文章摘要
虞晗群,严航,余碧炯,等.陈永灿从肝脾论治肛肠病术后并发症临证经验[J].浙江中医药大学学报,2024,48(3):315-318.
陈永灿从肝脾论治肛肠病术后并发症临证经验
CHEN Yongcan’s Experience in Treating Postoperative Complications of Anorectal Disease from the Liver and Spleen
DOI:10.16466/j.issn1005-5509.2024.03.011
中文关键词: 肛肠病术后  并发症  肝脾  临证经验  医案  陈永灿
英文关键词: postoperative anorectal disease  complication  liver and spleen  clinical experience  medical records  CHEN Yongcan
基金项目:2022年全国名老中医药专家传承工作室建设项目陈永灿全国名老中医药专家传承工作室(国中医药人教函〔2022〕75号);浙江省中医药(中西医结合)重点学科(2017-XK-B03)
作者单位
虞晗群 浙江中医药大学 杭州 310053 
严航 浙江中医药大学 杭州 310053 
余碧炯 浙江中医药大学 杭州 310053 
马凤岐 浙江省立同德医院 
白钰 杭州电子科技大学 
任莉 浙江省立同德医院 
陈永灿 浙江省立同德医院 
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中文摘要:
      [目的] 总结陈永灿主任从肝脾论治肛肠病术后并发症的临证经验。[方法] 通过随诊抄方,收集临床医案,查阅中医典籍和现代肛肠病术后并发症相关的研究文献,分析肝脾与肛肠的关系,提出本病的关键病机和主要治法,阐述陈主任从肝脾论治肛肠病术后并发症的临床经验,并附医案三则以供佐证。[结果] 陈主任认为,肛肠病术后并发症与肝脾失调密切相关,病位在肛肠,而责于肝脾。肛肠与肝脾的关系体现于生理相通、功能相系、五行相关三个方面,肛肠病的关键病机为肝脾不和、气机失调,治疗主张从肝脾入手,以升、清、养三法调和肝脾、燮理气机,促进术后肛肠功能恢复。所举医案为升脾疏肝治混合痔术后便秘、清肝运脾治肛瘘术后腹胀和滋脾柔肝治直肠癌术后泄泻,均获较好疗效。[结论] 陈主任从肝脾论治肛肠病术后并发症,经验丰富,切合实用,值得推广。
英文摘要:
      [Objective] To summarize the clinical experience of Director CHEN Yongcan in the treatment of postoperative complications of anorectal disease from the liver and spleen. [Methods] Through learning from teachers, collecting clinical medical cases, reviewing relevant literature, analyzing the relationship between liver and spleen and anorectum, the key pathogenesis and main treatment methods of this disease were proposed, and the clinical experience of Director CHEN in treating postoperative complications of anorectal disease from the liver and spleen was expounded, and three medical cases were attached for evidence. [Results] Director CHEN believes that the postoperative complications of anorectal disease are closely related to liver and spleen disorders, and the disease is located in the anorectum, and the liver and spleen are responsible. The relationship between anorectum and liver and spleen reflects in three aspects: physiological communication, functional connection and five elements correlation, and the key pathogenesis is liver and spleen discord and Qi imbalance, and the treatment advocates starting from the liver and spleen, with the three methods of rising, clearing and nourishing, harmonizing the liver and spleen, regulating the Qi movement, and promoting the recovery of anorectal function after surgery. The cited medical cases included the treatment of postoperative constipation of mixed hemorrhoids by raising the spleen and soothing the liver, the treatment of postoperative abdominal distension of anal fistula by clearing the liver and promoting the spleen, and the treatment of postoperative diarrhea of rectal cancer by nourishing the spleen and softening the liver, all of which achieved good therapeutic effects. [Conclusion] Director CHEN has rich experience in the treatment of postoperative complications of anorectal disease from the liver and spleen, which is practical and worthy of promotion.
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