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| 張伯禮教授治療先天性巨結腸術后便秘驗案 |
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秦廣寧1, 劉耀遠2, 王凱3, 熊可1, 江豐1
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1.天津中醫藥大學, 天津 301617;2.天津中醫藥大學第一附屬醫院, 國家中醫針灸臨床醫學研究中心, 天津 300381;3.天津中醫藥大學第二附屬醫院, 天津 300250
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| 摘要: |
| 先天性巨結腸是一種腸黏膜下層神經節細胞缺失的先天性疾病，主要通過手術治療。便秘是先天性巨結腸術后常見并發癥之一，西醫治療效果欠佳，有再次手術的可能。中醫辨證治療便秘效果顯著且無明顯不良反應。張伯禮教授臨證五十余載，在治療疑難雜癥方面積累了豐富的臨床經驗。文章對張伯禮教授治療先天性巨結腸術后便秘驗案進行整理報告，介紹了張教授臨床辨證思維及遣方用藥經驗。 |
| 關鍵詞: 先天性巨結腸 便秘 中醫 臨床經驗 |
| DOI：10.11656/j.issn.1672-1519.2023.05.02 |
| 分類號:R256 |
| 基金項目:張伯禮國醫大師工作室項目；張伯禮學部委員學術思想經驗多維度傳承研究項目（CI2022E025XB）。 |
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| A case of postoperative constipation for hirschsprung disease treated by Professor ZHANG Boli |
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QIN Guangning1, LIU Yaoyuan2, WANG Kai3, XIONG Ke1, JIANG Feng1
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1.Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupunture anel Moxibustion, Tianjin 300381, China;3.Second Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China
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| Abstract: |
| Hirschsprung disease（HD） is a congenital disease characterized by absence of ganglionic cells in the intestinal submucosa and it is mainly treated by surgery. Constipation is a postoperative complication of HD with poor therapeutic effect and the possibility of reoperation. The effect of traditional Chinese medicine（TCM） syndrome differentiation on constipation is remarkable and the side effect is small. Professor ZHANG Boli has been engaged in clinical practice of TCM for more than fifty years and has accumulated a lot of experience in the treatment of complicated diseases. This article reported a case of postoperative constipation for hirschsprung disease treated by Professor ZHANG Boli，hoping to understand he’s clinical syndrome differentiation thinking and prescription experience. |
| Key words: hirschsprung disease constipation traditional Chinese medicine clinical experience |
