RESUMEN
Background: Gallstone is a common disease not only in Vietnam but worldwide. A method of treatment for gallstone has not been discovered. Cholecystectomy is the main method for cholecystolithiasis. This solution has some advantage but the weak point is it can result in injury to the bile duct, high cost and cholecystectomy is not able to be carried out in every hospital. The particular traits of the Vietnamese gallstone patients are mixed crystals. Modern Medicine has some drugs for cholesterol stone so it has little affect. In addition, it gives undesirable side effects. Objective: To evaluate the effectiveness of the granulated medicine TSM in the treatment of cholecystolithiasis and biliary sludge. Subject and Method: The study was carried out in 47 cases (35 cholecystolithiasis, 12 biliary sludge) that used granulated TSM. Result: Granulated TSM reduce some clinical symptoms in gallstone patients with p<0.01. In general, the granulated TSM did not cause side effects and did not affect the liver and kidney functions. Conclusion: Granulated TSM has an advantage for gallstone patients. Gallstones were eliminated and completely in some cases.