The gallbladder is located under the hypochondrium and connected with the liver. If there is something wrong with the liver, it will often lead to gallbladder pain. "Treatise on Febrile Diseases" said, "Weakness of qi leads to exhaustion of blood, and when it is cleared up, evil enters, and it fights against healthy qi, coercion and restraint, and the struggle between good and evil, and it turns cold and hot, so I don't want to eat or drink for a while. When the chest and hypochondrium are connected, the pain is bound to go down, and the high evil is painful, so vomiting is caused. Xiaochaihu decoction is the main one. "
Cold and heat are the characteristics of cholecystitis. When the human body is weak in qi and blood, exogenous pathogens can easily invade the gallbladder meridian, and the site is under the flank. Bile can help transport food, and spleen can transport Shui Gu. When cholecystitis occurs, bile secretion is abnormal, spleen and stomach transport is abnormal, so you don't want to eat, and you are prone to nausea and vomiting. At this time, I especially hate greasy food, because it can't be shipped at all.
Xiaochaihu decoction is the main prescription for treating shaoyang disease, which is often used to treat chronic cholecystitis. Bupleurum, Scutellaria baicalensis and Paeonia lactiflora are all drugs for soothing the liver and relieving depression, among which Bupleurum has the functions of soothing the liver and relieving depression and relieving exterior syndrome. Now it has been found that it has antipyretic, anti-inflammatory, analgesic and sedative effects, while Scutellaria baicalensis Georgi has the function of soothing the liver and benefiting the gallbladder, which is an essential drug for treating hepatobiliary diseases.
Spleen deficiency and abdominal distension are common because of stagnation of liver qi. "Seeing the disease of the liver, knowing that the liver spreads the spleen first strengthens the spleen", so ginseng, licorice, ginger and jujube are used to strengthen the spleen, among which ginger and Pinellia are commonly used antiemetic drugs.
If the stool is dry and hard, and Yangming's fu-organs are solid, then Yang deficiency and Yangming's disease are combined into one. Acute gallstones with cholecystitis and acute pancreatitis mostly belong to this syndrome.
Cholecystitis is easy to occur when gallstones block the bile duct and bile secretion is abnormal. Acute inflammatory reaction often leads to constipation, leading to Yangming fu-organ syndrome. At this time, we should use Dachaihu decoction to soothe the liver and gallbladder, and dredge the viscera.
Because the gallbladder descends with the stomach, defecation is helpful to the secretion of bile and pancreatic juice, which helps to alleviate the inflammatory reaction.
So first of all, rhubarb and immature bitter orange should be used to clear the intestines, and mirabilite can also be added to the stool. At the same time, Radix Paeoniae Alba and Scutellariae Radix are used to soothe the liver and promote gallbladder; Add ginger and jujube to protect the spleen and stomach, just like Xiaochaihu decoction.
Conclusion: Soothing the liver is the first priority in treating gallbladder diseases. Because stagnation of liver qi can lead to abnormal bile secretion, cholecystitis often occurs after anger. Abnormal bile secretion will lead to abnormal spleen and stomach transport, nausea, vomiting, reluctance to eat and other symptoms. Therefore, Bupleurum, Scutellaria baicalensis and Paeonia lactiflora are used to soothe the liver, ginger and Pinellia are used to stop vomiting, and ginseng, licorice, jujube and ginger are used to strengthen the spleen. If constipation occurs, use rhubarb to clear the intestines.