邵铭教授治疗胆系疾病

Professor SHAO Ming in treating biliary diseases

邵铭教授认为胆囊炎、胆结石的病因主要分为外因和内因。外因常因饮食不节如喜食肥甘辛辣,或因感受湿热之邪所致;内因主要有情志失畅如暴怒、抑郁等。这些都能影响肝脏的疏泄功能,从而使胆汁排泄受阻。邵铭教授认为"肝者干也",肝内小干密布,肝气不得行其正常之疏泄功能,肝气郁而化热,加之湿热内留,气滞久则血瘀,甚则湿热与瘀相合,逐渐形成砂石。其临床症状常常表现为反复发作的右上腹疼痛或右胁部疼痛不适,甚至放射至右肩及后背,有胆石症者疼痛更为剧烈,或伴皮肤及巩膜黄染、发热等表现。其中肝内结石的患者症状往往偏重且顽固,治疗上更为棘手。

Professor SHAO Ming considered that the causes of cholecystitis,gallstones are divided into external and internal factors. External factors often due to improper diet such as eating Feigan spicy,or because the feeling caused by damp heat evil; internal are not smooth emotions such as rage,depression etc. These can affect the function of the liver,which makes bile obstruction. Professor Shao Ming believes that ＂liver stem＂,intrahepatic small dry clouds,not the normal liver qi,liver qi stagnation and heat,and the heat in blood stasis,qi stagnation for a long time,even with damp heat stasis consistency,gradually formed sand. The clinical symptoms often showed recurrent right upper abdominal pain or flank pain,discomfort,and radiation to the right shoulder and back pain,cholelithiasis is more severe,or with skin and sclera jaundice,fever and other performance. The symptoms of hepatolithiasis patients often emphasize and stubborn,treatment is more difficult.