扶正化积法治疗化疗相关性腹泻的个案报道
A Case Report on Treatment of Chemotherapy-related Diarrhea by Fuzhenghuaji Method
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1.内蒙古乌兰察布市中蒙医院肛肠科,乌兰察布 012000
2.内蒙古自治区中医医院脾胃病科,呼和浩特 010020
3.内蒙古自治区中医医院肛肠科,呼和浩特 010020
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王智慧, 牛兴东, 高原. 扶正化积法治疗化疗相关性腹泻的个案报道[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200308&Fpath=home&index=0
WANG Zhihui, NIU Xingdong, Gao Yuan. A Case Report on Treatment of Chemotherapy-related Diarrhea by Fuzhenghuaji Method[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200308&Fpath=home&index=0
王智慧, 牛兴东, 高原. 扶正化积法治疗化疗相关性腹泻的个案报道[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200308&Fpath=home&index=0 DOI:
WANG Zhihui, NIU Xingdong, Gao Yuan. A Case Report on Treatment of Chemotherapy-related Diarrhea by Fuzhenghuaji Method[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200308&Fpath=home&index=0 DOI:
病史摘要,2,该患2月前因“胃印戒细胞癌”于内蒙古医科大学附属医院腹腔镜下行“胃癌根治术”,术后出现化疗相关性腹泻,不能耐受化疗就诊于内蒙古乌兰察布市中蒙医院肛肠科门诊。现精神差,腹泻,5~7次/日,水样便,腹痛,伴腹中冷,畏寒肢冷,后背发凉,身软乏力,纳少寐差。查体:腹部正中可见一长约20 cm手术切口,腹平软,肠鸣音亢进。中医诊断 泄泻病(脾肾阳虚,寒湿困脾)。西医诊断 化疗相关性腹泻;胃体低分化腺癌Ⅲ期(T3N3Mx)。干预措施 本病为脾肾阳虚,寒湿困脾泄泻病,治疗以健脾温肾,助阳散寒,祛湿止泻;方以附子理中丸合四神丸加味。疗效转归 本案患者经过近一年的口服中药治疗,第一阶段以温补脾肾,祛湿止泻为法,治疗约5月余,水样便症状完全消失,腹痛、畏寒肢冷、乏力等症状明显改善,第二阶段在原方基础上加以化徵消积之九香虫、半枝莲等,经过约6个月的治疗,腹泻、腹痛症状消失,畏寒肢冷、乏力等临床症状进一步改善,同时腹部CT、肿瘤标志物(CEA)等肿瘤相关指标也明显改善。
Medical history Summary, The patient underwent laparoscopic "radical gastric cancer resection" in the Affiliated Hospital of Inner Mongolia Medical University before February, and had chemotherapy-related diarrhea after surgery, and could not tolerate chemotherapy in our outpatient clinic. Poor mental health, diarrhea, 5-7 times / day, watery stools, abdominal pain, accompanied by abdominal cold, cold limbs, cold back, weak body weakness, poor sleep. Physical examination: A surgical incision about 20 cm long may be seen in the middle of the abdomen, the abdomen is flat and soft, and the bowel sounds are hyperinflated. Auxiliary examination: CT of the abdomen suggests: CA of the gastrointestinal body; post-tumor marker (CEA) is elevated to 6.61 ng/L.,TCM diagnosis, spleen and kidney yang deficiency, cold and wet spleen sleepy.,Western medicine diagnosisc, hemotherapy-related diarrhea;gastric hypodifferentiated adenocarcinoma stage Ⅲ( T3N3Mx).,Therapeutic methods, The disease is spleen and kidney yang deficiency, cold and wet spleen diarrhea, treatment to strengthen the spleen and warm kidneys, help Yang disperse cold, dispel dampness and stop diarrhea; Fang is flavored with "Fuzi Lizhong Wan" and "Sishenwan".,Clinical outcomes, After nearly a year of oral traditional Chinese medicine treatment, the first stage of the treatment to warm the spleen and kidneys, dispel dampness and stop diarrhea, treatment for about 5 months, watery stool symptoms completely disappeared, abdominal pain, cold limb cold, fatigue and other symptoms significantly improved, the second stage on the basis of the original formula to be characterized by the accumulation of nine incense worms, half-branched lotus, et al, after about 6 months of treatment, diarrhea, abdominal pain symptoms disappeared, cold limbs, fatigue and other clinical symptoms further improved, while abdominal CT, Tumor-related indicators such as tumor markers (CEAs) were also significantly improved.
化疗相关性腹泻脾肾阳虚扶正化积法中医药治疗个案报道
chemotherapy-related diarrheaspleen and kidney Yang deficiencypositive product methodtraditional Chinese medicine treatmentcase reports
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