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Integrative Medicine treated 25 cases of hepatolithiasis Observation


Less, the incidence rate decreased, patient's condition when the light than in the past and found that earlier time and so on, but still much higher than Western countries, and because of the imbalance in regional economic development, hepatolithiasis is still a very common disease, In some rural areas the incidence of even the rise, the total incidence remains high. Therefore, the intrahepatic bile duct stones in China is not a Therefore, we should learn from the development of modern Western medicine with Chinese characteristics means to hepatolithiasis based Biliary Surgery J. Surgery in our hospital since May 1997 Methods of Integrative Medicine has been treated with intrahepatic bile duct stones in 25 cases, results were satisfactory,[link widoczny dla zalogowanych], are reported below. 1 Data and methods 1.1 General Information 25 patients, 9 males and 16 females; aged 25 to 76 years, mean 45.8 years old. Discomfort during treatment l6 cases of liver, 3 cases of recurrent fever, right upper quadrant pain in 15 cases, 7 cases of jaundice history, the two co-exist in 4 cases. 1.2 Treatment Western medicine treatment: UDCA 50rag, 3 times a day to do 10 cases during simple cholecystectomy, common bile duct in 4 cases surgery, 2 cases with Roux-Y biliary-enteric anastomosis . Chinese medicine treatment: Money Grass 15g, Gardenia 12g, Fructus 10g, tangerine peel lOg, Scutellaria 10g, Xuan Hu 10g, Toosendan 9g, rhubarb 10g (post below), gentian 8g. Day l, sub morning and at night 1. 1.3 cure standards of clinical symptoms and signs disappeared, B-, cT, cholangiography tips stones disappeared. 2 Treatment Results The patients were followed up for 5 years, no l died. Symptoms did not recur 2l cases, cure rate 84%, 4 cases appeared chills, fever, abdominal pain, is not cured,[link widoczny dla zalogowanych], not the cure rate of 16%. 3 Discussion hepatolithiasis is primary in the bile duct confluence area around the branch duct above the stone, is a common abdominal surgical diseases. Surgical treatment of hepatolithiasis has now reached a higher level. With the use of advanced diagnostic tools,[link widoczny dla zalogowanych], rational use of biliary-enteric anastomosis, and actively select and implement the rules of the lobe (section) surgery can be Author: 200000 Shanghai, Huangpu District, Shanghai Hospital of Integrated Chinese and Western Medicine in order to limit the liver be within the radical treatment of bile duct stones]. Hepatolithiasis complicated because of multiple and many other reasons, particularly affecting both sides of the intrahepatic bile duct stones, the main residual lesions after excision of chronic inflammatory changes of the recurrence of bile duct stones and other easily, a considerable number of cases is difficult to completely cure. TCM drug treatment should be to solve the problem of this series an important way. Although there is no medical hepatolithiasis country name, based on clinical manifestations attributable to the TCM for the characteristics of the disease, known since ancient times, there are many classic recipes, such as large Chai Hu Tang, Xiao Chai Hu Tang, tarragon soup. Chinese capillaris, money grass, gardenia, rhubarb has the role of the bile flow increases, skullcap, gentian, orange peel effect with heat dampness, Citrus aurantium, Xuan Hu, Yu Toosendan open with the role of qi. Gallbladder heat with traditional Chinese medicine, such as the treatment is not only able to adjust Tongfu immunity,[link widoczny dla zalogowanych], inhibit and kill bacteria, and can adjust the movement schedule of biliary stone, so to biliary decompression and drainage, to prevent bacteria in the biliary stop breeding, so as to achieve treatment purposes. I understand, small stones, stones single case treatment is better, large stones, stones poor efficacy of multiple cases; stones large, multiple cases treated by traditional Chinese medicine reduces the difficulty of surgery, which will help to carry out basic surgical operation surgical hospitals treatment,[link widoczny dla zalogowanych], while reducing the suffering of patients and costs, reducing post-operative complications. 【
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