世界中医药
文章摘要
引用本文:徐晓华1,吴霞1,2,李可欣1,2,林佳敏1,2,张青1.张青教授基于“肺与大肠相表里”的直肠癌前切除综合征的治疗经验[J].世界中医药,2019,(12):.  
张青教授基于“肺与大肠相表里”的直肠癌前切除综合征的治疗经验
Professor Zhang Qing's Experience in the Treatment of Rectal Cancer Preresection Syndrome Based on “the Lung and the Large Intestine Are Interior-Exteriorly Related”
投稿时间:2018-12-29  
DOI:10.3969/j.issn.1673-7202.2019.12.052
中文关键词:  肺与大肠相表里  薏苡败酱三仁汤  前切除综合征  直肠癌
English Keywords:The lung and the large intestine are interior-exteriorly related  Yiyi Baijiang Sanren Decociton  Anterior resection syndrome  Rectal cancer
基金项目:北京市自然科学基金资助项目(7162083)
作者单位
徐晓华1,吴霞1,2,李可欣1,2,林佳敏1,2,张青1 1 首都医科大学附属北京中医医院北京100010 2 北京中医药大学北京100029 
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中文摘要:
      直肠癌前切除综合征是直肠癌术后患者临床常见的症状,主要表现为便意频繁、排便频率增加、便急、排出困难、肛门坠胀、排便失禁等。尽管随着时间的延长,患者症状会稍有缓解,但仍有部分患者症状持续数年无明显改善,且大便异常的情况在结肠癌患者也不少见,单纯西药、针刺、艾灸、穴贴、灌肠等治疗虽能缓解部分症状,但治标不治本,不能维持长期效果。张青教授根据自己多年临床经验,基于“肺与大肠相表里”理论,总结出了薏苡败酱三仁汤,通过调节气、湿、血,以降气、祛湿、化瘀,同时辨证加减,标本兼治,对于直肠癌术后患者前切除综合征疗效显著。
English Summary:
      Anterior resection syndrome of rectal cancer is a common symptom in patients with rectal cancer after operation.It is mainly characterized by frequent bowel movements,increased defecation frequency,urgency,difficulty in excretion,anal downbearing distention,and fecal incontinence,etc.Although the symptoms will be slightly relieved over time,there are still some patients whose symptoms have not improved significantly for several years,and this abnormal stool condition is common in patients with colon cancer.Simple western medicine,acupuncture,moxibustion,acupoint sticking,enema and other treatments can alleviate some symptoms,but cannot cure the root causes and maintain the long-term effect.According to many years of clinical experience by Prof.Zhang Qing and the theory of “the lung and the large intestine are interior-exteriorly related”,he summed up Yiyi Baijiang Sanren Decociton.By regulating qi,dampness and blood to descend qi,eliminate dampness and resolve stasis,along with modification based on syndrome differentiation,and treating both symptoms and root cases,the curative effect is remarkable for patients with anterior resection syndrome after rectal cancer surgery.
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