温脾汤治疗脊髓损伤后神经源性肠道功能障碍临床体会
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R256.35

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Clinical Experience of Wenpi Tang in Treating Neurogenic Bowel Dysfunction after Spinal Cord Injury
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    摘要:

    脊髓损伤后神经源性肠道功能障碍根据损伤平面分为上运动神经源性肠道功能障碍和下运动神经源性肠道功能障碍,前者临床主要表现为便秘,临床有效治疗手段较多;后者表现为便秘与大便失禁并存,临床处理相对复杂,可干预的治疗方法有限。中医学理论认为,脊髓损伤导致督脉阳气受损,经气不利,大肠传导失司,糟粕排泄异常,故而出现便秘;其病性为本虚标实,常见证型为冷秘和虚秘。温脾汤出自《备急千金要方》,主治阳虚寒积证,功效温补脾阳、攻下冷积,运用此方治疗上运动神经源性脊髓损伤后阳虚便秘可收到良好疗效。

    Abstract:

    Abstract: Neurogenic bowel dysfunction after spinal cord injury can be divided into upper motor neurogenic bowel dysfunction and lower motor neurogenic bowel dysfunction according to the level of injury. The former is mainly manifested as constipation and has many effective treatment methods. The latter is characterized by constipation and fecal incontinence, and its clinical treatment is relatively complex,with limited intervention methods.Chinese medicine theory believes that spinal cord injury leads to damage to yang qi of governor vessel and disturbance ofmeridian qi,resulting in the failure to conduct and transmit of large intestines and thus abnormity of discharge,and that causes constipation. The nature of disease is deficiency in origin and excess in superficiality,and its common syndrome types are cold constipation and deficiency constipation.Wenpi tang,which comes from the Beiji Qianjin Yaofang,mainly treatsyang deficiency and cold accumulation syndrome,whose effect is to warm and tonify spleen yang,and attack cold accumulation by purgation. The application of this prescription for yang deficiency and constipation after upper motor neurogenic spinal cord injury can receive a good effect.

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阮静,陈胜,陈娟,陈芳.温脾汤治疗脊髓损伤后神经源性肠道功能障碍临床体会[J].新中医,2021,53(12):46-49

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  • 在线发布日期: 2021-06-23
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