从少阳厥阴论治胰腺神经内分泌瘤术后胃瘫综合征医案一则

黄智斌; 陈延

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从少阳厥阴论治胰腺神经内分泌瘤术后胃瘫综合征医案一则

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从少阳厥阴论治胰腺神经内分泌瘤术后胃瘫综合征医案一则
A Medical Case of Treating Gastroparesis Syndrome After Pancreatic Neuroendocrine Tumor Surgery from Shaoyang Jueyin
1.广东省中医院岭南补土流派工作室，广东广州 510030
2.广东省中医院芳村医院脾胃病科，广东广州 510370
DOI：

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黄智斌, 陈延. 从少阳厥阴论治胰腺神经内分泌瘤术后胃瘫综合征医案一则[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615277&Fpath=home&index=0

HUANG Zhibin, CHEN Yan. A Medical Case of Treating Gastroparesis Syndrome After Pancreatic Neuroendocrine Tumor Surgery from Shaoyang Jueyin[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615277&Fpath=home&index=0
黄智斌, 陈延. 从少阳厥阴论治胰腺神经内分泌瘤术后胃瘫综合征医案一则[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615277&Fpath=home&index=0 DOI：

HUANG Zhibin, CHEN Yan. A Medical Case of Treating Gastroparesis Syndrome After Pancreatic Neuroendocrine Tumor Surgery from Shaoyang Jueyin[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615277&Fpath=home&index=0 DOI：

摘要

病史摘要,2,本案患者住院期间意外发现胰腺神经内分泌瘤，术前并无相关消化道症状，术后出现进食呕吐、食欲下降等肿瘤术后胃瘫综合征（Postoperative gastroparesis Syndrome，PGS）相关症状，经常规治疗效果不佳。四诊信息：面色苍白而枯槁，术后出现少食则嗳气、反胃、呕吐明显，饥饿而无食欲，大便4天一行，质硬，口干口苦，不欲饮，饮则腹胀，夜间腹部不适较为明显（隐隐刺痛），睡眠不佳，曾给予止呕、促进胃肠动力、消化酶、健脾开胃等药物处理，效果不佳，舌暗略红，苔白略干，舌底瘀络，脉浮弦滑，按之力减，右关略如豆。中医诊断　厥阴病（少阳不利，火郁厥阴，气血不畅）西医诊断　肿瘤术后胃瘫综合征干预措施　本案给予纯中药治疗，中药处方以转少阳枢机、火郁发之为主要治疗靶点，同时行气活血、养厥阴本体气血。疗效转归　一诊后呕吐消失，胃纳明显改善，2022年2月23日随访，体重较前增加约5 kg，无不适。2022年3月复查CT未见肿瘤复发。

Abstract

Summary of case history ,In this case, pancreatic neuroendocrine tumor was accidentally found during hospitalization, and there were no related digestive tract symptoms before surgery. After surgery, PGS-related symptoms such as eating, vomiting and decreased appetite appeared, and the effect of conventional treatment was not good. Four diagnosis information: pale and withered, postoperative less food is belching, nausea, vomiting is obvious, hunger and no appetite, stool 4 days / line, hard, dry mouth, bitter mouth, do not want to drink, drink is bloated, abdominal discomfort at night is more obvious (faint stinging), poor sleep, has been given anti-nausea, promote gastrointestinal motility, digestive enzymes, spleen appetizer and other drug treatment, the effect is not good, the tongue is dark and slightly reddish, the moss is slightly dry, the bottom of the tongue is stasis, the pulse is floating and slippery, according to the force reduction, the right pass is slightly like a bean,TCM diagnosis ,Jue Yin disease (unfavorable Shao Yang, fire depression Jue Yin, poor qi and blood).,Western medicine diagnosis, Postoperative Gastroparesis Syndrome (PGS).,Therapeutic methods ,In this case, pure Chinese medicine treatment was given. For the prescription of Chinese medicine, Shaoyang pivot and fire stagnation requiring dissipation were the main therapeutic target, and qi and blood circulation and qi and blood were exercised.,Clinical outcomes ,After one diagnosis, vomiting disappeared and gastric appetite improved significantly. After follow-up on 23 February 2022, her body weight increased by about 5kg with no discomfort. Repeat CT in March 2022 showed no tumor recurrence.

关键词

胰腺神经内分泌瘤肿瘤术后胃瘫综合征少阳厥阴

Keywords

Pancreatic neuroendocrine tumortumor postoperative gastric paralysis syndromeShaoYangjue Yin

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