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阿育吠陀与瑜伽综合干预治疗急性结石性胆囊炎:一例报告

Management of acute calculus cholecystitis with integrated Ayurveda and Yoga intervention: A case report.

作者信息

Metri Kashinath, Patra Sanjib, Ramakrishna Kishore Kumar, Salvi Kaustub, Naik Jagdish, Nagaratna R

机构信息

Department of Yoga, Central University of Rajasthan, India.

Department of Yoga, Central University of Rajasthan, India.

出版信息

J Ayurveda Integr Med. 2021 Jan-Mar;12(1):187-190. doi: 10.1016/j.jaim.2020.12.014. Epub 2021 Mar 2.

Abstract

Acute calculus cholecystitis (ACC) is a frequently reported medical condition in general practice. Approximately 20% of patients with gallbladder stones experience ACC in their lifetime. Ayurveda and Yoga are ancient traditional systems of medicine used for treatment of diseases and improving and maintaining health. There has been an increased use of Ayurveda and Yoga in the management of several health conditions in India and worldwide. The present case study is of 34 years female patient who had ACC. Post diagnosis of ACC patient was advised to undergo cholecystectomy; however, she approached alternative therapies with c/o vomiting, nausea, abdominal pain, jaundice, itching, and abdominal bloating with deranged liver functions. Ayurveda and Yoga intervention protocol was designed. Ayurveda treatment consisted of mild purgation (mruduvirechana) with trivrittalehyam for consecutive seven days, followed by oral administration of Tab Liv 52, Bhunimbadi Kadha twice daily, and Amalaki Rasayana in the morning for 45 days. Patients received 8 teleyoga sessions over a period of 45 days. A therapeutic diet was advised during treatment period. After two months patient reported complete recovery in symptoms, and all laboratory investigations reached to normal range. This case study suggests the positive role of Ayurveda and yoga intervention in the management of ACC. This case report warrants future clinical studies on integrative medicine in ACC.

摘要

急性结石性胆囊炎(ACC)是全科医疗中经常报告的一种病症。大约20%的胆囊结石患者一生中会经历ACC。阿育吠陀和瑜伽是用于治疗疾病以及改善和维持健康的古老传统医学体系。在印度和全球,阿育吠陀和瑜伽在多种健康状况的管理中使用得越来越多。本病例研究的对象是一名患有ACC的34岁女性患者。ACC诊断后,建议患者接受胆囊切除术;然而,她因出现呕吐、恶心、腹痛、黄疸、瘙痒和腹胀且肝功能紊乱而寻求替代疗法。设计了阿育吠陀和瑜伽干预方案。阿育吠陀治疗包括连续七天用三味利希亚姆进行温和泻下(mruduvirechana),随后每天两次口服Tab Liv 52、布尼姆巴迪卡德哈(Bhunimbadi Kadha),并在早晨服用阿玛拉吉拉沙亚纳(Amalaki Rasayana),持续45天。患者在45天内接受了8次远程瑜伽课程。治疗期间建议采用治疗性饮食。两个月后,患者报告症状完全恢复,所有实验室检查结果均恢复到正常范围。本病例研究表明阿育吠陀和瑜伽干预在ACC管理中具有积极作用。本病例报告为未来ACC综合医学的临床研究提供了依据。

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