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Congenital intrahepatic bile duct dilatation (red flag Hospital of Linyi City, Shandong Province: Liang Changbing) First, an overof congenital bile duct dilatation (Caroli disease) is an autosomal recessive genetic biliary tract disease, mainly as cystic intrahepatic bile duct expansion. Light may not have any clinical symptoms, diseases can be severe abdominal pain, chills, fever, jaundice triad. Modern medical treatment of this disease is mainly the expansion of the bile duct resection or liver transplantation. However, limited technology and the affordability of the majority of patients, surgical resection or liver transplantation is often difficult to achieve the desired results. The good effect of Chinese medicinal herbs to treat the disease, and rarely recur. Second, treatment (a), a clear incentive for the treatment of congenital Although Caroli disease, but when and whether the incidence of disease, induced in large part depend on various factors. If you do not have enough negative factors to stimulate the outside world, this autosomal recessive disease is likely you will never show it. In medicine, the liver is very tired of this. The disease also, mainly in the severe mood swings or fatigue after the blood or by other diseases induced by injuries. Some people are incidence of post-natal or post-surgery. Different incentives, and its clinical manifestations and treatment .
(A) treatment
Best of Caroli's disease treatment remains controversial, not all of Ca


roli disease are necessary or effective implementation of surgical treatment of bile duct obstruction with or without cholangitis without symptoms, treatment can be done temporarily, follow-up observation, surgery Objective should be mainly for the treatment of complications, radical surgery is generally used only for limited lesions.
1. Surgical indications
(1) has obvious clinical symptoms.
(2) restricted to a leaf or a cyst group, able to complete surgical excision.
(3) combined with infection, the liver bile duct stones.
(4) associated with cystic dilatation of common bile duct.
(5) can still be suspected malignant or surgical resection.
2. Surgical contraindications biliary tract infection and intrahepatic bile duct stones is the most common symptoms, following an operation of Caroli patients should: the asymptomatic lesions (by clinical type) to avoid surgery no help, especially taboo Check with ERCP; lesions in pediatric patients can not be corrected; advanced cancer; advanced liver fibrosis and liver dysfunction.
3. Operation mode selection
a type of disease-free liver fibrosis more thorough excision of the cyst after the general group to receive the best results.
b-type lesions of the liver cyst is a central country in recent years, scholars believe that the removal of a wide range of wall and large open surgical drainage is the key to low, surgical resection is possible and some liver cyst direct anterior portal place it in the liver low drainage position, and then Roux-Y intestinal loop of the opposite ends along the mesenteric edge of cut up enough to cover all the openings, forming a large mouth, low cavity formed between the artificial nipple jejunum anastomosis, and resection of residual common bile duct cysts, this procedure is different from the normal cyst anastomosis.
In general, for a wide range of cystic lesions of the liver cyst drainage should not be OK, because poor drainage sac infection can be controlled, but for common bile duct obstruction and Flanigan type of cystic dilatation of common bile duct, when combined with hilar bile duct stenosis and partial obstruction in the past fairly frequently consider the use of biliary-enteric anastomosis, the current is that in the normal sphincter of Oddi, sphincter preservation should be the role of the first line of defense, available to the Department the narrow wall of the gallbladder or other tissue flap flap without line cholangioenterostomy.
Some patients after a long period internal and external biliary drainage, liver cyst gradually reduced, the nature of the drainage of bile also increased from the beginning of the volume, pale, cloudy, turning to more normal sediment, intrahepatic stone recurrence is also reduced, Such

- Congenital intrahepatic bile duct dilatation with Chinese Medicine
Congenital intrahepatic bile duct dilatation (Caroli disease) is an autosomal recessive genetic disease, biliary tract, mainly for the intrahepatic bile duct cystic expansion. Light may not have any clinical symptoms, diseases can be severe abdominal pain, chills, fever, jaundice triad. Modern medical treatment of this disease is mainly the expansion of the bile duct resection or liver transplantation. However, limited technology and the affordability of the majority of patients, surgical resection or liver transplantation is often difficult to achieve the desired results.
Diagnosis and treatment of the disease for decades the a lot, Noir to traditional Chinese medicine to take effect, and rarely relapse, of course, there are some lessons to be learned. This paper tries to talk about some of my on this, please still hanging at the drain of doctors and patients are spared Lin fellow correction. Although Caroli disease is congenital, but when and whether the incidence of disease, induced in large part depend on various factors. If you do not have enough negative factors to stimulate the outside world, this autosomal recessive disease is likely you will never show it.
In medicine, the liver is very tired of this. The disease also, mainly in the severe mood swings or fatigue after the blood or by other diseases induced by injuries. Some people are incidence of post-natal or post-surgery.
Different incentives, its clinical manifestations and treatment are different. For example, labor induced by over-year, more performance for the deficiency or blood deficiency of both strength and more inflammation associated with virtual fire. Treatment often Decoction, Shiquandabutang diarrhea or stomach yin fire complement Sun Decoction; and those caused by the depression or rage, the more performance for the liver or liver blood is not comfortable enough Deficiency scared. Treatment often Xiaoyaosan, Bugan Duo Chen Jian soup or soup-based lamps and, if those are typical signs of Shaoyang disease to Xiao Chai Hu Tang or Chaihujialonggumuli soup; secondary to serious illness, after, or after, birth who Hang Tang was prescribed to the spleen, or blood circulation of goods with discretion.
In short, the demand for differentiation, the trial is due to rule on the fundamental law to treat the disease. If you stick to a few sets of governance that is death, serious illness, the few who have been effective.
Second, both preventive and cure
Although most scholars believe that Caroli disease is an autosomal recessive genetic disease, but many simply can not pursue a typical case of the genetic family history, and clinical and completely confirmed the disease can be cured, so do not forgive their "innate" in the name fear of the tiger, miss treatment opportunities. Clues that should impose strong slight improvement in treatment, in order to ride out the storm as soon as possible.
Handan try to govern a child named Qin, aged 5, the spring of 2003 found that under the conditions of a chance with diffuse intrahepatic duct dilatation. Western proposed to be severe symptoms when surgical resection or liver transplantation. Their parents do not want to wait, Nianzhuan to our hospital for treatment. Nothing, as the bitter, yet lively, the only response is more sensitive, looking slightly pale, pale tongue, body fat, while there are teeth marks. This small exercise known under the sub-prime "cowardly", whenever small Noir insecure, and frightened hatred diarrhea. This deficiency is also afraid of the card, to the Kennedy Atractylodes Decoction combined peony powder, Shuijianbi, day one; the other to study SHENLINGBAISHU powder capsules, oral powder, each 2 g, 3 times a day.
About 2 months of treatment, children with physical fitness has improved, his attitude than before, "bold", ultrasound prompted the formation of intrahepatic bile duct cyst expansion over the previous narrowing. 7 months before and after medication, ultrasound Note: No expansion of extrahepatic bile duct. To date more than 5 years, several ultrasound examination were normal.
June 2001, I rule Pingyi County, Shandong Province of China in a hospital nurse, female, 25 years old, more than a month after childbirth, due to abdominal pain with a small amount of ascites, jaundice, fever chills, in the mountains Yi Fuyuan diagnosed with Caroli disease, and then to the 301 hospital, the hospital proposed liver transplantation, the plan was dropped because of efficacy are not plausible. Temperature up to 39 degrees Celsius, more early in the afterno-2 points 2-3 points or a fever, body temperature can be reduced with antipyretics. The alternating fever and chills, this card also Shaoyang; and fever, facial and body want to reheat covered, short breath when the chest, stuffy feeling, and take its pulse is weak, there is a world gas subsidence, Yin Fire Next slide also. Expelling the main settlement Shaoyang, accompanied by lifting gas, sweet warm addition to heat, to co-Bu Zhong Yi Qi Tang Xiao Chai Hu Tang access. Service 6, fever has been reduced significantly. It is after this side of the CD card, a total of 100 medication, body temperature continued to normal within a month, hypochondriac pain disappeared; imaging studies, hepatobiliary system was normal. Then stop. June 2006 follow-up, work and life is normal.
Above case illustrates the Caroli disease is completely preventable, there have been clinical symptoms also can be cured. Of course the premise that early detection and early treatment.
Third, the actual situation inclusions, supplementation and attack
Caroli disease are the main manifestations were severe abdominal pain, chills and fever, jaundice, three patients, mostly from the point of the actual situation pathogenesis of inclusion. Virtual for the yuan qi is false or blood; evil is actually a hot and humid dampness or moisture retention, or the evil invasion Shaoyang, Cardinal disadvantage. So much for the treatment of attack supplementation and appropriate.
Of Caroli disease with ascites, jaundice based, could return to the heat Lishi Huang Tang Artemisia decoction five skin (Yang Huang), or spleen spleen of the real benefits of water to drink together and out of capillaries Aconite Decoction (Yin Huang ); and the chills of fever-based, or to lift San, Xiao Chai Hu Tang, Bupleurum soup large (partial implementation of those patients), or to the Decoction, diarrhea stomach yin fire make soup Sun (partial Xu Zheng persons). For abdominal pain, chills and fever, with those who completed the triad of jaundice, which require the parties and use. As mentioned above, patients with Chinese name is Xiao Chai Hu Tang and Bu Zhong Yi Qi Tang MS.
Attack supplementation and treatment of Caroli's disease is a difficult attack fear the injury is evil, righting consider their love evil. Such as jaundice, ascites heavier, although the body tired pulse small, both Qi and Yin tongue stripping and other signs of injury, nor sudden large dose Shi Qi, or feminine products, fear of the obstruct air love evil ears. Then you can shoot two imitation Zhong Jinggui a soup ephedra cases in the dampness on the basis of jaundice, slightly Zuo Qi Yin, preferably three to one ratio. Invest contrary, such as medicine void of righteousness, a few signs of yin and yang from the absolute, whilst the evil weight, can not attack too. However, resistance does not Quxie the evil way, they want to make redress. At this point should be the basis of a large dose righting, slightly Zuo Shu-li of the goods, or even three to one ratio of five to one is appropriate. For example, spleen real drink, then the prescription of Magnolia, papaya grams, woody grams, grass and fruit, nuts and other two-thirds reduction.
Fourth, after the illness conditioning is related to the success or failure
For Caroli disease, drug therapy is only part of the treatment process. When symptoms disappear, and even imaging tests were reported normal circumstances, the disease can not be ignored after the conditioning to become a part of. A large number of clinical cases show that the appropriate life photo transfer radical Caroli's disease is a major key.
One said, flirting blog. Yu Nu liver injury, spleen injury Worries. Especially in recovering from illness, although the safety of the gas long without mine Ning, although small fluctuations can lead to emotional tribulations in liver, spleen grams Fan Wei, the liver and spleen damage induced by Caroli disease is one of the main. So the proper regulation of mood, anger lotus system, can effectively prevent the recurrence of Caroli disease.
Second is section diet. By saying: since the times of eating, the stomach is injured. Have this illness, the digestion and absorption are extremely fragile. If not section diet, especially the more carnivorous food, will cause the stomach to transport and transfer dereliction of duty. The injured were acquired gastrointestinal disorder, lack of blood whom, liver and gallbladder missing the smooth section. As a result of the disease that there is the possibility of recurrence.
The third is suitable for cold temperature. Vigorous habit after serious illness away cold. But should not take the cold-Cold Food, and heavy for the heat tolerance of cotton bogey. Endure under such intense heat of thermal, gas will cause diarrhea along with Khan. The workers who want to warm it, but in reality the benefits of virtual body, the gas cloud is also strong fire eating, not accidentally.
Si Yue Shen labor. Caroli disease is not cured within three years of fatigue, overwork it certainly complex. More emphasis on fever every ancient food complex, in fact, even in the food complex rehabilitation workers. Especially in less developed parts of the economy in rural areas, living in poverty, and feed them meat rarely relapse, recurrence'd overload led to a lot of work. Of course, the emphasis on "non-fatigue", with emphasis on a "through" word, for the average intensity of labor generally can still do it well.
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