黄芪建中汤治疗十二指肠球部溃疡临床总结

The Clinical Reviews of Treating Duodenal Bulbar Ulce with Huangqi Jianzhong Decoction

十二指肠球部溃疡属于中医胃脘痛的范畴。按中医辨证分型适于黄芪建中汤治疗的有３种类型，即脾胃虚寒型、脾胃虚弱型、气虚血瘀型。通过用黄芪建中汤加减治疗４５例十二指肠球部溃疡病患者，其中临床治愈１４例，占３１．１％；好转者２７例，占６０％；无效４例，占８．９％。总有效率为９１．１％。

Duodenal Bulbar ulcer belongs to epigastralgia in TCM. Huangqi Jianzhong Tang (Radix Astragali strengthening the spleen and stomach decoction) is suited to treat insufficiency of the spleen-yang, weakness of the spleen and the stomach and deficiency of qi and blood stasis on the basis of differentiation of symptoms and signs of TCM to duodenal bulbar ulcer. There were 14 cases cured (for 31.1%), 27 cases on the mend (for 60%) and 4 cases failed to respond (for 8.9%) in 45 patients with duodenal bulbar ulcer treated by modified Radix Astragali strengthening the spleen and stomach decoction,in which the effective rate is 91.1% in all.