魏明教授运用健脾化瘀法治疗主动脉夹层术后腹痛病例报道  

Case Report of Professor Wei Ming’s Application of Method of Invigorating Spleen and Removing Blood Stasis in Treatment of Abdominal Pain after Aortic Dissection

作　　者：徐阳 王守成 张刘洁 邵明义[3] XU Yang;WANG Shoucheng;ZHANG Liujie;SHAO Mingyi(Department of Gastroenterology and Hepatology,The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China;The First Clinical College of Medicine,Henan University of Chinese Medicine,Zhengzhou 450046,China;Department of Science Research,The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院脾胃肝胆科,郑州450000 [2]河南中医药大学第一临床医学院,郑州4500463 [3]河南中医药大学第一附属医院科研部,郑州450000

出　　处：《基层中医药》2025年第2期21-25,共5页Basic Traditional Chinese Medicine

摘　　要：本文总结了魏明教授运用中医药疗法辨证治疗主动脉夹层术后腹痛的一则病例,并进行文献复习。主动脉夹层是危及生命安全的心血管急症之一,外科手术治疗是本病的首选急救方案,但术后并发症和不良反应不容忽视。相关研究表明,主动脉夹层术后出现的不良反应可累及包括消化器官在内的全身多个系统脏器。文中介绍了魏明教授治疗一位主动脉夹层术后腹痛患者的过程,该患者中医辨证属气虚血瘀,魏明教授谨守病机,以健脾化瘀为治法遣方用药。经中医药治疗后,患者腹痛症状大为缓解,取得了良好疗效。本文对该医案进行报告,总结魏明教授的临证思路和用药特点,并强调顾护脾胃、调理气血,确保脏腑机能恢复和机体气血流通,以期为临床诊治提供借鉴。This paper summarized a case of Professor Wei Ming’s treatment of abdominal pain after aortic dissection by syndrome differentiation using traditional Chinese medicine therapies and conducted a literature review.Aortic dissection is one of the life-threatening cardiovascular emergencies.Surgical treatment is the optimal emergency plan for this disease,but postoperative complications and adverse reactions cannot be ignored.Relevant studies have shown that the adverse reactions after aortic dissection can affect multiple systemic organs throughout the body,including digestive organs.This paper described the process of Professor Wei Ming in treating a patient with abdominal pain after aortic dissection.The patient was diagnosed with Qi deficiency and blood stasis according to traditional Chinese medicine syndrome differentiation.Professor Wei Ming strictly adhered to the pathogenesis of the disease and prescribed medications based on the treatment principle of invigorating the spleen and removing blood stasis.After treatment with traditional Chinese medicine,the patient’s abdominal pain was greatly relieved,achieving good curative effects.This paper analyzed this medical case,summarized Professor Wei Ming’s clinical thinking and medication characteristics,and emphasized protecting the spleen and stomach,regulating Qi and blood,and ensuring the recovery of the functions of the zang-fu organs and the circulation of Qi and blood in the body,so as to provide a reference for clinical diagnosis and treatment.

关 键 词：主动脉夹层 术后腹痛 益气健脾 活血化瘀 

分 类 号：R543.5[医药卫生—心血管疾病]