基于“塞因塞用”法辨治不完全性肠梗阻  

Syndrome Differentiation and Treatment of Incomplete Intestinal Obstruction Based on“Treating Obstruction with Tonics”Method

作　　者：王晓鸽 李合国[1] 许二平[2] 丁娜娜 WANG Xiaoge;LI Heguo;XU Erping;DING Nana(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,Henan,China;Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000 [2]河南中医药大学,河南郑州450046

出　　处：《辽宁中医杂志》2023年第12期42-44,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82104776);河南省中医药科学研究专项课题(2021JDZY025)。

摘　　要：目前中医药治疗不全性肠梗阻多以“通腑攻下”为法,适用于“热结、气滞、痰凝、血瘀”为主的实证型患者,尽管不完全性肠梗阻实证居多,虚证亦不容小觑,虚证型不完全性肠梗阻患者的发病机制在于脾胃气血阴阳亏虚,气机升降失调,枢机阻滞,肠腑推动无力从而出现“痛、吐、胀、闭”等临床表现,因此采用“塞因塞用”法,以补开塞,疗效确切,为不完全性肠梗阻中医药治疗的进一步完善提供参考。Traditional Chinese medicine treatment of incomplete intestinal obstruction has special advantages,the current treatment of incomplete intestinal obstruction in traditional Chinese medicine is mostly based on the method of“relaxing bowels and purging”,which is suitable for excess syndrome patients with“heat accumulation,Qi stagnation,phlegm coagulation,blood stasis”.Although the majority of cases of incomplete intestinal obstruction are substantial,the deficiency syndrome should not be underestimated.This article analyzed the pathogenesis of this type is that the deficiency of Qi,blood,Yin and Yang of spleen and stomach,the dysfunction of Qi movement,blockage of the pivot and weak propulsion of the intestines and organs which cause“pain,vomiting,swelling,closing”and other clinical manifestations,and so the“treating obstruction with tonics”method is used to supplement the opening method.The efficacy is remarkable,which provides a reference for the further improvement of traditional Chinese medicine treatment of incomplete intestinal obstruction.

关 键 词：不完全性肠梗阻 塞因塞用 中医药治疗 

分 类 号：R255[医药卫生—中医内科学]