Patients with acute cholecystitis Chinese

medicine diagnosis and treatment technology

Patients with acute cholecystitis is by DuoZhong causes of gallbladder acute suppurative infection, 80% to 95% of the patients with acute cholecystitis because gallstones cause; Another 10% or so of the patients and no cystic and calculous, but for bacterial infections, trauma, chemical stimulation, known as the stones caused by sexual patients with acute cholecystitis. The disease is one of the common causes of acute abdominal pain, its incidence after acute appendicitis. The proportion of men and women for 1:3 or so. The disease of traditional Chinese medicine "bravery deflation" and "flank pain", "abdominal pain," "jaundice" category.

Syndrome differentiations

Qi: the right upper abdomen or stomach sword axon, can in the intermittent sore shoulder department to pain, can have low heat, dry throat, acute easy vexed, lack of appetite. Tongue reddish, moss thin, white or light yellow, string or string tight pulse.

[among herbs] ShuGan lidan, gas line pain. Four inverse scattered add to the flavor. Major drug: liquorice, acid-insoluble ash, radix, herbaceous peony. The cough, add fructus schisandrae, dry ginger; The Ji, and cassia twig; The urination, add poria cocos; The belly pain, radix aconiti added.

Courage damp and hot: the right flank or in abdominal pain, rejected, a persistent colic, according to paroxysmal intensifies, the right shoulder pain learn a lot from radiation, abdominal distension, often with body hot thirsty or evil, or cold fever, nausea and vomiting, stay, many have eye yellow, yellow body. Tongue slant red, moss yellow greasy, pulse string number.

[among herbs] ShuGan lidan, heat lishi. Four inverse scattered ChenHao tonga and feed subtraction. Major drug: gall, gardenia, rhubarb, radix, acid-insoluble ash, peony, roasted liquorice.

Poison hot implication: chill high fever, right flank pain in the wan and shut, jaundice, according to increase urine short red and constipation, what god is out, shortness of breath, limb cold. Tongue color, dry, moss greasy or grey black, no moss, pulse string number or count.

[among herbs] qingrejiedu, in the attack. Large cap and feed ChenHao tonga gas soup subtraction. Major drug: gall, gardenia, rhubarb, cortex magnoliae officinalis, MangXiao, acid-insoluble ash.

Liver Yin deficiency: the right flank pain, a sore head, dizziness, dry mouth, deafness tinnitus, irritable, little more than a dream insomnia. Red tongue or a crack or see the light pulse string thin strip moss,.

[among herbs] a liver, bravery GanLi feminine acid. Always Fried to add and subtract. Major drug: north straight ladybell, radix ophiopogonis, angelica body, born dihuang, medlar, sichuan melia japonica son.

Appropriate technology

1. The acupuncture therapy

(1) location: sun and moon phase door, liver yu, match shut, YangLingQuan, emmeniopathy within. Methods: the needle with diarrhea method (take a lying on the left side, all needle right side), every 5 minutes did a needle, leave 30 minutes. Along with the card to add and subtract: high fever not back can add $valley, QuChi, big vertebral; Nausea, vomiting can add sp9, in wan.

(2) main point: (1) the sun and moon, right bravery yu in wan; (2) the right bravery yu, phase door, sun and the moon. Match point: sp9 (or gallbladder acupuncture point), YangLingQuan, high market, emmeniopathy. Methods: every time take the acupuncture point and 1 ~ 2 to match point, diarrhea, LiuZhen with needle of 30 minutes every three to five minutes, do a needle, the daily to 1 ~ 2 times. Along with the card to add and subtract: colic add $valley; With interior shut, and vomiting High fever and QuChi; Jaundice and to Yin.

(3) TiZhen point as the Lord YangLingQuan, gallbladder acupuncture point, sp9, match point as chapter door, door, QuChi, all of the valley, strong stimulation, add LiuZhen, acupuncture, every time a daily choose 4 ~ 5 points, LiuZhen 30 minutes and 5 to 7 days for one period of treatment.

2. Earpins therapy

(1) location: god door, sympathetic, liver, bravery, pancreatic area, the duodenum. Methods: take the sensitive reaction of the points of 2 ~ 3, heavy stimulation, LiuZhen for 30 minutes, daily 1 ~ 2 times; Can also be used in the local area or hole area buried needle or pressure not line, seed king every 2 ~ 3 days for a time. At ordinary times by hand to hold LiuZhen according to (pressure pill) place 1 ~ 2 minutes, daily for 3 to 5 times.

(2) take subcortical sympathetic and pancreatic hole hole, bravery, medium stimulation LiuZhen or buried needle.

(3) prescription: god door and pancreatic bravery, liver, shoulder. Match point: the sympathetic, endocrine, duodenal, spleen. Operation: the acupuncture point is given priority to, again choose 1 ~ 2 obvious response to spare cave but line of acupuncture. Heavy stimulation, LiuZhen 30 to 60 minutes, LiuZhen continuous stimulation during. According to attack or not, daily 1 ~ 3 times, 7 to 15 days for one period of treatment.

3. Cupping therapy

Main point: the sun and the moon, stage door, right bravery yu, in wan (both even cathode). Match point: sp9, YangLingQuan, gallbladder acupuncture point, and shut inside emmeniopathy (both even anode). Methods: take the acupuncture point and match point 1 ~ 2 to needle into the gas, to meet G-6805, provided with density wave, strength, from weak to strong, with tolerance for degrees, 30 to 60 minutes each time, daily 1 ~ 2 times (up 50% magnesium sulfate after needle take 40 ml help row stone). 10 times for a period of treatment.

4. Point buried stitches

Prescription: stage door through the door, the chapter on, often through que nine vertebral through ten vertebral (clip ridge right side), liver yu through bravery yu. Operation: choose 28, 0.5 ~ 3 inches is provided with for filiform needle, local conventional disinfection, acupuncture needling, with a tarp will handle needle fixed to the skin, buried two to three days. During the buried, pay attention to needle stabbing pain or buried parts, such as aculeate keenly feel, will pull out the needle.

5. Moxibustion

(1) prescription: YangLingQuan, sun and moon phase door, liver, bravery yu yu, the cry, foot emmeniopathy. Hot, QuChi, all the increase of the valley; Cramps and high market, sp9; Chest full add diaphragm yu, inside pass, FengLong. Operation: sticks with article points to Chelsea in the above in sticks to flush, peck skin for degrees, every 10 minutes, with acupuncture point sticks, twice a day, 7 days for one period of treatment.

(2) prescription: god que acupuncture point. Operation: after fine salt will grind pot, take 5 ~ multiple-refined treatments.and l0 g wick, who number, a strong spoon. Treatment in patients to sleep with salt, will have even in umbilical, thick coating the 0.3 cm in diameter, 2 ~ 3 cm. Ai placed on a strong, lit, wick to burn to just have tepid feeling in the spoon out the fire pressure (note unfavorable over-cooked and crushed, in case of conduct pipe burn), the umbilical plexus will have more apparent burning sensation, spread to the womb. Once per day, until the pain relief or tenderness reduce so far.

6. Cutem method

Prescription; Liver, bravery yu yu. Operation: medium cupping jar on points with the dominated with flash will be pulled in acupuncture point place, can leave cans, 20 minutes, twice a day, five days for one period of treatment.

7. Three stitches edges

Prescription: former ventral midline line and have two inches from the sword or online at bow down to the belly button rib meridian. Operation: the local conventional disinfection, by the left hand index finger-hold a skin, the right hand hold three edges needle puncture points, and a fast after acupuncture point out, each three drops of blood. Once per day, 5 days for one period of treatment.

8. MeiHuaZhen therapy

Prescription: o is acupuncture point, back acu-points, clip hole ridge. Operation: the local conventional disinfection, with MeiHuaZhen moderate to skin ruddy tapped for a small amount of bleeding. Once per day, 7 days for one period of treatment.

9. Massage therapy

Prescription: sun and the moon, in wan, bravery yu, liver yu. Operation: patients take the supine position, click the right point, to the patient can stand for degrees, about 3 minutes, then hold your hands on chest rib, from inside to outside rub is kneaded about 36 times. In wan acupuncture point in a meditation on extrapolation to 3 minutes, reoccupy palm from up to down gently push knead abdomen 36 times. Patients prone, click on a bilateral bravery yu, liver yu, each point about 3 minutes, reoccupy yi along the back of the bladder are not from up to down three times the correlations. Once per day, seven times to be a period of treatment.

10. Chinese medicine apply stick method

Prescription: mountain gd 10 grams, born rhubarb 10 grams, MangXiao 10 grams, borneol 1 g, frankincense 3 grams. Operation: fine, the research of irrigation for a quantity. Add castor oil, 30 ml 75% ethanol solution 10 ml, honey is right amount, move into mushy, and apply the gallbladder area. Once a day, each time can keep the 8 to 12 hours. Use to abdominal pain relief and not set out by now. General topical that is comfortable, minutes after all that began to ease pain, in 30 to 60 minutes more significantly reducing pain. This spread after topical, such as the use of a long, a few patients can rise to local skin red rash, itching for withdrawal can be gradually disappear, generally don't have to be special treatment.

11. Point injection

Location: bravery yu, sp9, in wan, gallbladder acupuncture point. Methods: take 1 ~ 2 point, every point 10% glucose injection into 5 ml, or angelica fluid (or red liquid) 1 ~ 2 ml, needle into the air, powerful fast to infuse, daily 1 ~ 2 times.

12. A herbal tea therapy

(1) YuMiXu prescription: 50 g, dandelion, gall each 25 grams. Usage: put in sand pot, irrigation, water right amount, Fried boiling 5 minutes, take juice into a cup, and tea. A daily agent frequently to drink.

(2) prescription: money grass, defeated sauce grass, gall each 30 grams of sugar, right amount. Usage: before 3 gout drug in container with the boiling water for 30 minutes in vacuum flask, after take juice, tea cups, add in sugar, a generation of tea drinking. A daily agent, YinFu frequently.

(3) prescription: 9 g, turmeric totally 10 grams, gall 15 grams. Usage: put in irrigation in the pot, add water sand 500 ml, Fried boiling 15 minutes, take juice cup, generation into tea. A daily agent, YinFu frequently. (excerpt from the emergency treatment technology, traditional Chinese and western medicine ")