严继林教授治疗胆囊炎经验总结  

Professor YAN Jilin's Experience in the Treatment of Cholecystitis

作　　者：李垚[1] 许珂 胡正进[1] 刘亚兰 周鑫 罗明丽 廖冠宇 LI Yao;XU Ke;HU Zhengjin;LIU Yalan;ZHOU Xin;LUO Mingli;LIAO Guanyu(Kunming Municipal Hospital of Traditional Chinese Medicine,Kunming 650011,China;Yunnan University of Chinese Medicine,Kunming 650500,China;Yiliang County Hospital of Traditional Chinese Medicine,Yiliang 652100,China)

机构地区：[1]昆明市中医医院,云南昆明650011 [2]云南中医药大学,云南昆明650500 [3]宜良县中医医院,云南宜良652100

出　　处：《基层中医药》2024年第4期6-10,共5页Basic Traditional Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号);昆明市地方中医学术流派传承发展建设项目(昆政办发[2021]35号)。

摘　　要：胆囊炎是临床常见病和多发病,呈长期慢性,反复发作。西医治疗主要在急性期运用抗感染、解痉止痛、利胆等疗法,但部分药物有一定的副作用,部分患者依从性差,中医治疗本病有着较好的疗效。严继林教授治疗该病时,以肝胆之气郁滞立论,结合患者或兼有脾胃气虚,或兼湿浊,或兼瘀血,或兼肝阴血亏虚,或兼肝寒气郁等兼见证,治疗以理气通滞为主,运用经验方“推气四逆散”辨证加减治疗胆囊炎以及结石性胆囊炎,在缓解症状、改善一般情况方面均有着显著的疗效。Cholecystitis is a common and frequently occurring disease in clinical practice,characterized by long-term chronic and recurrent episodes.Western medicine treatment mainly uses anti-infection,spasmolysis and pain relief,and choleretic therapy in the acute phase,but some drugs have certain side effects and some patients have poor compliance.However,Chinese medicine treatment has shown better efficacy.Professor YAN Jilin’s treatment of this disease focused on regulating qi and expelling stagnation as depression and stagnation of liver-gallbladder qi is the main cause.Besides,patients often show syndromes of depression and stagnation of liver-gallbladder qi combined with spleen-stomach qi deficiency,or combined with dampness turbidity,or combined with blood stasis,or combined with liver yin-blood deficiency,or combined with liver cold and qi depression,thus Professor YAN modified the empirical formula Tuiqi Sini Powder based on syndrome differentiation for the treatment of cholecystitis and calculous cholecystitis.His treatment showed significant efficacy in relieving symptoms and improving general conditions.

关 键 词：胆囊炎 胆囊结石 胁痛 理气通滞 

分 类 号：R25[医药卫生—中医内科学]