不完全性肠梗阻从浊毒论治
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摘要
不完全性肠梗阻主要病因病机为浊毒蕴结肠胃,胃肠通降失常,兼有气滞、寒凝、热结、瘀血之不同。治以泄浊通腑为主,辅以理气行滞、温里散寒、清热解毒、活血化瘀,以自拟"泄浊通腑汤"口服,并配合中药"排毒通肠方"灌肠,内服和外用相结合治疗不完全性肠梗阻,获满意疗效。
Incomplete intestinal obstruction's main etiology and pathogen is turbidity toxin obstructed the intestines and stomach, the stomach smooth ability dropped, and Qi stagnation, cold congulation, heat accumulation, blood stasis and so on.It should be treated with discharging the obstructions intestines and stomach, supplemented by Liqi Xingzhi(regulating Qi for activating stagnancy), Wenli Sanhan(warming interior and dispelling cold), Qingre Jiedu(clearing heat and removing toxicity),Huoxue Huayu(promoting circulation and removing stasis). Oral modified Xiezhuo Tongfu decoction combined with Paidu Tongchang decocotion enema could show good clinical efficacy in treating incomplete intestinal obstruction.
Incomplete intestinal obstruction's main etiology and pathogen is turbidity toxin obstructed the intestines and stomach, the stomach smooth ability dropped, and Qi stagnation, cold congulation, heat accumulation, blood stasis and so on.It should be treated with discharging the obstructions intestines and stomach, supplemented by Liqi Xingzhi(regulating Qi for activating stagnancy), Wenli Sanhan(warming interior and dispelling cold), Qingre Jiedu(clearing heat and removing toxicity),Huoxue Huayu(promoting circulation and removing stasis). Oral modified Xiezhuo Tongfu decoction combined with Paidu Tongchang decocotion enema could show good clinical efficacy in treating incomplete intestinal obstruction.
引文
[1]杨文浩.外科学[M].南京:东南大学出版社,2015:504.
[2]沈凯.关于肠梗阻导管治疗老年粘连性肠梗阻50例的研究[J].今日健康,2014,13(3):37-38.
[3]刘玮,刘学岐,姚辉.针刺治疗术后麻痹性肠梗阻的机理研究进展[J].中医外治杂志,2015,24(6):47-49.
[4]毛宇湘.浊毒论[J]环球中医药,2012,5(7):520-522.
[5]许海锋,曹泽伟.曹泽伟治疗不完全性肠梗阻验案2则[J].湖南中医杂志,2016,32(11):99-100.
[6]柴天川,李佃贵.浅议浊、毒与浊毒理论[J].新中医,2009,41(12):102-103.
[7]李佃贵,朱峰,刘建平.浊毒论治探讨[J].山西中医,2008,24(11):1-3.
[8]谢胜军,梁慧,李晓萍,等.健脾理气、祛湿化瘀解毒法治疗晚期结直肠癌临床研究[J].湖南中医药大学学报,2017,37(2):196-199.
[9]曹东义,李佃贵,裴林.中医浊毒证的两个基本观点[J].湖北民族学院学报,2010,27(2):50-51.
[10]吕金仓,白亚平.李佃贵教授浊毒证用药经验介绍[J].新中医,2013,45(5):193-195.
[11]张弦,卢小利,卢伶俐.CT在结肠癌致肠梗阻疾病中的诊断价值及意义探讨[J].临床医学工程,2017,24(8),1061-1062.
[12]闫云云,尹抗抗,张文将,等.大承气汤对不完全性肠梗阻大鼠血清中乙酰胆碱和一氧化氮及回盲部形态学的影响[J].湖南中医药大学学报,2014,34(3):12-16.
[13]王正品,李佃贵,杜艳茹.浊毒致病论与现代中医病因学[J].中医杂志,2010,51(1):11-13.
[14]巫桁锞,熊慧生,蒋参.肠梗阻的中医治疗进展[J].中国中医急症,2013,22(9):1572-1574.
[15]贾跃廷.36例腹部手术后并发肠梗阻患者的临床分析[J].世界最新医学信息文摘,2016,16(19):91.
[16]陈海英.不完全性肠梗阻患者168例内科临床治疗体会[J].中国社区医师,2016,32(10):17-18.
[2]沈凯.关于肠梗阻导管治疗老年粘连性肠梗阻50例的研究[J].今日健康,2014,13(3):37-38.
[3]刘玮,刘学岐,姚辉.针刺治疗术后麻痹性肠梗阻的机理研究进展[J].中医外治杂志,2015,24(6):47-49.
[4]毛宇湘.浊毒论[J]环球中医药,2012,5(7):520-522.
[5]许海锋,曹泽伟.曹泽伟治疗不完全性肠梗阻验案2则[J].湖南中医杂志,2016,32(11):99-100.
[6]柴天川,李佃贵.浅议浊、毒与浊毒理论[J].新中医,2009,41(12):102-103.
[7]李佃贵,朱峰,刘建平.浊毒论治探讨[J].山西中医,2008,24(11):1-3.
[8]谢胜军,梁慧,李晓萍,等.健脾理气、祛湿化瘀解毒法治疗晚期结直肠癌临床研究[J].湖南中医药大学学报,2017,37(2):196-199.
[9]曹东义,李佃贵,裴林.中医浊毒证的两个基本观点[J].湖北民族学院学报,2010,27(2):50-51.
[10]吕金仓,白亚平.李佃贵教授浊毒证用药经验介绍[J].新中医,2013,45(5):193-195.
[11]张弦,卢小利,卢伶俐.CT在结肠癌致肠梗阻疾病中的诊断价值及意义探讨[J].临床医学工程,2017,24(8),1061-1062.
[12]闫云云,尹抗抗,张文将,等.大承气汤对不完全性肠梗阻大鼠血清中乙酰胆碱和一氧化氮及回盲部形态学的影响[J].湖南中医药大学学报,2014,34(3):12-16.
[13]王正品,李佃贵,杜艳茹.浊毒致病论与现代中医病因学[J].中医杂志,2010,51(1):11-13.
[14]巫桁锞,熊慧生,蒋参.肠梗阻的中医治疗进展[J].中国中医急症,2013,22(9):1572-1574.
[15]贾跃廷.36例腹部手术后并发肠梗阻患者的临床分析[J].世界最新医学信息文摘,2016,16(19):91.
[16]陈海英.不完全性肠梗阻患者168例内科临床治疗体会[J].中国社区医师,2016,32(10):17-18.