辨证论治Fitz-Hugh-Curtis综合征  

Treatment Based on Fitz-Hugh-Curtis Syndrome Differentiation

作　　者：杨荣静[1] 王忠民 

机构地区：[1]天津市北辰医院,天津300400 [2]天津市王忠民中医传承工作室,天津300400

出　　处：《中国实验方剂学杂志》2016年第17期187-192,共6页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：天津市中医传承工作室项目(20120607)

摘　　要：Fitz-Hugh-Curtis综合征(FHC)系盆腔感染合并肝周围炎疾病,在妇科盆腔炎、附件炎、不孕症等疾病中可见。由于该病发病率较低,症状不典型,临床常被医生与患者所忽视,但随着诊断手段的不断增加与医者的高度重视,大部分患者得到及时诊治。为探索FHC发病规律、诊断要点以及可靠治法,参照国内外研究文献,从如何明确诊断入手,采用中西医结合的手段,依据患者临床表现,在配用抗生素的基础上,进行中医辨证论治,旨在缩短FHC疗程、提高治愈率。FHC明确诊断时常常产生一些并发症,诸如输卵管积水、梗阻,卵巢周围粘连等,且机体抗病能力处于不佳状态,对此中医具有一定的优势。根据患者脉证,结合FHC病因病机、诊断要点、辨证规律、用药技巧进行剖析,临床观察认为FHC与肝郁气滞、肝经湿热、痰湿瘀结、气血不和等有内在联系,分别采取疏肝解郁、理气通滞,疏肝清热、利湿化浊,化痰利湿、理气除滞,益气养血、扶正祛邪等法,并根据具体病情配合服用敏感抗生素,临床观察无论是对盆腔感染还是肝周围炎,均具有良好效果,对尽快解除患者痛苦、恢复感染器官功能,与单一西药或单一中药治疗比较,其疗效皆显示出明显的优势,这一探索成果为中西医结合治疗FHC提供借鉴与参考。Fitz-Hugh-Curtis（ FHC） refers to pelvic infection combined with liver inflammation,and can be found in such diseases as pelvic inflammation,annex inflammation and infertility. Due to the low incidence and untypical symptoms,it is often ignored by doctors and patients in clinic. However,with the improvement in diagnostic means and attention from doctors,the majority of patients could receive timely diagnosis and treatment.To explore the FHC pathogenesis regularity,the key points of diagnosis and reliable therapies,we referred to domestic and foreign research literatures,started with the confirmation of diagnosis,made traditional Chinese medicine treatment（ TCM） based on syndrome differentiation by means of combining TCM and western medicine and administering antibiotics according to patients＇ clinical manifestations. The purpose was to shorten the FHC treatment course and improve the cure rate. Confirmed FHC is often accompanied with some complications,such as hydrosalpinx,fallopian tube obstruction,and ovarian surrounding adhesion; besides,patients had a poor body disease-resistant ability. In this case,TCM has a certain advantage. According to patients＇ pulse conditions,FHC etiology and pathogenesis,key points for diagnosis,syndrome differentiation regularity,and medication skills,clinical doctors believed that FHC is correlated with liver Qi stagnation,dampness and heat in liver channel,phlegm-damp stagnation and congelation,and Qi-blood disharmony,respectively adopted therapies for relieving the depressed liver,regulating vital energy and dredging stagnation,relieving the liver and heat,removing damp and turbid,relieving phlegm and dampness,regulating vital energy and removing stagnation,supplementing Qi and nourishing blood,and strengthening body resistance and eliminating evil,and prescribed sensitive antibiotics to specific conditions. The clinical observation showed a good effect to pelvic infection and liver inflammation.Compared with the treatment with single TCM or western medicine,this ther

关 键 词：Fitz-Hugh-Curtis 中西医结合 辨证论治 盆腔感染 肝周围炎 沙眼衣原体 

分 类 号：R287[医药卫生—中药学]