × (AST / ALT) -0.406 × BMI +6.35 (if it is male) -58.5]. When the ANI> 0, its numerical size and the possibility of ALD diagnosis [P = eANI / (1 + eANI)] were positively correlated; as ANI <0, its numerical size and the possibility of diagnosis of NAFLD was negatively correlated.

ANI index used to distinguish between ALD and NAFLD was significantly better than the traditional indicators and recently proposed by the relevant biological markers (including the histopathological marker protein tyrosine phosphatase 1b, AST / ALT ratio, γ-Glutamine amido transferase and carbohydrate deficient transferrin, etc.).

Research suggests that: From the simple and feasible objective variables derived ANI index, can accurately identify ALD and NAFLD.

B-ultrasonic examination exhausted body to open the abdominal cavity, the liver taken out, first with your eyes to see if there is not fatty liver, followed by another from the liver slices made from slices of the organization, to the liver cells under a microscope to see if there is not fat , the number of fat. Do so more than 10 cases after an initial comparison for a moment, As a result, fatty liver ultrasound to see examples, open the abdominal cavity does not necessarily see fatty liver, caused slices under a microscope to see, a liver cell may not necessarily be fatty liver; the ultrasound that there is no example of fatty liver, and sometimes inside the liver cells are being seen to have more fat. This actually proved that ultrasound in determining the fatty liver is not so reliable.

Current diagnosis of fatty liver are mainly based on B-mode ultrasound imaging examination just as other disease can not be classified as B-ultrasonic examination alone can not diagnose fatty liver. In addition to B-ultrasonography, but also must have a higher blood lipid and liver dysfunction, the latter two at least one exception, otherwise it is impossible under the diagnosis of fatty liver. But the present situation is that many doctors simply did not ask B-lipid and liver function in alone can see on the next B-diagnosis of fatty liver. Therefore, it is the reason why so many fatty liver, it was the illusion of factors, in other words, a considerable part of the case is not a fatty liver.

In fact, after the dynamics of fatty liver disease cases were followed up found that the amount of fat inside the liver can be changed, not static. In other words, the body fat more, thus more fat inside the liver; less body fat, liver fat inside will be reduced.

The liver is the most active lipid metabolism in the human body’s organs, the liver cells in vivo lipid nutrition intake, transport, metabolism and excretion plays an important role. As long as reducing fat intake, blood lipid reduction would also reduce the fat in the liver but also from the fat-containing multi-state back to the state with less fat.