实时超声探讨“胸胁苦满”及用小柴胡汤治疗的临床观察

Clinical Observation on the Real-Time Ultrasonic Exploration in Treating the Feeling of in the Chest and Costal Region with Xiao Chai Hu Decoction

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DOI：

中文关键词: 小柴胡汤胸胁苦满肝外胆管胆囊门静脉内径药理作用超声观测非特异性免疫声象图胆道系统

英文关键词:

基金项目:

作者	单位
聂凤禔	河北医学院药学系生药教研室
狄淑珍	河北中医学院附属医院超声波室

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中文摘要:

本文应用 B 型超声观测30例"胸胁苦满"患者胆道系统声象图。结果均有肝外胆管轻度扩张,与相应门静脉比值增大,此不但可作为"胸胁苦满"的客观指征之一,而且反映了少阳气郁,疏泄不利的病变特点。连续观测9例患者胆囊、肝外胆管服小柴胡汤前后变化,为方剂的归经及利胆、抗炎,非特异性免疫等药理作用提供了宏观的形态学实验证据。

英文摘要:

In this article,the biliary tract ultrasonogram of 30 cases with feeling of fullness in the chest and costal region(FFCCR)were observed by B-mode echography.The results showed that extrahepatic bile ducts were slightly dilated and its proportion to the portal vein was increased in all the cases.This is one of the objective parameter of FFCCR.The increment of the intrabiliary tract pressure,the enlargement of the bile duets and the stagnation of the bile are the basic causes of the clinical symptoms.These symptoms reflect the characteristics of the syndrome of Shao Yang Qi Yu,Shu Xie Bu Li(少阳气郁,疏泄不利). Before and after the administering of Xiao Chai Hu decoction to nine cases,a continuous observation of the changes of gall-bladder and upper part of extrahepatic bile duets was performed.The contraction, dilation and re-contraction of gallbladder obviously showed the choleretic effect of Xiao Chai Hu dacoction. After the disappearance of symptoms of the FFCCR,the internal diameter of the tipper segment of extrahepatic bile ducts and its proportion to the portal veins normalized.Since the ultrasonic diagnosis is non-invasive and is relevent to the body reaction at the time of examination,it is one of the methods for objective learning of the"syndrome"and the pharmacologic effects of TCM prescriptions.

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