Wei D Q
Dept. of Surgery, Affiliated Hospital of Hubei College of TCM, Wuhan.
Zhong Xi Yi Jie He Za Zhi. 1990 Aug;10(8):470-2, 452.
There were 41 postoperative patients of cholelithiasis with manifestation of Qi-Yin deficiency, had treated with Yiqi Yangyin Prescription. The regimens was 2 weeks as a course, thereafter bile specimens were taken through T tube drainage, and biochemical analysis were performed in order to determine the composition in consequence of the comparison of the treated patients with the control groups. There were 19 patients of bile pigment stone in whom 10 treated with the prescription and 9 were served as control. The results showed that the total bilirubin, unconjugated bilirubin, the concentration of calcium ion and the activity of beta-glucuronidase were markedly decreased as compared to those in the control group (P less than 0.05), the concentration of bile acid markedly increased than that in the control group (P less than 0.05). There were 22 patients of cholesterol stone, 11 treated with the prescription and 11 were served as control group. The results were the same as in bile pigment stone group except decreased in conjugated bilirubin (P less than 0.05), and the unconjugated bilirubin were remained unchanged (P greater than 0.05) as compared to the control group. The ratio of unconjugated bilirubin to total bilirubin and the ratio of bile acid to bilirubin were markedly decreased as compared to those in the control group. The above observation showed promptly that Yiqi-Yangyin Prescription gave a promise influence on lithogenic bile of cholelithiasitic patients, and also investigated the mechanism of the prescription used for deficiency patients with biliary troubles.
41例术后表现为气阴两虚的胆石症患者,采用益气养阴方治疗。疗程为2周,之后通过T管引流采集胆汁标本,并进行生化分析,以便通过与对照组比较来确定治疗患者胆汁成分的变化。其中有19例胆色素结石患者,10例接受该方治疗,9例作为对照。结果显示,与对照组相比,治疗组患者总胆红素、非结合胆红素、钙离子浓度及β-葡萄糖醛酸酶活性明显降低(P<0.05),胆汁酸浓度明显升高(P<0.05)。有22例胆固醇结石患者,11例接受该方治疗,11例作为对照组。结果与胆色素结石组相同,只是结合胆红素降低(P<0.05),非结合胆红素与对照组相比无明显变化(P>0.05)。非结合胆红素与总胆红素的比值以及胆汁酸与胆红素的比值与对照组相比明显降低。上述观察结果表明,益气养阴方对胆石症患者的致石性胆汁有显著影响,同时也探讨了该方对胆病虚证患者的作用机制。