首页|从阳虚水泛、寒痰凝聚论腹膜假黏液瘤术后的治疗

从阳虚水泛、寒痰凝聚论腹膜假黏液瘤术后的治疗

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腹膜假黏液瘤(PMP)是低度恶性黏液性肿瘤,可归属于中医学"鼓胀"范畴.认为脾肾阳虚是PMP术后患者的发病基础,寒痰水饮是其主要病理产物.PMP术后治疗的重点是术后临床症状和痰湿体质的改善,控制复发为治疗的难点.提出应以温补脾肾、化痰利水为主要治则,采用附子理中丸合真武汤加减治疗,达到改善症状、提高生活质量、预防复发的目的,为PMP术后的临床治疗提供思路.
Postoperative Treatment of Pseudomyxoma Peritonei in the Light of"Edema Due to Yang Deficiency,Cold-Phlegm Coagulation"
Pseudomyxoma peritonei(PMP)is a low-grade malignant mucinous tumour,which can be classified under the category of"tympanites"in traditional Chinese medicine.It is believed that yang deficiency of the spleen and kidney is the basis of the pathogenesis of postoperative PMP patients,and cold-phlegm and water are the main pathological products of PMP.The focus of postoperative treatment of PMP is to improve the postoperative clinical symptoms and phlegm-dampness constitution of patients,and to control the recurrence of PMP is the main difficulty of the treatment.It is proposed that warming and supplementing the spleen and kidney,dissolving phlegm and draining water should be the main treatment principle,prescribed by modified Fuzi Lizhong Pill(附子理中丸)plus Zhenwu Decoction(真武汤),to achieve the purpose of improving the symptoms,enhancing the quality of life,and preventing the recurrence of the disease,and to provide ideas for postoperative treatment of PMP in clinic.

pseudomyxoma peritoneitympaniteswarm and supplement the spleen and kidneydissolve phlegm and drain waterFuzi Lizhong Pill(附子理中丸)Zhenwu Decoction(真武汤)

李振宇、张书信

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北京中医药大学第一临床医学院,北京市东城区海运仓5号,100700

北京中医药大学东直门医院

腹膜假黏液瘤 鼓胀 温补脾肾 化痰利水 附子理中丸 真武汤

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(22)