浅谈健脾实脾法论治慢性胆道感染

Discussion on the Treatment of Chronic Biliary Tract Infection by Invigorating Spleen and Invigorating Spleen

慢性胆道感染是临床常见的一类消化系统疾病,属于中医“胁痛”“黄疸”“胆胀”等范畴,多存在先天胆道畸形或后天手术及微创治疗技术等干预情况,为临床治疗的难点之一。而中医药对此类疾病具有治疗优势,临床常见以下证型为主:(1)肝胆气郁证:主症为右胁胀痛或心下痞满,舌淡红,苔白或微黄,脉弦。(2)肝阴不足证:主症为胁肋疼痛,隐隐不休,遇劳加重,舌红尖刺、中有裂纹或见光剥或脉细弦。临床体会该病当以疏肝利胆为基本治法,尤其需要重视健脾实脾以调气机,通过灵活辨证随证加减治疗,临床疗效显著。

Chronic biliary tract infection is a common kind of digestive system disease in clinic.It belongs to the category of“hypochondriac pain”,“jaundice”and“biliary distention”in traditional Chinese medicine.There are many interventions such as congenital biliary tract malformation or acquired surgery and minimally invasive treatment technology,which is one of the difficulties in clinical treatment.Traditional Chinese medicine has therapeutic advantages for such diseases.The following syndrome types are common in clinic:(1)Ganqiyuzhi:swelling and pain on the right flank or fullness under the heart,light red tongue,white or yellowish fur,pulse string.(2)Ganyinbuzu:hypochondriac pain,faint and endless,aggravated in case of fatigue,red and sharp tongue,cracks or light peeling or the number of thin chords in the pulse.Clinical experience is that the basic treatment of this disease should be to soothe the liver and gallbladder,especially to strengthen the spleen and strengthen the spleen to regulate qi.Through flexible syndrome differentiation and addition and subtraction treatment with syndrome,the clinical curative effect is remarkable.