大黄蜂房饮保留灌肠治疗放射性直肠炎31例

Treating 31 cases of radioactivity proctitis by clyster

在妇科肿瘤如宫颈癌、外阴癌等疾病的治疗中,放射治疗是主要手段之一,其常见并发症为放射性直肠炎。从中医角度来看,我国传统医学无放射性肠炎的相关记载,但可认为放射性肠炎属"泄泻""痢疾"范畴。主要外因是放射线伤及肠道,其他相关因素包括先天禀赋不足,感受外邪,饮食所伤,情志失调,病后体虚等,总属本虚标实,虚实夹杂,病机为瘀毒互结,湿热下注。放射性直肠炎西医的治疗手段有限且效果不理想。本文在临床中运用大黄蜂房饮保留灌肠,功效解毒祛瘀,凉血止血,缓急止痛,取得了良好的疗效,弥补了西医治疗的不足,为中医药治疗放射性直肠炎提供一个新方法。

In the treatment of gynecological oncology such as cervical cancer and other diseases, one of its main means of radiotherapy, which is a common complication of radiation proctitis. Without related radiation radiotherapy records on China’s traditional medicine, which is considered “diarrhoea” “dysentery”. The main external factor is radiation intestinal injuries, other relevant factors include the lack of innate endowment, getting external evil , dietetic irrationality, emotional disorders, physically weak after the illness, all of which can summarized as deficiency in origin and enrichment in symptom and unionizing inclusions. The pathogenesis is poison-blood stasis and dampness-heat diffusing downward. Limited treatment of western medicine and radiation proctitis is not ideal. In this paper, with rhubarb and nidus vespae decoction retention enema, the effectiveness of which is detoxification quyu, cooling blood to stop bleeding, stop pain, achieved good curative effect, to make up for the lack of Western medicine, providing a new method for chinese medicine treatment of radiation proctitis.