Cholecysto-colonic hepatic flexure adhesion syndrome

　　This syndrome is caused by adhesion between the fundus of the gallbladder and the hepatic flexure of the large intestine, forming a sharp angle in the large intestine, making it difficult for intestinal contents to pass through, leading to gas accumulation in the hepatic flexure of the large intestine. Although the gallbladder can normally fill, concentrate, and empty, when the large intestine exerts gravitational traction on the gallbladder, a series of clinical symptoms may occur. This disease can be seen in gallbladder-colonic fistula, due to recurrent attacks of cholecystitis, gas accumulation in the bile duct, atrophy of the gallbladder, leading to adhesion with the adjacent hepatic flexure of the colon.

　　1. Intestinal obstruction:The main clinical symptoms of intestinal obstruction are abdominal pain, vomiting, abdominal distension, and the cessation of排气 and defecation. There may also be disorders of water, electrolytes, and acid-base balance. In cases of strangulated obstruction or intestinal necrosis, shock, peritonitis, and gastrointestinal bleeding may occur. The harm of intestinal obstruction is great, the condition is severe, and it has a high mortality rate. It is necessary to actively treat the primary disease and reduce the occurrence of this complication.

　　2、消化不良：2. Dyspepsia:

　　Pay attention to liver protection in daily life to prevent fibrosis. The diet should be light, balanced, and nutritious, avoiding excessive intake of greasy, fried, and spicy foods. Do not overeat or starve. This irregular eating habit can cause abnormal secretion of digestive juices, leading to dysregulation of liver function.

　　In addition, eating fresh seasonal fruits and vegetables, and green foods are the best choices for protecting and nourishing the liver. For fresh vegetables, they can be eaten raw or cooked into soup, and they should be alternated daily to avoid frying them for too long. If the liver Qi is too strong, it is advisable to eat more foods that have a draining effect on the liver, such as fresh celery porridge or juice, chrysanthemum tea, etc.; for those with insufficient liver blood, who often feel dizzy, blurred vision, and fatigue, it is recommended to eat more longan porridge, wolfberry chicken soup, pork liver, etc. In spring, when the liver Qi is strong, it is easy to affect the spleen and stomach, so it is appropriate to eat some sweet and delicious foods, such as glutinous rice porridge, cabbage, and jujube.

　　1. Barium enema of the large intestine.

　　2. Gallbladder imaging:In patients with normal gallbladder function, the gas shadow of the colonic flexure of the liver can be connected or adjacent to the bottom of the gallbladder. If barium enema of the large intestine is performed at the same time, the site of the lesion can be displayed.

　　1. Pay attention to liver protection in daily life to prevent fibrosis. The diet should be light, balanced, and nutritious, avoiding excessive intake of greasy, fried, and spicy foods. Do not overeat or starve. This irregular eating habit can cause abnormal secretion of digestive juices, leading to dysregulation of liver function.

　　In addition, eating fresh seasonal fruits and vegetables, and green foods are the best choices for protecting and nourishing the liver. For fresh vegetables, they can be eaten raw or cooked into soup, and they should be alternated daily to avoid frying them for too long. If the liver Qi is too strong, it is advisable to eat more foods that have a draining effect on the liver, such as fresh celery porridge or juice, chrysanthemum tea, etc.; for those with insufficient liver blood, who often feel dizzy, blurred vision, and fatigue, it is recommended to eat more longan porridge, wolfberry chicken soup, pork liver, etc. In spring, when the liver Qi is strong, it is easy to affect the spleen and stomach, so it is appropriate to eat some sweet and delicious foods, such as glutinous rice porridge, cabbage, and jujube.

　　First, preoperative preparation

　　1. Preoperative preparation for acute patients can refer to gallbladder fistulization surgery.

　　2. For chronic cases, proper preparation before surgery is required: correcting anemia, improving nutritional status, and using high sugar, high protein, and high vitamin liver-protecting treatment. Prepare 300-500 ml of blood before surgery. Traditional Chinese medicine treatment for choledochocolonic liver flexure adhesion syndrome.

　　Second, folk remedies or dietetic recipes

　　1. Atractylodes steamed mandarin fish. Ingredients: 250-500 grams of mandarin fish, 15 grams of atractylodes, a little ginger and scallion, 15 grams of ham, 15 grams of mushrooms, and other seasonings. Method: Steam over high heat for 15 minutes.

　　2. crucian carp soup. Ingredients: 500 grams of crucian carp, 10 grams of tangerine peel, 3 grams of sand, 10 grams of Amomum villosum in a cloth bag, seasoning, scallions, ginger, etc. Method: Put the cloth bag and scallions and ginger into the fish belly, slightly fry the fish with scallion oil, add water, bring to a boil, and wait until the soup turns milky, eat in 2-3 servings.

　　Commonly used liver-protecting drugs for patients with liver disease---Commonly used liver-protecting drugs in clinical practice include vitamin drugs, drugs that promote liver detoxification, drugs that promote energy metabolism, drugs that promote protein synthesis, drugs that prevent fatty liver, and drugs that prevent fibrosis, and many other types.

　　Third, Liver and kidney yin deficiency type:For patients with hot palms and soles, night sweats, dizziness, blurred vision, soreness in the lower back and knees, and a red tongue with little coating, it is advisable to choose dietetic recipes for nourishing yin and benefiting the liver and kidney.

　　1. Chinese wolfberry steamed whole chicken. Ingredients: about 1000 grams of hen, 30 grams of Chinese wolfberry, a little seasoning. Method: Put the Chinese wolfberry into the chicken belly, add the seasoning, and steam for 2 hours, eat in 2-3 servings.

　　2. Chinese wolfberry winter wheat egg cubes. Ingredients: 10 grams of Chinese wolfberry, 30 grams of lean pork, 5 eggs. Method: chop the meat, beat the eggs, and steam and cut into granules. Stir-fry the meat, Chinese wolfberry, winter wheat, and egg granules together.

　　Fourth, Liver depression and spleen deficiency type:For patients with nausea, belching, loss of appetite, abdominal distension and pain, loose stools, it is advisable to use dietetic recipes for soothing the liver and strengthening the spleen.

　　1. Tangerine peel duck. Ingredients: one duck, 10 grams of tangerine peel, 10 grams of Chinese yam. A little seasoning. Method: After the duck is cooked, add the seasoning, tangerine peel strips, and Chinese yam, and boil for another 15 minutes. Eat in 2-4 servings.

　　2. Osmanthus rice porridge, rose rice porridge, and Job's tears and red bean porridge. Method: Cook the rice with water and an appropriate amount of sugar until slightly thick, then add osmanthus, rose, or Job's tears and red bean until thick, and it is ready to eat.