基于"阳化气,阴成形"谈恶性肿瘤术后胃瘫综合征OACSTPCD

According to traditional Chinese medicine,postsurgical gastroparesis syndrome(PGS) after malignant tumor surgery falls under the categories of piman(abdominal lumps and fullness) and outu (vomiting). It is mostly caused by deficiency of spleen and stomach yang and impaired qi movement. Malignant tumors,surgical procedures,drug treatments,and inadequate postoperative nutritional support can induce or exacerbate PGS. The concept that "yang transforms into qi and yin constitutes form" originates from the Huang Di Nei Jing(The Yellow Emperor's Inner Classic). The body's normal physiological function relies on the relative balance between yang transforming into qi and yin constituting form. Insufficient yang qi leads to abnormal ascension and descension of qi,blood,and body fluids,resulting in the accumulation of pathological products like blood stasis,phlegm turbidity,and cold dampness in the gastrointestinal tract—this signifies an excess of yin constituting form,leading to PGS. Therefore,the treatment for PGS should involve warming yang qi to address the root cause,supplemented by measures to remove phlegm,eliminate dampness,soften firmness,relieve constipation,tonify deficiency,drain excess,expel pathogens,and support normal qi. This comprehensive approach aims to improve treatment efficacy and enhance patient recovery.