晁恩祥教授治疗急性坏疽性阑尾炎导致麻痹性肠梗阻伴急性呼吸窘迫综合征1例

晁恩祥教授认为在临床治疗时,首先,要坚持中医整体观念和辨证论治的特色;其次,要针对主要病机制定治法;第三,要根据患者的具体情况灵活给药。并结合本例坏疽性阑尾炎伴麻痹性肠梗阻及ARDS患者实际情况辨证为气机失畅、腑气不通、中焦不运,治宜调理气机、通腑消胀,方用大承气汤加藿香、紫菀鼻饲,以提壶揭盖、通宣腑气。另予葱白等辛温通阳之品敷脐,以运三焦之气;再予木香等灌肠直达病所,发挥药效。

Treating 1 case of gangrenous appendicitis complication with paralytic ileus and ARDS by professor CHAO En-xiang

Professor CHAO En-xiang thinks that several rules should be obeyed when we treat gangrenous appendicitis complication with paralytic ileus and ARDS.Firstly,we should adhere to the TCM characteristics of the holistic concept and treatment based on syndrome of differentiation.Secondly,we should formulate therapeutic method according to major pathogenesis.Thirdly,we should use drugs flexibly according to the patient's specific situation.Professor CHAO En-xiang considered it was the syndrome of dysfunctional activity of qi,fu qi being obstructed,dysfunction of middle-jiao in transportation.The therapeutical principle was regulating qi activity,dredging intestines and relieving distention.Nasal feeding with Dachengqi decoction adding Agastache rugosa,Tatarian Aster,paste umbilicus with mud of shallot stalk,fresh ginger,fennel and enema with Radix Aucklandiae.