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Traditional Chinese Medicine shows promise in preventing cholelithiasis recurrence post lithotripsy
2021 Annals of Palliative Medicine Systematic review and pathway enrichment analysis of Chinese medicine in preventing recurrence and improving prognosis of cholelithiasis after gallbladder-preserving lithotripsy Li B, Lin Y, Nie B, Zhao G, Zhang X, Zhu M, et al.
Systematic Review Gallstones
Traditional Chinese Medicine (TCM) may enhance prognosis for cholelithiasis patients following gallbladder-preserving lithotripsy. This systematic review analyzed TCM's efficacy and safety in this context, along with functional pathway enrichment analysis of TCM target genes. Nine randomized controlled trials (RCTs) involving 926 participants were included. Meta-analysis indicated TCM reduced cholelithiasis recurrence, complications, gallbladder wall thickness, and contraction degree. No significant adverse reactions were noted. The study suggested that TCM, particularly the flavonoid glycoside naringin from Glycyrrhiza uralensis, could be beneficial post-gallbladder-preserving lithotripsy, but further high-quality RCTs are needed for a conclusive assessment.
Acupuncture shows promise in treating postcholecystectomy syndrome.
2020 Evidence-Based Complementary and Alternative Medicine Acupuncture for the Postcholecystectomy Syndrome: A Systematic Review and Meta-Analysis Yin Z, Xiao Q, Xu G, Cheng Y, Yang H, Zhou J, et al.
Systematic Review Gallstones Postcholecystectomy Syndrome Postoperative Care
Acupuncture may offer relief for Postcholecystectomy Syndrome (PCS), as revealed by a systematic review and meta-analysis of 14 RCTs with 1593 participants. While acupuncture combined with conventional medicine didn't significantly reduce pain, it significantly lowered postoperative nausea and vomiting incidence and improved gastrointestinal recovery compared to conventional medicine alone. However, the study acknowledges the limitations of included RCTs, including small sample sizes and low methodological quality. Further high-quality trials conforming to standardized reporting are needed to validate these findings. Adverse events related to acupuncture were reported as mild and acceptable. Further research is crucial for definitive conclusions regarding acupuncture's efficacy for PCS.
Chinese herbal compounds can potentially treat cholelithiasis by improving biliary dynamics, protecting liver function, reducing cholesterol, and managing inflammation.
2019 Evidence-Based Complementary and Alternative Medicine Mechanisms Underlying the Prevention and Treatment of Cholelithiasis Using Traditional Chinese Medicine Chen Q, Zhang Y, Li S, Chen S, Lin X, Li C, et al.
Review Article Chinese Medicine Gallstones Mechanism
In this research, various commonly used Chinese herbal compounds (CHCs) were assessed for their application in treating cholelithiasis. The investigation centered around understanding the mechanism through which these CHCs work. Critical to this understanding was the analysis of how CHCs influence biliary dynamics, liver functionalities, the levels of cholesterol and bilirubin, as well as the regulation of inflammatory responses.
Following this evaluation, it was discovered that traditional Chinese medicine-based treatments such as CHCs are effective in improving overall bodily functions. This enhancement of bodily function is integral in preventing the recurrence of cholelithiasis. The results point towards the possibility of the effective use of CHCs for patients with cholelithiasis, offering further choices in treatment besides merely surgical or medication options.