The medical case went through:
The 38-year-old woman surnamed Li, developed pain under the right flank one month before the doctor's visit.
After examination, it was found that it was chronic cholecystitis, and he did not want to take western medicine, so he switched to traditional Chinese medicine.
Immediate diagnosis, the pulse is slow, and the tongue coating is thin and white.
Other manifestations: breast tenderness, loose stools, chest tightness, retching, inability to eat, abdominal distension, and fatigue.
Condition analysis:
The woman suffered from " chronic cholecystitis ". From the perspective of symptoms, it belongs to " stagnation of qi in the liver and gallbladder, and disharmony between the liver and spleen ."
According to Chinese medicine, "liver and gallbladder are in harmony", both belong to wood and govern the promotion and release of venting. If there is a problem with the gallbladder, the liver is bound to be affected.
Why do you say that?
The pulse string indicates that the liver qi is not in harmony, and the liver qi is stagnant. When the liver meridian is blocked and the menstrual flow reaches the breast, there will be a feeling of distending pain, and it may even cause nodules in the long run.
In addition, due to stagnation of liver qi and stagnation of qi, the qi movement in the chest is not smooth, and there will be chest tightness.
If the qi of the liver and gallbladder is abnormal, and the liver wood is not adjusted, the liver qi will multiply by the spleen earth.
When the spleen is affected by the liver, the movement and transformation will also be abnormal, so the patient will have loose stools, retching, and a slow pulse.
Therefore, according to the patient's overall symptoms and state, it is judged that "the liver and gallbladder are stagnant, and the spleen is out of health ".
Prescription conditioning:
Divine Comedy, Malt, Atractylodes (fried in soil), Baishao (fried in wine), dried tangerine peel, Pinellia (made), Yuanhu (fried in vinegar), Chuan Neem (fried). Decoction in water, 1 dose per day.
After the woman took 5 doses, her symptoms improved.
After taking 10 doses, all the evidence were flat.
After insisting on consolidating for more than a month, I went to the hospital for examination and found that there was no abnormal sound image of cholecystitis.
Solution analysis:
Atractylodes, dried tangerine peel, Divine Comedy, and malt have the effect of invigorating the spleen and stomach.
Pinellia dries dampness and resolves phlegm, lowers the inversion, and stops vomiting.
Paeonia lactiflora softens the liver and relieves pain.
Chuan Neem, Yuan Hu soothing the liver and relieving pain.
This recipe is very simple, on the one hand, regulates the liver, and on the other hand, strengthens the spleen.
I suggest everyone think more about it, especially for patients with chronic cholecystitis, which can be used for reference, which is very helpful to the condition.
Condition summary:
In life, chronic cholecystitis is very common, and "disharmony between the liver and spleen" is one of its pathogenesis, and it is not particularly comprehensive.
However, I also hope to have a relatively clear understanding of some people.
Traditional Chinese medicine has its own uniqueness in the treatment of chronic cholecystitis. Still need to remind everyone that this recipe does not apply to everyone.
If it is to be adopted, it must be used for reference under the differentiation of professional Chinese medicine practitioners.
In short, I hope to help you, if you have any questions, you can also talk about it, feel free to say what you want!
Well, I'm Director Wang of Gastroenterology, the expert in gastroenterology around you!
