Objective To analyze the effects of the addition and subtraction of subdiaphragmatic Zhuyu decoction on the efficacy, TCM syndrome score and gastrointestinal function of patients with cholecystitis. Methods The clinical data of patients with cholecystitis admitted to our hospital from February 2021 to February 2023 were retrospectively selected, and 59 cases treated with subdiaphragmatic zhuyu decoction + conventional western medicine were selected as the observation group, and 118 cases were selected as the control group according to the pairing principle of 1:1. The clinical efficacy, gallbladder wall thickness, TCM syndrome score, fasting gallbladder volume, gastrin (GAS), postprandial gallbladder volume, vasoactive intestinal peptide (VIP), gallbladder contractile function, motilin (MTL), somatostatin (SS) and adverse reactions were compared between the two groups. Results After treatment, the clinical efficacy of the observation group (96.61%) was higher than that of the control group (83.05%), and the difference was statistically significant(P<0.05); the level of gallbladder contractile function in the observation group was higher than that of the control group, and the level of gallbladder wall thickness, fasting and postprandial gallbladder volume was lower than that of the control group, and the difference was statistically significant(P<0.05). The difference was statistically significant (P<0.05). Conclusion The addition and subtraction of subdiaphragmatic decoction can alleviate the clinical symptoms of cholecystitis, promote the recovery of gallbladder function, and improve gastrointestinal function. |