Harm of chronic cholecystitis: leading to gallbladder atrophy and loss of function; Lead to chronic gallstones; Causing acute jaundice; Causing gallbladder cancer.
Traditional Chinese medicine believes that qi stagnation, damp-heat and blood stasis will lead to depression of qi in patients' gallbladder fu-organs and gallbladder failure, which is an important pathogenesis of chronic cholecystitis. The choice of drugs is mainly based on the clinical manifestations of patients, and the drugs that soothe the liver and benefit the gallbladder are selected. Commonly used Chinese patent medicines for treating chronic cholecystitis include Xiaoyan Lidan tablets, Dankang tablets and Danning tablets.
Xiaoyan Lidan tablets mainly include andrographis paniculata, bitter wood, Rabdosia rubescens and so on.
The monarch drug in Xiaoyan Lidan Tablet is Rabdosia rubescens, which has the effects of clearing away heat and promoting diuresis, cooling blood and removing blood stasis. Moreover, modern pharmacological research shows that Rabdosia rubescens can play an antibacterial, anti-inflammatory, anti-tumor, liver-protecting and gallbladder-benefiting role; Andrographis paniculata, which has the functions of clearing away heat and toxic materials, cooling blood and reducing swelling, and Sophora alopecuroides, which has the functions of clearing away heat and eliminating dampness, detoxifying and killing insects, are ministerial drugs, which can help Rabdosia rubescens to better play its anti-inflammatory, liver-protecting and gallbladder-benefiting roles. Xiaoyan Lidan Tablet has the effects of clearing away heat, promoting diuresis, clearing liver and promoting gallbladder function. Clinically, it is often used for diseases such as cholecystitis and cholangitis caused by damp-heat in liver and gallbladder.
Dankang tablets are mainly prepared from Chinese herbal medicines such as Herba Artemisiae Scopariae, Herba Taraxaci, Radix Bupleuri, Radix Curcumae, artificial bezoar, Fructus Gardeniae, Radix et Rhizoma Rhei, and peppermint oil.
The rhubarb in the prescription can play the role of clearing away damp heat and detoxifying; Gardenia can play the role of clearing heat, cooling blood and purging fire; Artificial bezoar can play the role of detoxification, and can play a very good role in protecting liver and benefiting gallbladder; Curcuma root and Bupleurum root can help the liver to promote qi circulation and relieve depression; Dandelion can play the role of clearing away heat and toxic materials and has a good anti-inflammatory effect; Herba Artemisiae Scopariae has the effect of clearing away heat and promoting diuresis, and can play a very good role in protecting liver and promoting gallbladder. Peppermint oil has the effect of dispelling wind and clearing heat, and can play a very strong bactericidal role. These Chinese herbal medicines have the same function, which can play a very good role in soothing the liver, promoting gallbladder function, clearing away heat and toxic materials, diminishing inflammation and relieving pain. Dankang tablets are mainly used to treat acute and chronic cholecystitis, cholelithiasis and other biliary diseases in clinic.
Danning tablets are mainly prepared from green tangerine peel, tangerine peel, turmeric root, giant knotweed rhizome, hawthorn, cogongrass rhizome, rhubarb and other Chinese herbal medicines. It has the effects of soothing the liver, promoting gallbladder function, clearing away heat and dredging the bowels.
The main functions of this prescription are green tangerine peel and dried tangerine peel. Green tangerine peel tastes bitter, and it has the functions of soothing the liver, promoting qi circulation, resolving food stagnation, and modern pharmacological studies have found that the effective components in green tangerine peel have a good effect of protecting liver and benefiting gallbladder, which can effectively relieve discomfort symptoms such as fullness of chest ribs caused by hepatitis and cholecystitis. Chenpi can strengthen the spleen and stomach, help dehumidify, and promote the secretion of digestive juice. In addition, Chenpi can also play a good anti-inflammatory role. The combination of the two drugs can soothe the liver, promote the circulation of qi, eliminate dampness, protect the liver and benefit the gallbladder; Curcuma aromatica has the effects of promoting blood circulation, relieving pain, benefiting gallbladder, relieving jaundice, promoting qi circulation, relieving depression, clearing heart fire and cooling blood. Polygonum cuspidatum can play a role in removing blood stasis, relieving pain, clearing away heat and toxic materials, promoting diuresis and eliminating jaundice. Hawthorn can play a role in invigorating stomach, promoting digestion, promoting qi circulation and removing blood stasis; Imperata rhizome can play the role of clearing heat and diuresis in the prescription; Rhubarb can play the role of detoxification, removing blood stasis, cooling blood, purging fire and clearing damp heat in the prescription. Danning tablet can be used for chronic cholecystitis caused by stagnation of liver-qi and unclear damp-heat. The symptoms are usually dull pain in the right upper abdomen, bloating after eating, bad appetite in the stomach, belching and constipation.
Modern pharmacological research shows that the pharmaceutical ingredients in Danning tablets can protect gallbladder function, promote calculus dissolution in gallbladder, improve cholestasis, and have a good effect of protecting liver and benefiting gallbladder. It is often used in the adjuvant treatment of chronic cholecystitis in clinic.