Home | News | TCM | Reflexology | Acupuncture | Taiji | Qigong | Herbal Tea | Sino-western Joint | Products | Cases | Academic Exchange | Prevention | Activities | Forum | Community | Blog | About Us | Site Map
Cholecystitis is categorized as " xie tong ", " Huang dan", etc.
1. Acute cholecystitis has an acute onset and persistent pain in the right upper quadrant radiating to the right shoulder accompanied with nausea, vomiting and fever. Jaundice may be present in some patients. Physical examination reveals prominent tenderness, rebounding tenderness and muscular tension in the right upper abdomen, sometimes the enlarged gallbladder is palpable.
2. Patients suffering from chronic cholecystitis usually have such chronic symptoms as discomfort in the right upper quadrant, vague pain, abdominal distension, aversion to greasy food, eruction and other dyspeptic manifestations. Physical examination may re-veal slight tenderness or no specific signs.
3. Laboratory examination:
(1) In the stage of acute attack, leucocytosis, elevated icterus index and hepatic lesion to some extent may be present.
(2) Abdominal X-ray plain film may show positive ra-dioopaque stone, enlarged gallbladder and calcified opacity. Cholecystography reveals the form of gallbladder and its con-centrating function or radio-opaque stone. It is helpful for the diagnosis of chronic cholecystitis.
(3) Duodenal drainage is valuable in detecting the pathogen as well as confirming the diagnosis, giving some hints for treatment. Ultrasonic examination is practical to evaluate the function of gallbladder and suggest the existence of gallstones.