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半夏泻心汤治疗胃癌术后Roux-en-Y滞留综合征思路探析

Treatment Thought Analysis of Using Banxia Xiexin Decoction in the Treatment of Roux-en-Y Detention Syndrome after Stomach Cancer Operation
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摘要 术中行Roux-en-Y吻合的患者常发生胃癌术后Roux-en-Y滞留综合征(Roux-en-Y stasis syndrome after gastrectomy,RSS),表现为厌食、恶心呕吐、上腹饱胀甚至腹痛等,经常在进食后加重,有时需要再次手术治疗。该症候群符合半夏泻心汤的主治证候,概因术后正气受损,脾胃虚弱,饮食失节,运化失司,最终导致寒热错杂、气机升降失常的痞证。临床上运用半夏泻心汤治疗该证候取得了较好的疗效,体现了传统中医中药辨证施治的优势。 Roux-en-Y retention syndrome(Roux-en-Y stasis syndrome,RSS) often occurs in patients with gastric cancer who underwent Roux-en-Y anastomosis. Anorexia,nausea and vomiting,swelling and even abdominal pain,etc.,often after eating aggravated,and sometimes need surgery again. Syndromes meet the Banxia Xiexin Decoxtion attending syndrome,probably due to postoperative righteousness damage,spleen and stomach,eating disorders,transport loss of the secretary,leading to mixed cold and gas,abnormal gas lift ups and downs of the card,we have used Banxia Xiexin Decoction in the treatment of the syndrome has achieved good effect,reflects the advantages of traditional Chinese medicine syndrome differentiation.
作者 顾瑞 陈德轩 GU Rui;CHEN Dexuan(The First Clinical College of Nanjing University of Traditional Chinese Medicine (Nanjing Jiangsu 210023,China);The Affiliated Hospital of Nanjing University of Traditional ChineseMedicine (Nanjing Jiangsu 210029,China))
出处 《四川中医》 2019年第7期25-27,共3页 Journal of Sichuan of Traditional Chinese Medicine
基金 江苏省“333工程”科研资助课题(编号 BRA2017550) 江苏省“六大人才高峰”资助课题(编号 2015-WSW-046)。
关键词 胃癌 半夏泻心汤 Roux-en-Y滞留综合征 痞证 辨证论治 Stomach cancer Banxia Xiexin Decoction Roux-en-Y syndrome TCM syndrome of ruffian Syndrome differentiation and treatment
作者简介 顾瑞,硕士研究生,研究方向:普通外科疾病研究。△通讯作者:陈德轩,副教授,博士研究生,研究方向:中西医结合围手术期调理及相关并发症的处理.
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