Traditional Chinese medicine formula for treating cholecystitis and cholelithiasis
First of all, fennel pie
Ingredients: 250g fresh fennel, flour and peanut oil.
Practice: Wash and chop fennel, add peanut oil, add seasoning to make stuffing, and start baking pies.
Efficacy: It helps to reduce adverse reactions, regulate qi and stomach, soothe the liver and benefit the gallbladder.
Second, stir fry the green radish quickly.
Ingredients: 250 g green radish and proper amount of peanut oil.
Practice: First wash the radish and cut it into pieces, then add peanut oil and fry it.
Efficacy: it helps to regulate qi and reduce qi, broaden the mind and benefit the gallbladder.
Third, stew lean meat with yellow wine.
Ingredients: 80 grams of dried Lysimachia christinae, 500 grams of lean pork, 60 grams of dried honeysuckle, 3 tablespoons of yellow wine.
Practice: Cut the lean pork into pieces, wrap the Lysimachia christinae and Flos Lonicerae in gauze, then put these materials into a pot, add a proper amount of water, boil with strong fire, then add 2 spoonfuls of yellow wine, simmer for 3 hours with low fire, and then remove the residue.
Efficacy: It is helpful for softening and hardening, clearing away heat, moistening the stomach and promoting fluid production.
Four. Imperata rhizome decoction
Ingredients: 30g of corn stigma, 30g of cogongrass rhizome and 8 red dates.
Practice: First put these materials into the pot, add appropriate amount of water, and then fry them for about 40 minutes with low fire, and then eat them when they are cooked.
Efficacy: It is helpful for diuresis, clearing away heat, calming the liver, benefiting gallbladder, and invigorating middle qi.
Factors of cholecystitis 1. Cystic duct obstruction:
When gallstones move near the cystic duct, they can block the cystic duct or embed in the neck of the gallbladder. Incarcerated stones directly damage the mucosa, so that bile is blocked and concentrated. High concentration of bile acid salt has cytotoxicity, causing cell damage and aggravating mucosal inflammation, edema and even necrosis.
2. Bacterial infection:
Most pathogenic bacteria enter the gallbladder retrograde from the biliary tract, or enter the gallbladder through blood circulation or lymphatic vessels, causing infection when bile flows out poorly. As long as all pathogenic bacteria are gram-negative bacilli, Escherichia coli is the most common, and others are Klebsiella, Enterococcus faecalis, Pseudomonas aeruginosa and so on. Often complicated by anaerobic infection. It has been reported that helicobacter pylori DNA was detected in bile of patients with gallstones, suggesting that bacteria may enter biliary tract retrograde through duodenum.
3. Chemical stimulation can lead to acute inflammatory changes of gallbladder, such as cholestasis of gallbladder and increase of bile salt concentration. Free bile salts have great stimulation to tissues due to the action of bacteria, which may lead to serious trauma and non-calculous cholecystitis after surgery in other parts.
4. The reflux of pancreatic juice to biliary tract is also a cause of acute cholecystitis.
5. Others: For non-calculous cholecystitis with multiple organ dysfunction, the gallbladder mucosa has been damaged due to hypotension and hypoxia, and the high concentration of bile salts in the gallbladder promotes the necrosis and shedding of the gallbladder mucosa, which mostly occurs in the elderly with cardiovascular diseases, metabolic diseases, trauma and infection, after surgery, or patients with systemic serious diseases; Due to the rapid development of the disease, the incidence of complications and mortality are high. The incidence of serious complications such as gallbladder suppuration, gallbladder gangrene and gallbladder perforation can be as high as 40%, which requires early surgical treatment.
Treatment of cholecystitis and gallstones 1. general treatment
① Actively prevent bacterial infections and complications, pay attention to food hygiene, prevent the occurrence of biliary parasitic diseases, and actively treat intestinal ascariasis. (2) Live in moderation, pay attention to the combination of work and rest, keep warm and keep optimistic and defecate unobstructed. (3) Always lying on the left side is beneficial to bile excretion. (4) If the disease has stones or occurs frequently, surgery can be considered. ⑤ Choose a low-fat meal to reduce bile secretion and reduce the burden on gallbladder.
2. Drug therapy
(1) Acute cholecystitis ① Atropine intramuscular injection, sublingual administration of nitroglycerin and pethidine can relieve Oddi sphincter spasm and pain. ② Antibacterial therapy Antibiotics are used to prevent bacteremia and suppurative complications. Ampicillin (ampicillin), clindamycin (clindamycin) and aminoglycosides are usually used in combination, or the second generation cephalosporins such as cefuroxime or cefuroxime are selected for treatment. The replacement of antibiotics should be based on the results of blood culture, intraoperative bile culture, gallbladder wall bacteria culture and drug sensitivity test. ③ cholagogic drugs: oral 50% magnesium sulfate (without diarrhea), oral dehydrocholic acid tablets and oral cholic acid tablets.
(2) Chronic cholecystitis ① Cholecholagogic drugs can be taken orally with 50% magnesium cubic acid and dehydrocholic acid tablets. (2) anthelmintic therapy is the cause of anthelmintic drugs. (3) Lithotripsy, if it is caused by cholesterol stones, you can use chenodeoxycholic acid Lithotripsy. According to the literature, the effective rate of dissolving stone can reach about 60%. After the course of treatment, you still need to take maintenance dose to prevent recurrence.
(3) Rational selection of Chinese patent medicine ① Jindan tablet function: diminishing inflammation and benefiting gallbladder. Used for acute and chronic cholecystitis. ② Effect of Qinggan Lidan Oral Liquid: Clearing damp-heat in liver and gallbladder. Indications: anorexia, hypochondriac pain, mental fatigue, yellow urine, greasy fur, thready pulse, stagnation of liver-qi and damp-heat in liver and gallbladder.
3. Surgical therapy
Cholecystectomy is the basic treatment for acute cholecystitis. Indications: ① Perforation of gallbladder gangrene with diffuse peritonitis; ② Patients with recurrent acute cholecystitis and definite diagnosis; ③ After active medical treatment, the condition continued to develop and deteriorate; ④ Patients who have no surgical contraindications and can tolerate surgery. Chronic cholecystitis with gallstones; Once diagnosed, cholecystectomy is a reasonable and basic treatment. If the patient suffers from serious diseases, such as heart disease, liver disease, lung disease, etc. Or can't tolerate surgery in general, he can be treated by internal medicine.