Generally speaking, the following points should be paid attention to in postoperative diet: 1. Eat less stimulating spices, carbonated drinks, alcohol and other foods that promote the secretion of gastric juice, 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 has the function of reducing cholesterol in the blood. It is necessary to ingest brown rice, germ rice, vegetables and seaweed rich in fiber. 4. Limit the fat diet. Cholesterol rise is easy to produce gallstones, so it is necessary to limit foods such as eggs, cream, butter, liver and fish eggs rich in animal fat. 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 after surgery need to fast for three days, whether it is one day or three days. For patients after surgery, they all need to endure hunger. It is necessary to give digestive function some 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. After one to three days, can we have a good meal? I can't, because your gastrointestinal experience is so painful before and after surgery, and 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 strengthen exercise. If you don't stick to a light diet, you still eat a lot of greasy diet, smoking and drinking, which will easily lead to recurrence of stones. After cholelithiasis surgery, there is no need to take drugs to prevent it at ordinary times. Regular examination should be carried out, and the upper abdomen can be rechecked by B-ultrasound once every 6 months to 1 year for early detection and treatment. Treatment of cholelithiasis with traditional Chinese medicine Clinically, choledocholithiasis, intrahepatic bile duct stones and gallbladder stones are common. Because of the different sites where stones are produced. The clinical manifestations are also different. However, the typical characteristics 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, which may be accompanied by chills and fever. But the symptoms are atypical and often misdiagnosed; Cholelithiasis is characterized by sudden onset of severe colic after a full meal, which is unbearable. It is not difficult to make a diagnosis of cholelithiasis by combining clinical auxiliary examinations such as blood, X-ray or cholangiography and B-ultrasound. Cholelithiasis used to be treated mainly by surgery, but the effect was not satisfactory. In recent years, it has been treated with integrated traditional Chinese and western medicine and achieved gratifying results. There is no name of gallstone in the literature of traditional Chinese medicine in past dynasties. However, its symptoms such as hypochondriac pain, fullness and jaundice have long been detailed. In particular, the "yellow chest" described in Treatise on Febrile Diseases is similar to cholelithiasis. Chinese medicine believes that intimidation is the dividing line of gallbladder. The two hypochondriacs are dominated by the liver meridian. Therefore, although the disease is born of gallbladder, it is actually related to the liver. "Jing Yue Quan Shu" says: "The disease of rib pain belongs to the two meridians of the liver and gallbladder, and the veins of the two meridians are all along the rib." Because bile is attached to the liver, it is bile due to the excess gas of the liver. The liver governs the drainage, which can lead to luck, blood and flirting, so the stagnation of the liver will hinder the drainage of bile and coagulate it into stone; Or because the liver loses the function of dispersing qi, the transportation and transformation of the spleen are also affected. The water stops dissipating dampness and generates heat, and the evil of damp heat fumigates the liver and gallbladder, so that the gallbladder is also involved. For a long time, the bile suffers and condenses into stones. Stones block the intestine, causing fullness and pain in the right hypochondrium and abdomen, or yellow urine in the mass according to the pain, which is easy to be agitated and bitter in mouth; Or a series of hepatobiliary symptoms such as vomiting and anorexia. "Lingshu: On Inflationism" says: "Those with gallbladder distension will suffer from distension and pain under the hypochondrium, suffering in the mouth, and being good at breathing too much." Cheng Wuji's Ming Theory also says: "The hypochondriac fullness ..... the hypochondriac fullness, retching, inappetence, cold and heat, tight pulse, strong pulse and astringent ..............'s" Danxi Heart Therapy "says: hypochondriac pain, intense liver fire, stagnant blood, phlegm and acute liver. Solid wood, with atractylodes rhizome, chuanxiong rhizome, green tangerine peel, angelica and the like; In case of severe pain, the liver fire is strong, and Danggui Longhui Pill and ginger juice are the main drugs for purging fire. Dead blood, with peach kernel safflower, Chuanxiong; Phlegm flowing, adding Rhizoma Arisaematis, Rhizoma Atractylodis and Rhizoma Chuanxiong to Erchen Decoction; When the liver is bitter and anxious, it is urgent to eat pungent food to disperse it, and it is used to soothe Xiong and Atractylodes. Blood disease, blood medicine to promote blood circulation. To treat cough and hypochondriac pain, Erchen decoction is added with Rhizoma Arisaematis, Rhizoma Cyperi, Pericarpium Citri Reticulatae Viride and indigo naturalis, and ginger juice is added. There is blood stasis in hypochondriac pain, and peach kernel is added to the qi-promoting medicine without removing the tip, and Cyperus rotundus and the like. If there is a fire, cut the liver wood. Zuo Jin Pill treats liver fire, and those with depressed qi and chest pain are treated as depressed pulse. Those who are in pain but can't stretch out are honeyed pills, and the dragon will be quick. If there is food accumulation under the threat, carry it, use Evodia rutaecarpa and stir-fry Coptidis Rhizoma. Control saliva pill, a whole body gas pain, and hypochondriac pain, phlegm with blood, peach kernel mud, pills. For right hypochondriac pain, push qi to disperse and give Yan's prescription; Left hypochondriac pain can be treated by adding Radix Bupleuri or Radix Bupleuri. Therefore, I think: the treatment should clear away the damp-heat in the liver meridian, relax qi-flowing, promote gallbladder and expel stones, and create a special experience soup to treat it: Lysimachia christinae, Herba Artemisiae Scopariae, Herba Hedyotidis Diffusae, Radix et Rhizoma Rhei, Fructus Aurantii Immaturus, Radix Curcumae, Semen Persicae, ...... In case of severe pain, Radix Aconiti Fragrantis, Pollen Typhae and Radix Paeoniae Alba are added; Fever increases green leaves, wings and dandelion; Radix Aucklandiae, Fructus Toosendan, and Endothelium Corneum Gigeriae Galli are added for patients with obvious fullness. In the prescription, Lysimachia christinae is sweet and light, slightly cold and heat-clearing, which is the main medicine for promoting gallbladder and removing stones; Yin Chen is good at clearing the heat of the liver and gallbladder, and at the same time managing the depression of the liver and gallbladder. The Record of Participating in the West in Medical Enthusiasm says: "The heat dissipates depression and the bile enters the small intestine without any obstacles." Both of them are the main drugs of this prescription. Rhubarb purges heat and turns yellow, which contains emodin and aloe-emodin to inhibit the oxidation and dehydrogenation of bacterial body sugar and sugar metabolism, deamination can also make gallbladder contract, Oddi sphincter relax 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 stasis and eliminate stagnation; Eliminate petrochemical dampness and facilitate urination; Aucklandia root is fragrant, which can ascend and descend, and can pass through the three jiao stagnation qi. Its volatile oil and alkaloids can relieve the spasm of biliary tract and relieve pain. Toosendan seeds can promote qi circulation and relieve pain, and vinegar can be used as medicine, which can lead medicine into liver medicine. The combination of various medicines has the effects of benefiting gallbladder, eliminating damp-heat and fossils. This prescription treats both the symptoms and the root causes, so it has no effect.
Pay attention to the diet of patients with gallstones in this paragraph
Patients with gallstones should be scientifically and skillfully arranged in terms of diet while receiving medical treatment or surgical treatment. According to experts of biliary diseases in 456 Hospital of Jinan Air Force, "six essentials" and "five taboos" should be achieved. The "six essentials" are: first, pay attention to the hygiene of diet and drinking water, wash the fruits and vegetables raw first, and then rinse them with boiled water or cold boiled water to prevent them from 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 green vegetables, carrots, tomatoes, spinach, cabbage, etc., and usually eat more fruits such as bananas and apples. Third, vegetable oil should be used for cooking, and the dishes eaten are mainly stewed, stewed and steamed. Fourth, we should 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 Rusha, Mume and Stigma Maydis (drink tea slowly). Sixth, eat dry meals, 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 plan to lose weight, because obesity will promote a large amount of cholesterol secretion and aggravate the condition. "Five taboos" include: First, avoid eating foods with high cholesterol, such as animal heart, liver, brain, intestine, egg yolk, preserved egg roe and chocolate. Second, avoid eating foods containing high fat, such as fat, lard and fried food. Oily cakes should not be eaten too much, because too much fat will cause gallbladder contraction and lead to pain. Avoid eating and drinking during 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. Four do not eat spicy and stimulating condiments, such as Chili, Chili oil, spiced powder, pepper noodles and so on. Five avoid smoking, alcohol, coffee, etc. These irritating foods can cause hyperacidity and severe contraction of the gallbladder, which leads to sphincter spasm at the mouth of the biliary tract and difficulty in discharging bile sweat and induce biliary colic.