实用中医内科杂志2024,Vol.38Issue(10) :116-118.DOI:10.13729/j.issn.1671-7813.Z20231925

胃内镜黏膜下剥离术后人工溃疡的中医病机和治法探讨

Discussion on TCM Pathogenesis and Treatment of Artificial Ulcers After Gastric Endoscopic Submucosal Dissection

叶露 倪思忆 刘勇攀 黄秋薇 张馨瑞 钟继红
实用中医内科杂志2024,Vol.38Issue(10) :116-118.DOI:10.13729/j.issn.1671-7813.Z20231925

胃内镜黏膜下剥离术后人工溃疡的中医病机和治法探讨

Discussion on TCM Pathogenesis and Treatment of Artificial Ulcers After Gastric Endoscopic Submucosal Dissection

叶露 1倪思忆 2刘勇攀 2黄秋薇 2张馨瑞 2钟继红2
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作者信息

  • 1. 桐乡市中医医院,浙江嘉兴 314500
  • 2. 浙江中医药大学附属第二医院,浙江 杭州 310005
  • 折叠

摘要

尽管内镜技术在不断的发展,但是胃内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)术后人工溃疡的修复以及并发症的防治是当前治疗的"模糊地带".从中医角度理解,该病可归属于"胃脘痛""胃疡""嘈杂"等范畴.目前中医认为该病的核心病机以及演变规律可概括为"正气不足、淤毒内结、热盛肉腐".在治疗方面,临床医生从不同角度入手,使用经方、自拟方、单药、中成药,有效缓解临床症状及加速溃疡愈合.该文通过对该病的病因病机、中医治疗等方面进行综合整理、归纳,为该病的中医诊治提供新思路,提高临床疗效.

Abstract

Despite the maturing of endoscopic technology,the treatment of artificial ulcers after endoscopic submucosal dis-section(ESD)and the management of complications is a"fuzzy zone"in the current treatment.Based on traditional Chinese medicine(TCM),the disease can be classified as"epigastric pain","gastric ulcer","clamoring stomach"and so on.The basic TCM pathogenesis of this disease can be summarized as follows,accumulation of blood stasis and toxin due to insufficiency of healthy qi;the blood collaterals were damaged by hyperactivity of heat bringing about rottenness of muscle.In terms of tre-atment,clinicians have used classical prescriptions,self-prepared prescriptions,single drugs,and ready-prepared Chinese medicines from different perspectives to effectively relieve the clinical symptoms and accelerate the healing of ulcers.By summa-rizing the etiology,pathogenesis and TCM treatment of this disease,providing ideas for the Chinese medicine diagnosis and treat-ment of this disease and improving clinical efficacy.

关键词

内镜黏膜下剥离术/人工溃疡/中医/病机/治疗

Key words

Endoscopic mucosal dissection/Artificial ulcer/traditional Chinese medicine/Pathogenesis/Treatment

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基金项目

浙江省中医药科技计划项目(2023ZL061)

出版年

2024
实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
参考文献量20
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