郑翔教授治肝囊肿术后伴腹壁瘘管 黄疸医案1则

One Patient of Fenestration Liver Cyst with Fistula and Jaundice Treated by Professor ZHENG Xiang

报道肝囊肿术后伴腹壁瘘管、黄疸1例。董某,女,70岁,因"肝囊肿术后伴腹壁瘘管形成8年,身目黄染7天"就诊。郑翔教授认为病情责之于黄疸与腹壁瘘管,但究其因总属湿、痰、热、瘀四者胶结为患。拟疏肝利胆,佐以健脾、化瘀,自拟疏肝利胆汤化裁。治疗2个月,肝功能正常,腹壁瘘道内径缩小,疗效满意。

This paper reports one case of fenestration liver cyst,which accompanies by fistula and jaundice. Patient Dong,female,70 years old,whose fistula had cropped up 8 years ago and jaundice had been lasting 7 days. Professor ZHENG considers that the main problem of the disease is jaundice and fistula. And the pathological factors is very complex,including ＂dampness pathogen＂,＂phlegm＂,＂toxic heat＂ and ＂stasis＂.So she is treated by ＂dispersing stagnated liver qi for promoting bile flow＂,＂invigorating spleen＂,＂promoting blood circulation＂. Two months later,it is wonderful that we find indicators of liver function is normal and abdominal fistula diameters is less than half of the previous.