浅谈扶脾摄血法论治胃肠道肿瘤出血  

Discussion on Spleen-Reinforcing and Blood-Containing Method for Gastrointestinal Tumor Bleeding Based on Syndrome Differentiation

作　　者：陈文君 王如洁 陈滨海 CHEN Wenjun;WANG Rujie;CHEN Binhai

机构地区：[1]浙江中医药大学第二临床医学院,浙江杭州310053 [2]浙江中医药大学附属第二医院,浙江杭州310005

出　　处：《新中医》2023年第8期153-157,共5页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2020ZB116)。

摘　　要：胃肠道肿瘤极易合并出血。中医学认为,血为中焦所化,慢性疾病日久消耗,以致脾阳不振、统摄失司,则血不循经,渐生离经之血。胃肠道肿瘤出血的核心病机为脾虚失摄,应以扶脾摄血为治疗大法。以黄土汤为代表的通过扶脾来发挥止血作用的一类方剂治疗胃肠道肿瘤出血,均可取得较好的临床疗效。Gastrointestinal tumors are prone to bleeding.According to traditional Chinese medicine,the blood formed by the middle energizer,is chronically consumed because of chronic disease,and this results in poor spleen yang and failure to control the blood,which makes the blood not transmit along channels and generates the out-of-channels blood.The core pathogenesis of gastrointestinal tumor bleeding is spleen deficiency and failure to control the blood,and therefore,the Spleen-Reinforcing and Blood-Containing Method should be adopted.In the treatment,formulas like Huangtu Decoction which plays the role of stopping bleeding by reinforcing the spleen can achieve a good clinical effect.

关 键 词：胃肠道肿瘤 出血 脾虚 扶脾摄血法 黄土汤 

分 类 号：R273[医药卫生—中西医结合]