胆囊切除术后综合征的中医证治  

Traditional Chinese Medicine Diagnosis and Treatment of Post-cholecystectomy Syndrome

作　　者：王佳媚 孟云 杨同堂 WANG Jiamei;MENG Yun;YANG Tongtang(Department of Integrated Traditional Chinese and Western Medicine,The First People’s Hospital of Longxi County,Gansu Province,Dingxi 748100,China)

机构地区：[1]甘肃省陇西县第一人民医院中西医结合科,甘肃定西748100 [2]甘肃中医药大学第一临床医学院普外科,甘肃兰州730030

出　　处：《中国中医药现代远程教育》2025年第6期84-87,共4页Chinese Medicine Modern Distance Education of China

基　　金：甘肃省人民医院国家级科研培育计划院内重点项目【No.19SYPYA-12】;甘肃省创新基地和人才项目【No.20JR10RA433】。

摘　　要：胆囊疾病的发病率逐年上升,导致胆囊切除术后综合征(PCS)的发病率也日益增加。PCS的发病机制复杂,目前尚无针对性治疗手段。针对此类复杂性疾病,尤其是功能性疾病,中医辨证治疗有着显著优势。文章通过总结、分析发现,中医多认为PCS的发病主要分虚实两端,实证多见气滞、血瘀、湿热,虚证多见脾气虚、肝阴虚,尤以肝郁脾虚、气滞血瘀、肝胆湿热、胆胃不和为多,故诸医家多采用疏肝理气、活血化瘀、清热除湿、疏肝和胃法治疗,常选柴胡疏肝散、大柴胡汤、疏肝利胆汤、血府逐瘀汤、膈下逐瘀汤等加减。The incidence of gallbladder diseases is increasing year by year,which leads to the increasing incidence of postoperative gallbladder syndrome(PCS).The pathogenesis of PCS is complex,and there is no targeted treatment at present.In view of such complex diseases,especially functional diseases,traditional Chinese medicine(TCM)syndrome differentiation treatment has significant advantages.Through summary and analysis,it was found that the incidence of PCS in TCM was mainly divided into both ends of excess and deficiency,excess of qi stagnation,blood stasis,dampness and heat,deficiency of spleen and liver yin,especially liver stagnation and spleen deficiency,qi stagnation and blood stasis,liver-gallbladder dampness and gallbladder and stomach disassociation were common.Therefore,the doctors used the methods of soothing liver and regulating qi,activating blood stasis,clearing heat and removing dampness,soothing liver and stomach,and often selected Chaihu Shugan powder and Dachaihu decoction,Shugan Lidan decoction,Xuefu Zhuyu decoction,and modified Gexia Zhuyu decoction.

关 键 词：胁痛 胆囊切除术后综合征 气滞血瘀证 肝郁脾虚证 肝胆湿热证 胆胃不和证 中医药疗法 

分 类 号：R657.4[医药卫生—外科学]