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辨证论治便血80例临床观察
引用本文:唐伟节.辨证论治便血80例临床观察[J].实用中医内科杂志,2014(8):63-65.
作者姓名:唐伟节
作者单位:贵州省水城县人民医院消化内科,贵州水城553000
摘    要:目的]观察辨证论治便血疗效。方法]采用前瞻性设计将80例门诊患者辨证论治。湿热瘀结用温胆汤以清热祛湿,和营止血;脾胃虚寒治以温肾健脾,益气止血;胃火炽盛以清热解毒,泻胃火;瘀血内滞用失笑散合丹参饮以行气活血、化瘀止血;气不摄血用归脾汤以健脾益气,养血摄血;肝火犯胃用龙胆泻肝汤以清肝泻火,凉血止血。连续治疗7d为1疗程。观测临床症状、便隐血、不良反应。治疗1疗程,判定疗效。结果]痊愈32例,显效27例,有效13例,无效8例,总有效率90.00%。结论]辨证论治便血效果显著,值得推广。

关 键 词:便血  辨证论治  湿热瘀结  脾胃虚寒  胃火炽盛  瘀血内滞  气不摄血  肝火犯胃  便隐血  临床观察

Treatment Based on Syndrome Differentiation Bloody 80 Cases Clinical Observation
Authors:TANG Weijie
Institution:TANG Weijie ( Digestive Internal Medicine ShuiChengXian in Guizhou Province People's Hospital, Shuicheng 553000, Guizhou, China)
Abstract: Objective ] To observe the bloody curative effect of treatment based on syndrome differentiation. Methods ] 80 cases of outpatient treatment based on syndrome differentiation. Hot and humid formation wendan tang to, dispelling camp and bleeding; Spleen and stomach cold cure to the kidney and spleen, qi bleeding; Stomach fire ablaze with qingrejiedu, diarrhea stomach fire ; Blood stasis sluggish with his heart and salvia mihiorrhiza in drink by invigorating qi and blood bleeding; Qi is not taken blood with spleen- invigorating soup with spleen and replenishing qi, nourishing blood taken blood; Something make stomach with gentian purging liver soup with liver purging fire, cool blood bleeding. Continuous treatment of 7 d for 1 course of treatment. Observation of clinical symptoms and adverse reactions. As a course treatment, judge curative effect. Results ] 32 cases cured, 27 cases were markedly effective, 13 cases of effective, 8 no effect, the total effective rate was 90.00%. Conclusion ] The syndrome differentiation and treatment bloody effect is remarkable, it is worth promoting.
Keywords:Bloody  Treatment based on syndrome differentiation  Hot and humid type formation  Spleenand stomach type cold  Stomach fire flaming type  Fecal occult blood  Hysteresis model in blood stasis  Gas isnot taken blood type  Something make stomach type  Fecal occult blood  Clinical observation
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