Biliary hypotonia syndrome, also known as Chiray syndrome, refers to a group of symptoms caused by decreased biliary tract tension and delayed gallbladder emptying, leading to indigestion, intolerance to fatty foods, and right upper abdominal pain. This syndrome falls under the category of biliary tract dysfunction syndromes and is also called gallbladder sluggishness syndrome.

bubble_chart Pathological Changes

Pathologically, there is gallbladder dilation and disappearance of the gallbladder neck, primarily due to autonomic dysfunction, decreased vagal nerve function, and reduced secretion of cholecystokinin.

bubble_chart Clinical Manifestations

More common in women, presenting with discomfort or pain in the right upper abdomen, nausea, vomiting, indigestion, and aversion to greasy foods. Occasionally, jaundice and tenderness in the right upper abdomen may occur.

bubble_chart Diagnosis

Oral cholecystography or B-mode ultrasound may reveal gallbladder enlargement and poor contraction function after a fatty meal. This condition can only be considered after excluding organic biliary diseases (such as cholelithiasis, biliary ascariasis, biliary tract infections, etc.).

bubble_chart Treatment Measures

The treatment primarily involves medications that promote gallbladder contraction to accelerate its emptying, such as magnesium sulfate, and Chinese medicinal herbs like Bupleurum, Curcuma Root, Skullcap Root, and Submature Bitter Orange, which have anti-inflammatory and cholagogic effects. Additionally, autonomic nervous system function should be regulated.

bubble_chart Differentiation

Differentiate from chronic cholecystitis, extrahepatic biliary obstruction, and chronic hepatitis.