尤建良治疗癌症术后气虚型不完全性肠梗阻经验  

You Jian-liang’s Experience of Treating Incomplete Intestinal Obstruction of Qi-Deficiency Type After Cancer Operation

作　　者：张楠[1] 尤建良[1] ZHANG Nan;YOU Jian-liang(Wuxi Hospital of TCM Affiliated to Nanjing University of TCM,Wuxi,Jiangsu,China,214071)

机构地区：[1]南京中医药大学附属无锡市中医医院

出　　处：《河南中医》2019年第11期1683-1686,共4页Henan Traditional Chinese Medicine

摘　　要：不完全性肠梗阻为癌症术后常见并发证,与“肠结”之痛、呕、胀、闭四大主症相似,“肠结”盖因正气亏虚且有形实邪阻滞肠腑,其病机总属本虚标实。正气亏虚,寒凝、湿邪、热毒、瘀血、燥结等实邪阻碍气血运行,致肠腑传导失司,发为本病。尤建良教授认为癌症术后:辨证属气虚者,正气亏虚于内,脾虚肝郁,胃失和降,中焦虚寒,痰湿阻络,结合不完全性肠梗阻病因病机特点,采用通腑方以益气疏肝健脾,温燥降逆止痛,并临证加减,疗效满意。Incomplete intestinal obstruction is a common postoperative complication of cancer,which is similar to the pain,vomiting,distention and closure of the"intestine node".The"intestine node"is due to deficiency of healthy qi and block of the intestine due to the physical and pathogenic factors,and its pathogenesis is usually primary deficiency and secondary excess.Deficiency of healthy qi,cold coagulation,dampness,heat toxin,blood stasis,dryness and other excess pathogens hinder the movement of qi and blood,resulting in the dysfunction of intestinal conduction,and lead to the disease.According to professor You Jian-liang,after cancer operation,for the patients with qi deficiency based on syndrome differentiation,their healthy qi is deficient inside the body with spleen deficiency and liver depression,stomach disharmony,middle jiao deficiency and cold,phlegm dampness blocking collaterals.The doctors should combine with the etiology and pathogenesis characteristics of incomplete intestinal obstruction,choose formulas for dredging viscera to replenish qi,dredge liver,activate spleen,warm dryness,reduce adverse,relieve pain.If proper addition and reduction are properly used according to exact symptoms,the clinical effect will be satisfactory.

关 键 词：癌症术后 不完全性肠梗阻 尤建良 

分 类 号：R249.2[医药卫生—中医临床基础]