谢晶日辨治“胆胀”经验拾遗

XIE Jingri's Experience in Treatment of Gallbladder Distention

慢性胆囊炎属于中医“胆胀”范畴,为临床常见消化系统疾病,其病程较长,病情反复难愈,对患者的工作和生活产生不良影响。西医治疗本病常采取对症治疗的方法且长时间应用西药存在一定的不良反应风险。经过多年来的经验总结与临床实践,中药治疗本病具有可行性,不良反应小。谢晶日教授从医四十载,经过不断总结,提出“肝脾论”思想,对肝胆脾胃肠等消化系疾病颇有研究。谢师认为“肝者,中之将也,取决于胆”,肝与胆相互为用,二者生理病理关系密切。“脾胃伤,则百病生”,脾胃健运是人体正气的来源,固护脾胃以达“正气存内,邪不可干”。故治疗“胆胀”应把脏腑之间的关系,从肝脾胃着手综合调理,标本兼顾。文章旨在阐述谢晶日教授从肝与脾胃切入辨治慢性胆囊炎临证经验,兹取谢师验案一则加以佐证。

Chronic cholecystitis belongs to gallbladder distention in traditional Chinese medicine,which has a long course of disease.Western medicine treatment of this disease often takes symptomatic treatment,and long-term use of Western medicine has a certain risk of side effects.After years of experience and clinical practice,traditional Chinese medicine treatment of this disease is feasible,with few side effects.Professor XIE Jingri has been working in clinic for 40 years.After continuous summary,he has put forward the idea of“liver and spleen theory”,and has made a lot of researches on digestive diseases.Professor XIE thinks that“the liver is the general in the middle,influenced by the gallbladder”.The liver and the gallbladder interact each other,and they are closely related in physiology and pathology.“Spleen and stomach injury can cause all kinds of diseases”.Spleen and stomach is the source of the body's healthy Qi.Protecting spleen and stomach can achieve the purpose of“consolidating healthy Qi and expelling evils”.Therefore,the treatment of“gall distension”should take the relationship among Zang-Fu organs.The purpose of this paper is to expound Professor XIE Jingri's clinical experience on treating chronic cholecystitis from liver and spleen and stomach.