从气血津液辨证论治急性放射性食管炎  

Treating Acute Radiation-induced Esophagitis from Differeniation of Qi,Blood and Fluid

作　　者：郇瑞华 汪欣文[2] 张晓男 李欣雨 HUAN Ruihua;WANG Xinwen;ZHANG Xiaonan;LI Xinyu(Shanxi University of Chinese Medicine,Taiyuan 030024,China;Research Institute of Shanxi Hospital of Traditional Chinese Medicine,Taiyuan 030012,China)

机构地区：[1]山西中医药大学,山西太原030024 [2]山西省中医药研究院,山西太原030012

出　　处：《中医药临床杂志》2023年第4期641-645,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：山西省医学科技创新团队建设(2020TD04);山西省卫生计生委科研课题(2017095)。

摘　　要：急性放射性食管炎(ARIE)是颈胸部恶性肿瘤放疗常见并发症,临床表现常以局部疼痛、吞咽困难、胸骨后烧灼感为主,甚则接触刺激性食物造成食管溃烂疼痛难忍,从中医角度来说ARIE的发生是气滞、血瘀、津亏作用的结果,与气血津液失衡相关。目前,ARIE仍未有标准治疗方案。西医多以黏膜表面保护剂、抗生素等对症治疗,短期疗效尚可,长期应用则不良反应众多,而中医能够结合气血津液理论将ARIE进行辨证分型,根据不同的证型阶段予以对证方药,发挥中医药的优势,为ARIE临床治疗提供诊治思路及方法。Acute radiation esophagitis(ARIE)is a common complication of radiotherapy for cervical and thoracic malignant tumors.From a perspective,the occurrence of ARIE is the result of Qi stagnation,blood stasis,and fluid deficiency,and is related to the imbalance of Qi,blood,and body fluid.Currently,there is no standard treatment for ARIE.Western medicine mostly uses mucosal surface protective agents,antibiotics,etc.for symptomatic treatment.Short-term curative effect is acceptable,but long-term application causes many adverse reactions.Traditional Chinese medicine can classify ARIE according to syndrome differentiation based on the theory of Qi,blood and body fluid,and provide corresponding prescriptions according to different syndrome stages,give full play to the advantages of traditional Chinese medicine,and provide diagnosis and treatment ideas and methods for the clinical treatment of ARIE.

关 键 词：急性放射性食管炎 气血津液 辨证论治 

分 类 号：R273[医药卫生—中西医结合]