摘要
介绍杨巍主任以中西医结合疗法治疗克罗恩病肛瘘的临证经验。认为病机以局部湿热下注为标,脾胃气虚和全身气血亏虚为本。治疗时倡导衷中参西,辨病与辨证相结合,药物与手术治疗相结合;精选手术时机,重视肛门功能的保护,分次手术,力求瘘管愈合彻底引流。并举验案1则。
This paper introduces Yang Wei’s clinical experience in the treatment of anal fistula of Crohn’s disease with combination of Chinese and western medicine. It is considered that the pathogenesis is downward flow of damp-heat as the branch cause, and qi deficiency of the spleen and stomach as well as qi and blood deficiency of the liver and kidney as the root cause. In the treatment, Professor Yang advocates the combination of Chinese and western medicine, disease differentiation and syndrome differentiation, and the combination of medication and surgical treatment. She selects the timing of operation, pay attention to the protection of anal function, striving for fistula healing through staged operation and thorough drainage. And one proven case is presented.
作者
陆宏
钟盛兰
郑德
汪庆明
罗泽昊
唐诚
杨巍
LU Hong;ZHONG Shenglan;ZHENG De;WANG Qingming;LUO Zehao;TANG Cheng;YANG Wei(Anorectal Department,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Anorectal Department of Traditional Chinese Medicine,Shanghai Fourth People’s Hospital,Shanghai 200081,China;Shanghai Baoshan District Hospital of Integrated Chinese and Western Medicine,Shanghai 201900,China)
出处
《上海中医药杂志》
2020年第7期55-58,共4页
Shanghai Journal of Traditional Chinese Medicine
基金
国家中医药管理局第六批全国老中医药专家学术经验传承工作项目[国中医药人教发(2017)29号]
上海市名老中医学术经验研究工作室建设项目(SHGZS-2017028)
上海中医药大学第四期名老中医学术经验研究工作室建设项目(SZYMZYGZS4016)
上海市科委科研计划项目(18401904600,18401905000)。
关键词
克罗恩病
肛瘘
中西医结合疗法
临床经验
杨巍
Crohn’s disease
anal fistula
therapy of integrated traditional Chinese and western medicine
clinical experience
Yang Wei
