摘要
胰十二指肠术后胃瘫是消化道肿瘤术后常见的一种并发症。对于该病的治疗,熊鸣峰教授根据30余年临床观察与经验总结,提出独特的中医十层脉辨治方法。中医十层脉法主要将脉诊细分为十层进行分析,具体包括肺脉、大肠脉、心脉、小肠脉、脾脉、胃脉、肝脉、胆脉、肾脉、膀胱脉。熊教授基于中医十层脉诊治方法,深入分析胰十二指肠术后胃瘫的病机,认为本病与肝疏泄功能密切相关,主要病机在于肝气疏泄失常导致脾胃功能受损。基于这一认识,熊教授制定了以从肝论治为主的治疗方案,强调通过调理肝气恢复脾胃的正常运化功能,以达到治疗目的。在治疗过程中,熊教授注重脉象变化,根据脉象的不同,灵活选取不同的治疗方法。他擅长整体调整、内外同治,将中医内治法与外治法相结合,通过中药内服、针灸、推拿等多种手段对患者进行整体调整,旨在恢复机体动态平衡,以期达到最佳治疗效果。临床实践证明,熊教授的治疗方法在胰十二指肠术后胃瘫的治疗中取得了显著的疗效,不仅有效缓解了患者的症状,提高了其生活质量,还缩短了病程,为患者进一步接受放化疗治疗创造了有利条件。熊教授的辨治经验值得临床医师传承和学习,以便为胰十二指肠术后胃瘫提供更多有效的治疗思路和方法。
Gastroparesis after pancreatoduodenectomy is a common complication after digestive tract tumor surgery.For its treatment,Professor XIONG Mingfeng proposed a unique method of traditional Chinese medicine ten-layer pulse diagnosis and treatment based on more than 30 years of clinical observation and experience.TCM ten-layer pulse methoa mainly divides pulse diagnosis into ten layers for analysis,specifically including lung pulse,large intestine pulse,heart pulse,small intestine pulse,spleen pulse,stomach pulse,liver pulse,gallbladder pulse,kidney pulse,and bladder pulse.Based on TCM ten-layer pulse diagnosis and treatment method,Professor XIONG Mingfeng conducts a thorough analysis of the pathogenesis of gastric paralysis after pancreatoduodenectomy,and believes that this disease is closely related to the liver’s function of dispersing and regulating,and its main pathogenesis lies in the impairment of spleen and stomach functions due to the dispersion disorder of liver Qi(气).Based on this understanding,Professor XIONG Mingfeng developes a treatment plan that focuses on treating diseases from the liver,emphasizing the restoration of the normal transportation function of the spleen and stomach by regulating liver Qi,in order to achieve the treatment goal.During the treatment process,Professor XIONG Mingfeng pays close attention to changes in pulse conditions,and flexibly selects different treatment methods according to different pulses.He excels at overall adjustment and treating both the superficial symptoms and root causes.By combining TCM internal treatment methods with external treatment,oral Chinese medicines,acupuncture,moxibustion,massage and so on are used to perform overall adjustments on patients,aiming to restore dynamic balance in the body and achieve the best treatment effect.Clinical practice has proven that Professor XIONG’s treatment has achieved remarkable results in the treatment of gastric paralysis after pancreatoduodenectomy.It not only effectively alleviates patients’symptoms,improves their quality of life,but also shortens the course of the disease,creating favorable conditions for patients to further receive radiotherapy and chemotherapy treatment.Professor XIONG’s experience in differential diagnosis and treatment is worthy of being inherited and learned by clinicians,aiming to provide more effective treatment ideas and methods for gastric paralysis after pancreatoduodenectomy.
出处
《中医临床研究》
2024年第29期145-148,共4页
Clinical Journal Of Chinese Medicine
基金
江西省科技厅重点研发项目(20203BBE52W010)。
关键词
中医十层脉
术后胃瘫
从肝论治
内外同治
名医经验
TCM ten-layer pulse
Postsurgical gastroparesis syndrome
Treating diseases from the aspect of liver
Treating both the superficial symptoms and root causes
Experience of prestigious doctor