The Observe Of Using Smoothing The Liver And Strengthing The Spleen To Treat Postcholecystectomy Syndrome

Objective:Advances in treatment of PCS both by Chinese medicine and western medicine are summarized.Express the features of treatment based on syndrome differentiation by Chinese medicine through smoothing the liver-gallbladder and strengthing the spleen to eliminate the damp while the clinical cases and relative literature are referred.Common patterns and therapeutic method are summarized.Hope to improve the clinical treatment effect and provide reference of PCS.Methods:Aanalyze the understanding on physiologic function of gallbladder by ancient Chinese physicians,review the current treatment condition of the Chinese medicine,and sum up the modern medical science as to mechanism, inspection and diagnosis and cure effective search progress of PCS.To include common patterns,analye pathogenesis,summarize theraputic principle and method, present representative Chinese medicine,and examine carefully to add and subtract before clinical determination, by studying the treatment based on syndrome differentiation by Chinese medicine carefully in clinical cases and relative literature. Concrete annotation clinical application of choose a law and use medicine from the analysis to the clinical typical model case Finally point out the day-to-day prevention adjusts to protect of main.Results:We find out common symptoms and patterns classified by appearence degree when analyze the clinical cases.The symptoms are rib-side pain,diarrhea,distention,thirsty-bitter mouth,nausea and vomiting,meanwhiling common patterns are liver-Qi depression,damp-heat in the liver and gallbladder,cold-dan?p accumulating in the organs,depressed liver-Qi attacking the spleen, extravasated blood block meridian,deficiency of the spleen-stomach,and insufficiency of the live-kidney Yin. Under the instruction of smoothing the liver-gallbladder and strengthing the spleen to eliminate the damp, when apply bianzheng lunzhi theory of Chinese medicine,analyze pathogenesis,and choose appropriate medicine, the conditions mostly have an obvious amendment in a short run.Conclusion:The cause of PCS is various.At first the orgnic ability of oesophagus, stomach, liver, gall bladder, pancreas, and bowel pass...etc should be excluded through stomach and intestine scope, ultrasonography,MRCP, CT scan, biliary tract shadow,and blood inspection.Both organic disease and functional disturbance,when encountering complicated condition, undefined cause,or unbearable cases for reoperation,we can apply Chinese medicine to make up the limitation of western medicine. The clinical result expresses that effect is often received in a short time by harmonizing the liver-spleen. So, harmonizing the liver-spleen in Chinese medicine has a aggressive meaning and special advantage for those who suffered with PCS, is worthy to be applied.