文章摘要
霍介格运用风药治疗放射性肠炎经验撷菁
Experience of Huo Jiege in Treating Radiation Enteritis with Wind Medicine
投稿时间:2020-11-04  修订日期:2021-04-14
DOI:
中文关键词: 放射性肠炎  泄泻  风药  霍介格  医案  名医经验  
英文关键词: radiation enteritis  diarrhea  wind medicine  Huo Jiege  medical records  experience of famous doctors
基金项目:]江苏省中医药管理局:江苏省中医药领军人才项目(SLJ0211);江苏省中医药管理局:徐荷芬全国(省)名老中医药专家工作室兰园社区卫生服务中心工作站建设项目(18GZSGZZ001);江苏省中医药管理局:徐荷芬全国(省)名老中医药专家工作室丹阳市中医院工作站建设项目(18GZSGZZ002)
作者单位邮编
卞丽红 南京中医药大学 210046
季漪 南京中医药大学附属中西医结合医院 
李文宇 南京中医药大学 
霍介格 南京中医药大学附属中西医结合医院 
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中文摘要:
      [目的]总结霍介格教授运用风药治疗放射性肠炎的临床经验。[方法]介绍霍师对放射性肠炎的病因病机认识,阐述风药的源流以及功效,分析霍师临床运用风药治疗放射性肠炎的依据,并附案例加以验证。[结果]霍师认为放射性肠炎是癌瘤消耗气、血、阴、阳的同时,放射线之“火、热、毒”邪入侵人体,损伤脾胃及肠道所致。病机总属本虚标实,病位在肠腑,病理因素为湿、气、毒、瘀、虚,且多夹杂并见,临证遣方可配伍风药以祛风燥湿、疏肝理气、开阖玄府、化瘀通络、升阳举陷,针对放射性肠炎复杂的病因病机发挥治疗作用而获效。所举案例,霍师辨为脾气亏虚、湿毒内聚,治以健脾益气、祛风化湿解毒,以胃苓汤加减利水止泻、健脾祛湿,配伍白芷、升麻、羌活等风药,升举阳气的同时可防渗利太过,在整个组方中起到了画龙点睛之效。[结论]霍师治疗放射性肠炎时,谨守病机,辨证选方的基础上灵活运用风药,为放射性肠炎临床治疗提供了新思路,值得学习效法。
英文摘要:
      [Objective]To summarize Professor HUO Jiege's clinical experience in treating radiation enteritis with wind drugs. [Methods] This article introduced Professor HUO's understanding of the etiology and pathogenesis of radiation enteritis, expounded the origin and efficacy of wind drugs, analyzed the basis of Professor HUO's clinical application of wind drugs in the treatment of radiation enteritis, and attached a case to verify.[Results] Professor HUO believes that radiation enteritis is caused by the invasion of "fire, heat and toxin" of radiation into the human body while cancer consumes Qi, blood, yin and Yang, damaging the spleen, stomach and intestine. The pathogenic factors are dampness, Qi, toxin, blood stasis and deficiency, and most of them are mixed. The clinical prescription can be combined with wind medicine to remove wind and dryness, soothe the liver and regulate qi, open and close Xuanfu, remove blood stasis and dredge collaterals, raise Yang and lift depression.The case was identified as deficiency of spleen Qi and accumulation of dampness toxin. Professor HUO treated with strengthening the spleen, replenishing Qi, dispelling the wind, removing dampness and detoxification, and modified Weiling Decoction was adopted to reduce diuresis and stop diarrhea, strengthening the spleen and removing dampness. Among them, the combination of Angelicae Dahurica, Cimicifugae Rhizoma and Notopterygii Rhizoma and other wind drugs can lift Yang Qi and prevent excessive penetration of diuresis, which played a key role in the whole prescription. [Conclusion] In the treatment of radiation enteritis, Professor HUO,on the basis of observing the pathogenesis and selecting prescriptions based on syndrome differentiation, flexibly used wind medicine, which provided a new idea for the clinical treatment of radiation enteritis and was worth learning and following.
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