张琪治疗内镜胃黏膜下剥离术后溃疡经验介绍

Experience of Instruction ZHANG Qi in Treating Ulcer After Endoscopic Submucosal Gastric Dissection

张琪教授是江苏省名中医,孟河医派代表性传承人,临床擅长治疗内镜胃黏膜下剥离术(ESD)后溃疡。张琪教授认为该病以脾虚为本,火毒为标;易气伤损血、火盛动血;多虚实夹杂,因实致虚。张琪教授临床常采用泻火解毒,和胃生肌法治疗,创立了和胃愈疡方,随症加减;对ESD后出血强调止血为先,当机立断;主张中药、针灸、推拿多法并用,全面兼顾;日常生活中重视调护,预防复发,在临床上常取得满意疗效。

Prof. ZHANG Qi is a famous Chinese medicine practitioner in Jiangsu province and a representative inheritor of Menghe Medical School. He is good at treating endoscopic submucosal gastric dissection(ESD). Prof. ZHANG Qi believes that spleen deficiency is the root of the disease and fire toxin is the branch,and is likely to cause damaged qi to impair the blood and exuberant fire to bleed,and that the disease is mainly of deficiency-excess complex and the deficiency is caused by excess. Prof. ZHANG Qi often adopt the method of draining fire and resolving toxins,and the method of harmonizing the stomach and engendering flesh, and he founds Hewei Yuyang Prescription, which can be modified according to different syndromes. For bleeding after ESD, he emphasizes on stopping bleeding promptly at first.Besides,Prof. ZHANG advocats the comprehensive use of Chinese medicine,acupuncture,moxibustion,Chinese massage,and he also attaches great importance to nursing and prevention of recurrence in daily life,which often achieve satisfactory clinical results.