胆道蛔虫病是一种农村常见的急腹症,由蛔虫钻入胆道而发病。临床表现为骤起之剧烈腹痛,位于剑突下,呈阵发性绞痛,并放射到背部与右肩部。发作时屡有剧烈恶心与呕吐,并且往往吐出蛔虫。早期患者概无发热现象。黄胆少见,即有亦属轻微。剑突下常有明显局限性压痛点,为临床上之特征。祖国医学虽无胆道蛔虫之名,但早在1700年前,汉代医家张仲景在《伤寒》《金匮 Biliary tsutsugamushi disease is a common acute abdomen disease in the countryside. It is caused by aphids drilling into the biliary tract. The clinical manifestations of sudden severe abdominal pain, located under the xiphoid, was paroxysmal, and radiated to the back and right shoulder. Severe nausea and vomiting during episodes, and often vomit aphids. There was no fever in early patients. The gallbladder is rare, that is, it is also slight. The xiphoid often has obvious localized tenderness, which is a clinical feature. Although the motherland medicine did not have the name of a biliary tract locust, but as early as 1700 years ago, the Han Dynasty medical doctor Zhang Zhongjing was in the “typhoid fever” and “gold fistula.”