探讨加味四逆散治疗胆囊切除术后综合征34例

英文名称：Addflavor4goagainstmedicinalpowderaftertreatingcysticresectionaskfor34integratedly

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概要：胆囊切除术后综合征（PCS）表现为胆石症术后右上腹绞痛,疼痛向腰背部放射。笔者用加味四逆散治疗PCS34例效果满足,报道如下。1临床资料34例中,男18例,女16例;年龄30~66岁,平均49岁。均为胆囊结石、胆囊炎行胆囊切除术后1个月~6年。均表现为右上腹疼痛,其中28例伴有患侧肩背部放射痛。发病期间均行2次以上B超检查无阳性发现。16例行ERCP检查,3例胆总管残留小结石,1例胆囊管残留小结石（2.5cm）。2治疗方法用加味四逆散。柴胡10g,炒枳实10g,赤芍15g,白芍15g,郁金15g,木香10g,川楝子6g,制延胡索15g,丹参30g,法半夏10g,茯苓10g,陈皮10g,炒莱菔子15g,炙甘草6g。肝郁甚者选加制香附10g,青皮9g,佛手10g;肝郁化火者选加炒黄芩9g,焦栀子9g;腹胀甚者选加厚朴15g,乌药8g,槟榔片9g;呕逆苦水者选加代赭石30g（先煎）,竹茹10g;胁痛甚者选加桃仁15g,当归15g;大便秘结者选加熟大黄10g,火麻仁30g（打坏）;纳差、便溏者去炒莱菔子,加焦白术10g,砂仁10g,焦三仙各10g;有胆总管结石残留者选加金钱草30g,鸡内金15g。每日1剂,水煎服。...

英文概要：Aftercysticresectionaskforintegratedly（afterPCS）expressionischolelithdiseaseartrightonceliacangina,radiatetothesmallofthebacksorely.Theauthorisusedaddflavor4goagainstmedicinalpowderresultofremedialPCS34exempleissatisfactory,thereportisasfollows.1clinicaldata34in,male18,female30~66of16;ageyearold,average49yearsold.~6ofamonthafterallberesectionofgallbladderofcysticstone,cholecystitistravelyear.Allbehaveforrightontheabdomenisaching,amongthem28companionhavebackofshoulderhavingsidetoradiatepainful.AboveBallgoes2timestoexceedanexaminationnottohaveelectropositivediscoveryduringcomingon.16routineERCPischecked,stoneofbriefsummaryofremainof3braverymanager,stoneofbriefsummaryofremainofacysticcanal（2.5Cm）.2treatmentmethodisusedaddflavor4goagainstmedicinalpowder.10goftherootofChinesethorowax,frytrifoliateorangesolid10g,15goftherootofherbaceouspeony,15gofrootofherbaceouspeony,15goftheroot-tuberofaromaticturmeric,woodensweet10g,plainLianchild6g,makeyanhusuo15g,30goftherootofred-rootedsalvia,10goflawthetuberofpinellia,tuckahoe10g,10gofdriedtangerineororangepeel,fryradishchild15g,broillicorice6g.Livergloomyverypersonanthologyaddmakesweetadd10g,greenskin9g,thepersonthatgloomyofliveroffingeredcitron10g;turnsinternalheatischosenaddfryHuangQin9g,anxiousgardenia9g;isabdominaldistensionverypersonanthologyadd15gofthebarkofofficialmagnolia,8goftherootofthree-nervedspicebush,arecapiecethepersonthat9g;vomitgoesagainstbitterwaterischosenaddreddle30g（firstdecoct）,coerceofZhuRu10g;ispainfulverypersonanthologyaddpeachkernel15g,thepersonofsecretofangelica15g;defecatethatwrittenguaranteeischosenaddripepieplant10g,maRen30g（breaksfireintopieces）;acceptdifference,jalfcongealedpersongofryingradishchild,add10gofanxioustherhizomeoflarge-headedatractylodes,arenaceousbenevolence10g,theanxiouspersonthateach10g;of3celestialbeinghasbraverymanagerstonetoremainischosenaddmonetarycareless30g,15gofthemembraneofachicken'sgizzard.Daily1agent,watersimmerinwateristaken....本新闻共2页,当前在第1页12