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1995年4月至1999年10月,采用中西医结合方法治疗胆石嵌顿性胆绞痛125例,获得较满意疗效,报告如下。1 临床资料1.1 一般资料 男38例,女87例;年龄16~88岁。B超检查证实胆囊结石嵌顿52例,胆总管结石嵌顿56例,肝管嵌顿17例。胆绞痛伴高热者76例,伴黄疸者81例。白细胞和中性粒细胞均高,血清淀粉酶增高者18例。1.2 治疗方法1.2.1 夏柯三联症方 3剂,每日1剂,分3次煎服。该方药组成:柴胡30 g,川芎12 g,厚朴18 g,苍术10 g、青、陈皮各10 g,白芍30 g,枳壳18 g,甘草10 g,香附16 g,川郁金18g,延胡16 g,粟壳粉16 g,青木香12 g,鱼腥草30 g,生大黄30g,芒硝30g。加减:黄疸加茵陈50g,生山栀20g;大便灰白色加番泻叶0.5g(研细末装入胶囊)吞服,3次/d;剧痛缓减后减去粟壳粉;高热退后柴胡减至16g;大便通畅后去芒硝,生大黄减至16g。1.2.2 西药 中药尚未使用时,可用阿托品或抗生素;黄疸
April 1995 to October 1999, the use of integrated traditional Chinese and Western medicine treatment of 125 cases of gallstone incarcerated biliary colic, to obtain more satisfactory results, the report is as follows. 1 Clinical data 1.1 General Information 38 males and 87 females; aged 16 to 88 years old. B-ultrasound confirmed gallstone embolization in 52 cases, 56 cases of common bile duct stones, hepatic duct incarceration in 17 cases. 76 cases of biliary colic with fever, with jaundice in 81 cases. Leukocytes and neutrophils were high, elevated serum amylase in 18 cases. 1.2 treatment 1.2.1 Xiake triple prescriptions 3, 1 day, 3 times decoction. The prescription comprises the following components: 30 g of Bupleurum Chuanxiong, 12 g of Chuanxiong, 18 g of Magnolia officinalis, 10 g of Atractylodes, 10 g of green and dried tangerine peel, 30 g of white peony root, 18 g of Fructus aurantii, 10 g of licorice root, Gold 18g, Yan Hu 16g, cornstarch powder 16g, Aoki incense 12g, Houttuynia 30g, rhubarb 30g, thenardite 30g. Addition and subtraction: jaundice plus capillaris 50g, Health Gardenia 20g; stool gray plus senna 0.5g (research fine end into the capsule) swallowing, 3 times / d; Bupleurum reduced to 16g; smooth stool to Glauber’s salt, rhubarb reduced to 16g. 1.2.2 Western medicine is not used when available atropine or antibiotics; jaundice