摘要
胆囊切除术后腹泻(postcholecystectomy diarrhea,PCD)是胆囊切除术后的一种症状群,无论是中医学还是现代医学对PCD的定义和治疗尚未达成共识。文章基于"肝郁-脾虚-气血失衡"的动态发展过程探讨PCD的中医病因病机及近年治疗进展,其中医病机主要为"肝郁脾虚、湿热内盛、气血瘀滞",以肝郁脾虚为主,三者之间可相互转化。西医治疗对于术后慢性腹泻存在局限性,临床治疗应把握本病动态变化的过程,而中医药治疗对此有优势。
Postcholecystectomy diarrhea(PCD)is a syndrome after cholecystectomy.No consensus has reached on the definition and treatment of PCD in traditional Chinese medicine or modern medicine.Based on the dynamic development process of"liver stagnation-spleen deficiency-dysfunction of Qi and blood",this article discussed the etiology and TCM pathogenesis of PCD and the treatment progress in recent years.Western medicine treatment has limitations for postoperative chronic diarrhea,and clinical treatment should grasp the dynamic change process of the disease,while traditional Chinese medicine treatment has advantages.
作者
朱泽荃
吴文忠
郑曼
徐道明
李莎
王晓秋
ZHU Zequan;WU Wenzhong;ZHENG Man;XV Daoming;LI Sha;WANG Xiaoqiu(Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Hospital of TCM,Nanjing 210029,Jiangsu,China)
出处
《辽宁中医杂志》
CAS
2020年第8期218-220,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
“十二五”国家科技支撑计划(2015BAI04B11)
省级中医康复师范(江苏)中心建设项目(K2017ykf18)
关键词
胆囊切除术后腹泻
中医病机
肝郁脾虚
治疗进展
postcholecystectomy diarrhea
pathogenesis
liver stagnation and spleen deficiency
treatment progress
