What is hypotonic biliary syndrome?

summary

Hypotonic biliary syndrome, also known as chiray syndrome, refers to a group of symptoms of dyspepsia, intolerance of fatty food and right upper abdominal pain due to hypotonic biliary tract and delayed gallbladder emptying. This syndrome belongs to the category of biliary dysfunction syndrome, also known as delayed gallbladder syndrome.

What is hypotonic biliary syndrome?

Pathologically, gallbladder dilatation and disappearance of gallbladder neck were found, which were mainly due to autonomic nerve dysfunction, vagus nerve dysfunction and decreased cholecystokinin secretion. The disease is more common in women, check the right upper abdomen discomfort or pain, nausea, vomiting, dyspepsia and greasy food, occasionally jaundice and right upper abdominal tenderness.

Oral cholecystography or B-mode ultrasound can find gallbladder enlargement and poor contractile function of gallbladder after fat meal. Only when organic diseases of biliary tract (cholelithiasis, biliary ascariasis, biliary tract infection, etc.) are excluded, can the syndrome be considered. Gallbladder enlargement can be found by oral cholecystography or B-mode ultrasonography.

It should be differentiated from chronic cholecystitis, extrahepatic biliary obstruction and chronic hepatitis. This disease is easily complicated with biliary dysfunction syndrome, anorexia, dyspepsia and other diseases. The disease is more common in women, check the right upper abdomen discomfort or pain, nausea, vomiting, dyspepsia and greasy food, occasionally jaundice and right upper abdominal tenderness.

matters needing attention

1. Western medicine treatment. The main treatment method is to promote gallbladder contraction and accelerate its emptying, such as magnesium sulfate, and regulate autonomic nerve function. 2. TCM treatment. Commonly used drugs are bupleurum, Fructus aurantii, Radix Paeoniae Alba, safflower, radix paeoniae rubra, Salvia miltiorrhiza, rhizoma curcumae, Herba Artemisiae Scopariae, Gardenia jasminoides Ellis, rhubarb, Curcuma Curcuma, Lysimachia christinae, haijinsha, etc. The treatment of biliary tract complications is to soothe the liver, activate blood circulation, and dredge the Fu organs to remove turbidity.