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基于三焦—玄府气液理论探讨术后延迟性肠麻痹之病机及中医证治OACSTPCD

Exploration of Pathogenesis and Traditional Chinese Medicine Pattern and Treatment of Prolonged Postoperative Ileus Based on the Theory of Triple Energizers-Mysterious Mansion,Qi and Fluid

中文摘要英文摘要

术后延迟性肠麻痹(PPOI)是腹部术后肠功能恢复时间延迟、术后康复时间延长并易产生感染、血栓形成等一系列术后并发症的疾病.三焦为沟通全身津液、主持诸气之大腑,玄府为调整全身气机升降、水液代谢之玄微之府,二者密切联系.三焦—玄府气液失于宣通、肠腑失润,是产生术后PPOI重要病机.通过理三焦之气津、宣玄府之开阖,以期为PPOI的中医治疗提供思路.

Prolonged postoperative ileus(PPOI)is a disease with delayed recovery time of intestinal function after abdominal operation,prolonged postoperative recovery time and a series of postoperative complications.Triple energizers is a major bowel of communicating body fluid and governing qi,and mysterious mansion is the mysterious house of regulating up and down movement of qi and metabolism of fluid.There is a close relationship between the triple energizers the mysterious mansion.The loss of smooth movement of qi and fluid in the triple energizers and mysterious mansion of intestinal tract,and loss of moisturization in the intestinal bowel are important pathogeneses of PPOI.Through regulating qi and fluid of the triple energizers and opening and closing action of mysterious mansion,we can provide assistance for the traditional Chinese medicine treatment of PPOI.

张小春;龚冠闻;邵明月;江志伟

南京中医药大学第一临床医学院,江苏 南京 210029||南京中医药大学附属医院,江苏 南京 210029南京中医药大学附属医院,江苏 南京 210029

中医学

术后延迟性肠麻痹三焦玄府营卫气液

Prolonged postoperative ileusTriple energizersMysterious mansionNutrient and defenseQi and fluid

《中医药学报》 2024 (006)

48-52 / 5

中国医药教育协会2022重大科学攻关课题(2022KTZ005);江苏省中医药科技发展项目(ZD201903);江苏省十四五医学重点学科:中医外科学(js2251);江苏省医院协会医院管理创新研究课题(JSYGY-3-2020-94);江苏省研究生科研创新计划项目(SJCX23_0794)

10.19664/j.cnki.1002-2392.240115

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