肿瘤术后胃瘫综合征中医治疗策略

Initial exploration of treatments on traditional Chinese medicine for postsurgical gastroparesis

文章针对肿瘤患者术后胃瘫综合征的中医治疗进行阐述。认为脾胃虚弱、气滞血瘀湿阻是本病的基本发病病机,是治疗的理论基础;准确辨证是疗效的关键,需要辨证与辨病相结合、局部(胃脘)与全身分别辨证,同时注意肿瘤患者与普通外科患者术后胃瘫综合征的区别;治疗上采用中医外治法,包括中药外敷、灌肠及艾灸等,用药多选用行气通腑、活血化瘀、解毒通络类中药,加用辛香入络的芳香中药以促进药物吸收,作用直接,不损伤脾胃,特别适合术后胃瘫、胃肠功能紊乱的治疗。

The main idea of this paper is to show treatments of traditional Chinese medicine on cancer patients with postsurgical gastroparesis. The theoretical basis is that the main pathogenesis are deficiency of spleen and stomach, qi stagnation, blood stasis and dampness blocking collaterals. The key of the treatments is the accurate dialectic, it needs to combine syndrome differentiation with disease differentiation, separate the local and systemic differentiation and so on. External treatment is better for patients with gastroparesis because of its direct effect and no harm to stomach.