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| 张伯礼教授治疗先天性巨结肠术后便秘验案 |
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秦广宁1, 刘耀远2, 王凯3, 熊可1, 江丰1
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1.天津中医药大学, 天津 301617;2.天津中医药大学第一附属医院, 国家中医针灸临床医学研究中心, 天津 300381;3.天津中医药大学第二附属医院, 天津 300250
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| 摘要: |
| 先天性巨结肠是一种肠黏膜下层神经节细胞缺失的先天性疾病，主要通过手术治疗。便秘是先天性巨结肠术后常见并发症之一，西医治疗效果欠佳，有再次手术的可能。中医辨证治疗便秘效果显著且无明显不良反应。张伯礼教授临证五十余载，在治疗疑难杂症方面积累了丰富的临床经验。文章对张伯礼教授治疗先天性巨结肠术后便秘验案进行整理报告，介绍了张教授临床辨证思维及遣方用药经验。 |
| 关键词: 先天性巨结肠 便秘 中医 临床经验 |
| DOI：10.11656/j.issn.1672-1519.2023.05.02 |
| 分类号:R256 |
| 基金项目:张伯礼国医大师工作室项目；张伯礼学部委员学术思想经验多维度传承研究项目（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 |
