何永恒基于“络病”理论治疗放射性肠道损伤的经验采撷  

Experience of HE Yongheng in treating radiation-induced intestinal injury based on the theory of"collateral disease"

作　　者：汤晓娟 计萌 严晓琦 吕元[1] 李勇敏[1] 赵亮[1] 何永恒 TANG Xiaojuan;JI Meng;YAN Xiaoqi;LYU Yuan;LI Yongmin;ZHAO Liang;HE Yongheng(Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine(Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine),Changsha,Hunan 410006,China;Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;Changsha Medical University,Changsha,Hunan 410219,China)

机构地区：[1]湖南省中西医结合医院(湖南省中医药研究院附属医院),湖南长沙410006 [2]湖南中医药大学,湖南长沙410208 [3]长沙医学院,湖南长沙410219

出　　处：《湖南中医药大学学报》2024年第12期2193-2198,共6页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金面上项目(82374462);湖南省自然科学基金青年项目(2024JJ6286);湖南省卫生健康委员会科研项目(20231679);湖南省卫生健康委员会一般课题(W20243256);湖南省中医药管理局委托课题(D2023014);湖南省中医药管理局一般课题(B2024031);长沙市自然科学基金项目(kq2403131)。

摘　　要：放射性肠道损伤作为常见腹、盆腔恶性肿瘤放疗后的并发症,现代医学缺乏有效治疗方法。近年来,中医药在该病治疗中的优势逐渐凸显。何永恒教授从事中西医结合防治肛肠疾病的临床研究30余年,对放射性肠道损伤的治疗颇有心得。何永恒教授以“络病”理论为指导,从“毒、瘀、虚”论治放射性肠道损伤,强调该病治疗应以“通”字立法。急性期以“解毒消瘀,调和气血”为原则,提倡内外并治;慢性缓解期须培补脾肾,寓通于补,并重视加速肠道功能恢复在该病治疗中的重要作用。本文总结了何永恒教授论治放射性肠道损伤的经验,为中医药防治放射性肠道损伤提供参考。As a common complication following radiotherapy for abdominal and pelvic malignant tumors,radiation-induced intestinal injury(RII)lacks effective treatment methods in modern medicine.In recent years,the advantages of Chinese medicine in treating this disease have gradually become prominent.Professor HE Yongheng has been engaged in clinical research on the prevention and treatment of colorectal diseases with integrated Chinese and Western medicine for more than 30 years,and has extensive experience in treating RII.Professor HE,guided by the theory of"collateral disease",treats RII from the perspectives of"toxicity,blood stasis,and deficiency",emphasizing that the treatment of this disease should be based on the principle of"unblocking".During the acute phase,the principle of"removing toxins and resolving blood stasis,harmonizing qi and blood"is followed,advocating a combined internal and external treatment approach.In the chronic remission phase,it is necessary to nourish and strengthen the spleen and kidney,incorporating unblocking within tonification,and emphasizing the important role of accelerating intestinal function recovery in the treatment of the disease.This paper has summarized Professor HE Yongheng's experience in treating RII,providing reference for the prevention and treatment of this disease with Chinese medicine.

关 键 词：放射性肠道损伤 络病 毒 瘀 虚 临证经验 何永恒 

分 类 号：R249[医药卫生—中医临床基础]