Generally speaking, postoperative diet should pay attention to the following points: 1, eat less irritating spices, carbonated drinks, alcohol and other foods that promote gastric juice secretion, which will stimulate gallbladder contraction and increase the occurrence of stones. 2. Breakfast, lunch and dinner should be eaten at a fixed time. When bile excretion is irregular, the bile in the gallbladder can easily solidify into stones. 3. Dietary fiber can reduce cholesterol in blood. You need to eat brown rice, germ rice, vegetables and seaweed rich in fiber. 4. Limit the fat diet. Cholesterol increase is easy to produce gallstones, so it is necessary to limit eggs, cream, butter, liver, fish eggs rich in animal fat and other foods. Patients with gallstones need to fast on the first day after operation, because the stomach and intestines are still under anesthesia, and patients can only drink rice soup and eat the next day. Patients with bile duct stones need to fast for three days after operation, whether it is 1 or 3 days. For patients after operation, they all need to endure hunger. Need to give digestive function a period of time to recover. Some patients will also have postoperative symptoms of diarrhea, nausea and vomiting, and their bodies will be in a very weak state. 1 3 days later, can you have a good meal? No, because your gastrointestinal experience before and after the operation is so painful that you can't bear such a heavy burden for a while. Patients with gallstones or postoperative gallstones must pay attention to a light diet and try to eat less greasy food. As for how light it should be, there is really no clear standard. I think it is enough to stick to a normal diet, eat as many vegetables as possible, eat less fat and animal oil, eat regularly, quit smoking and drinking, eat less snacks and exercise more. If you don't stick to a light diet, or eat a lot of greasy diet, smoking and drinking, it will easily lead to recurrence of stones. After cholelithiasis surgery, there is no need to take medicine to prevent it at ordinary times. It should be checked regularly, and can be rechecked once every 6 months to 1 year for early detection and early treatment. Common choledocholithiasis, intrahepatic choledocholithiasis and cholecystolithiasis are treated by traditional Chinese medicine. Because stones come from different places. The clinical manifestations are also different. However, the typical features of common bile duct stones are colic, chills and high fever, jaundice and early shock; Intrahepatic bile duct stones are mainly caused by recurrent abdominal distension and pain in the right upper abdomen, and may be accompanied by chills and fever. But the symptoms are atypical and often misdiagnosed; Cholelithiasis is characterized by sudden severe colic after a full meal, which is unbearable. Combined with blood, X-ray or cholangiography, B-ultrasound and other clinical auxiliary examinations, it is not difficult to make a diagnosis of cholelithiasis. Cholelithiasis used to be treated mainly by surgery, but the effect was not ideal. In recent years, the combination of traditional Chinese and western medicine has achieved gratifying results. There are no names of gallstones in Chinese medicine documents of past dynasties. But its hypochondriac pain, fullness, jaundice and other symptoms have long been detailed. Especially the "yellow chest" described in Treatise on Febrile Diseases is similar to gallstones. Chinese medicine believes that intimidation is the dividing line of bravery. Both hypochondriacs are dominated by the liver meridian. Therefore, although this disease is born in the gallbladder, it is actually related to the liver. "The Complete Book of Jing Yue" says: "The disease of costal pain belongs to the two meridians of the liver and gallbladder, and the veins of both meridians are smooth." Because bile is attached to the liver, it is bile because the liver is full of qi. Liver governing the drainage can lead to luck, qi and blood, flirting, so liver depression will hinder the excretion of bile and make it condense into stone; Or because the liver has lost the function of transforming qi, the transportation and transformation of spleen are also affected. Water stops dampness from generating heat, and the evil of damp-heat fumigates the liver and gallbladder, which also affects the gallbladder meridian. After a long time, bile suffers and condenses into stones. Stones block the intestine, causing swelling pain in the right flank, or yellow urine in the painful mass, which is easy to be agitated and bitter in the mouth; Or a series of hepatobiliary symptoms such as vomiting and anorexia. "Ling Shu Lun Bulge" says: "Those with gallbladder distension will suffer from hypochondriac distension and pain, bitter taste in the mouth, and a lot of anger." Cheng Wuji's numerology also said: "hypochondriac fullness ... hypochondriac fullness, retching, loss of appetite, cold and heat, tight pulse, and strong and astringent pulse." ..............'s "Danxi Heart Method" said: hypochondriac pain, excessive liver fire, blood stasis, turbid phlegm and acute liver. Solid wood, with Atractylodes macrocephala, Chuanxiong, Green tangerine peel, Angelica sinensis, etc. For patients with severe pain, liver fire is vigorous, and Danggui Longhui Pill and ginger juice are the main drugs for purging fire. Dead blood, with peach kernel, safflower and Ligusticum chuanxiong; Resolving phlegm, adding Rhizoma Arisaematis, Rhizoma Atractylodis and Rhizoma Chuanxiong into Erchen decoction; When the liver is bitter and anxious, eat spicy food to disperse it, and comfort it with bears and atractylodes. Blood disease, blood medicine promotes blood circulation. For cough and hypochondriac pain, Erchen decoction is added with Rhizoma Arisaematis, Rhizoma Cyperi, Pericarpium Citri Reticulatae Viride, indigo naturalis and ginger juice. There is blood stasis in hypochondriac pain, and peach kernel, Cyperus tuber, etc. are added with qi-promoting drugs. If there is a fire, cut the liver wood. Zuojin Pill treats liver fire, and qi stagnation and chest pain treat pulse depression. It's the honey pill that hurts so much that you can't open your hand. If there is food accumulation under threat, carry it, use Evodia rutaecarpa and fry Coptidis Rhizoma. Zhixianwan, a suit of gas pain, hypochondriac pain, phlegm with blood, peach kernel paste, pills. For the right hypochondriac swelling and pain, push the gas to disperse the knot and give it to Yan Fang; Bupleurum or Bupleurum can be added for left hypochondriac pain. Therefore, I think: the treatment should clear away the damp-heat in the liver meridian, promote the circulation of qi and promote gallbladder, and create a special experience decoction: Herba Lysimachiae Christinae, Herba Artemisiae Scopariae, Herba Hedyotidis Diffusae, Radix et Rhizoma Rhei, Fructus Aurantii Immaturus, Radix Curcumae, Semen Persicae, ... When the pain is severe, add Radix Aconiti, Pollen Typhae and Radix Paeoniae Alba; Fever increases green leaves, wings and dandelions; Radix Aucklandiae, Fructus Toosendan, and Endothelium Corneum Gigeriae Galli are added for patients with obvious fullness. Lysimachia christinae in the prescription is sweet and light, slightly cold and clear away heat, which is the main medicine for promoting gallbladder and expelling stones; Chen Yin is good at clearing the heat in the liver and gallbladder, and managing the depression in the liver and gallbladder. "Medical Heat and Western Ginseng" records: "Heat dissipates depression, and bile enters the small intestine without hindrance." Both are the main drugs of this prescription. Rhubarb turns yellow due to purging heat, and contains emodin and aloe emodin, which can inhibit oxidative dehydrogenation and glucose metabolism of bacteria. Deamination can also make gallbladder contract, relax Oddi sphincter and promote bile excretion, so it has strong anti-inflammatory and lithagogue effects. Fructus Aurantii Immaturus and Radix Curcumae regulate qi and relieve depression; Peach kernel and salvia miltiorrhiza promote blood circulation and remove blood stasis; Eliminate petrochemical dampness and facilitate urination; Aucklandia is fragrant, can rise and fall, and can pass the triple energizer. Its volatile oil and alkaloids can relieve biliary tract spasm and relieve pain. Toosendan seed can relieve pain by qi, vinegar can be used as medicine, and medicine can be introduced into liver medicine. The combination of all the medicines is beneficial to gallbladder, damp-heat elimination and fossilization. This prescription treats both the symptoms and the root causes, so it has no effect.

Edit the dietary precautions of patients with gallstones in this paragraph

Patients with gallstones should make scientific and ingenious arrangements in diet while receiving medical treatment or surgical treatment. According to experts of biliary diseases in Jinan Air Force 456 Hospital, it is necessary to achieve "six essentials" and "five taboos". The "six essentials" are: 1. Pay attention to the hygiene of drinking water, eat fruits and vegetables raw first, and then rinse them with boiled water or cold boiled water to prevent eating roundworms and residual pesticides. Develop a good habit of drinking boiled water instead of raw water. Second, eat more foods containing vitamins, such as vegetables, carrots, tomatoes, spinach, cabbage and so on. Usually eat bananas, apples and other fruits. Third, vegetable oil should be used for cooking, and the dishes eaten are mainly stewed, stewed and steamed. Fourth, always eat lean meat, chicken, fish, walnuts, black fungus, kelp, seaweed and so on. Fifth, we should eat more foods that can promote bile secretion and relax the sphincter of biliary tract, such as milk tea, dark plum and corn silk (drink tea slowly). Sixth, eat dry rice and don't let the fasting time be too long. In addition, we should pay attention to two points: First, we should exercise regularly to prevent constipation; Second, obese people should lose weight in a planned way, because obesity will promote the secretion of cholesterol and aggravate the condition. "Five taboos" include: First, avoid eating foods with high cholesterol, such as animal heart, liver, brain, intestine, egg yolk, preserved eggs and chocolate. Second, avoid eating high-fat foods such as fat, lard and fried foods. Oily cakes should not be eaten too much, because too much fat will cause gallbladder contraction and lead to pain. Avoid eating and drinking at festivals or gatherings of relatives and friends. Because overeating will promote bile secretion, and the strong contraction of gallbladder will cause gallbladder inflammation and local colic. Do not eat spicy and stimulating condiments, such as Chili, Chili oil, spiced powder, Chili noodles, etc. Five avoid smoking, alcohol, coffee, etc. These irritating foods can cause hyperacidity, severe contraction of gallbladder, spasm of sphincter of biliary tract, difficulty in bile discharge and biliary colic.