Analysis:
Family maintenance
If a patient diagnosed as "chronic cholecystitis" by the hospital has been treated with drugs for a long time, and the effect is not good, and repeated attacks, we should consider escorting the patient to hospital as soon as possible for radical treatment.
1. Family medication
(1) Compound citric acid capsules, 2-4 capsules each time, taken orally three times a day. Helps to promote gallbladder function, promote digestion and relieve symptoms.
(2) cholagogic drugs: 50% magnesium sulfate 10 ml, three times a day, or 0.25 g dehydrocholic acid, or 0.2 g sodium cholate, three times a day, or cholagogic drugs 1.0 g, three times a day.
(3) Xiaoyan Lidan tablets, 4-6 Chinese patent medicines for cholagogic and anti-inflammatory, 1, taken orally three times a day.
(4) In the case of acute attack of chronic cholecystitis, acute cholecystitis is treated with drugs and western medicine.
2. Traditional Chinese medicine and folk prescription
(1) 20g of jade powder, 20g of alum powder15g, 30g of mirabilite powder, 60g of talcum powder and 0g of liquorice powder10g, grinding and mixing10g each time, and taking the glutinous rice porridge juice three times a day.
(1) Lysimachia christinae 20g, Herba Artemisiae Scopariae 15g, Fructus Citri Sarcodactylis 10g, and Glycyrrhrizae Radix 3g, decocted in water, one tablet a day, which can be taken for a long time, or taken for three weeks every month, and stopped for one week and two to three months.
(2) tangerine peel 10g, bergamot or lemon peel (fresh) 15g, hawthorn 15g, and Lysimachia christinae 15g. Change the tea to one of the traditional Chinese medicines and change it blindly every day. Usage: Wash the traditional Chinese medicine first, add a cup of boiling water or cold water to boil for 15 minutes, drink it at any time, and add boiling water at any time.
3. Nutrition and diet
(1) For acute attack of chronic cholecystitis, refer to the dietary requirements of acute cholecystitis.
(2) The diet of chronic cholecystitis should be given semi-liquid food with low fat and cholesterol or soft food with low fat and cholesterol according to the condition. Low fat: it means that the total fat should be 20-30g/ day, and the total fat should be divided into meals. Low cholesterol: refers to avoiding foods with high cholesterol. Such as egg yolk, brain, liver, kidney, roe, etc. Because fish oil contains a lot of polyenoic acid, which can lower the cholesterol level in the blood, you can eat more fish food on weekdays;
(3) protein: protein should be eaten in moderation, 50-70g per day. Adequate protein is beneficial to the repair of damaged tissues, but too much protein will increase bile secretion, which is not conducive to the repair of cholecystitis tissues.
(4) Carbohydrates: The calories of patients with chronic cholecystitis mainly come from carbohydrates: carbohydrates are easy to digest and have high utilization rate. However, when obese people suffer from cholecystitis, coronary heart disease or hyperlipidemia at the same time, it is necessary to appropriately limit the intake of carbohydrates, including staple food, sugar cakes, sugar cubes, etc., in order to help lose weight.
(5) Drink plenty of water. Maintain the daily water intake of 1500-2000ml, which is beneficial to bile dilution and reduce cholestasis.
(6) Do not eat * * * sex food or strong spices.
(7) a small amount of meals.
(8) Avoid constipation, because it will affect the discharge of bile, so use some vegetables and fruits containing crude fiber appropriately.
(9) In addition, the following dietotherapy methods can be adopted:
Patrinia crassipes Aicha: 30g of Lysimachia christinae, 30g of Patrinia scabiosaefolia, 30g of Herba Artemisiae Scopariae, 1 0,000ml of soup, and a proper amount of white sugar for tea drinking. Egg juice cucumber vine drink: cucumber vine 100g, washed decoction 100 ml, fresh egg 1, and take the juice. Radish soup: Take 1 fresh radish, cut into small pieces, add appropriate amount of water, add a little salt, boil, and take the juice to drink, three times a week.
4. Home care
(1) In the case of acute attack of chronic cholecystitis, patients should definitely stay in bed.
(2) When accompanied by fever, in addition to western medicine, physical cooling can also be used to accelerate heat dissipation.
(3) In the case of abdominal pain, in addition to using western medicine to relieve pain, family members can also use hot water bottles to compress the affected area, which has analgesic effect.
(4) Precautions
1. Acute attack of chronic cholecystitis with severe abdominal pain and obvious yellowing of the skin. When vomiting is serious, you should be sent to the hospital for treatment in time.
2. Patients with chronic cholecystitis should still pay attention to diet when they are asymptomatic at ordinary times, and should not eat more foods containing too much fat and cholesterol to prevent induction.
(5) common sense of prevention
1. Pay attention to food hygiene to prevent infection; When inflammation occurs, use effective antibiotics in time;
2. Reasonably distribute recipes, and it is not advisable to eat too much food containing animal fat, such as fat meat and animal oil;
3. When there are intestinal worms (mainly ascaris lumbricoides), timely use the drugs for expelling intestinal worms, and the dosage should be sufficient to prevent insufficient drugs. Ascaris lumbricoides is active and easy to drill into the biliary tract, causing obstruction and cholecystitis.