邵铭教授治疗胆石症经验

Experience of Professor SHAO Ming in treating cholelithiasis

邵铭教授认为胆石症是多种原因共同导致,其中最主要的原因为体质、饮食、情志,其认为在自身体质的基础上饮食结构不当、情志不调是胆石症的根本原因;胆石症基本病机为湿、热、瘀阻滞肝胆,致肝胆失和,通泄失常。胆石症病位虽在胆腑,但与肝脏、脾胃关系密切;且根据临床经验总结出4种常见与一种较少见的类型进行辨证论治,分别为肝胆湿热证、湿热瘀阻证、肝郁气滞证、脾虚肝郁证与湿从寒化证;临床治疗胆石症,分型论治十分重要,但各个证型之间往往相互转化或者兼夹,临床需辨证准确,用药精当。

Professor SHAO Ming believes that a variety of reasons lead to cholelithiasis which the most important is physical constitution, diet and emotion. Cholelithiasis is due to poor constitution, irrational diet and emotional disorders. The basic pathogenesis is summarized as dampness, heat and stasis blocking liver and gallbladder and disharmony and obstruction of circulation between liver and gallbladder. Although the disease is located in the gallbladder, it has closely relationship with the liver, spleen and stomach. According to clinical experience, he summarizes four kinds of common and a rare type of syndrome diff erentiation： dampness heat of liver and gallbladder, syndrome of stagnant dampness-heat, stagnation of liver qi, spleen deficiency and liver stagnation and conversion of dampness into old syndrome. Type of treatment is very important for the clinical treatment of the disease, but the various syndromes are often transformed or accompanied, whose treatment need accurate differentiation and medication.