王瑞平治疗前切除综合征的临床经验撷精

前切除综合征是直肠癌前切除术后出现的一系列术后并发症,常见表现为大便失禁、排便急迫感、大便稀溏、大便不尽感、肛门坠胀等,严重影响患者生活质量,西医治疗效果欠佳。王瑞平教授对此病有丰富的临床经验,临床疗效颇佳。其认为前切除综合征的病机为脾胃虚弱,癌毒邪留,气机失调,传导失司。治疗时首重问诊,以收集临床资料,辨证分型,临床上大致可分为脾胃虚弱型,气虚不摄型,脾虚湿盛型,脾虚肝旺型,脾肾阳虚型,气阴两虚型,气滞血瘀型,湿热下注型,其中又以脾胃虚弱为基础证型。依据病机确立治疗大法为健脾益气,调理气机,解毒抗癌,根据患者具体实际辨证论治,谨慎配伍解毒抗癌之品,有效改善患者的临床症状,提高生存质量,减少复发转移,作者总结相关经验,以飨读者。

Clinical Experience of WANG Ruiping in Treating Anterior Resection Syndrome

Anterior resection syndrome is a series of postoperative complications that occur after anterior resection of rectal cancer.Common manifestations include stool incontinence,urgency to defecate,thin stools,endless stool,and anal bulging,which seriously affect the quality of life of patients.,Western medicine treatment effect is not good.Professor Wang Ruiping has rich clinical experience in this disease,and the clinical effect is quite good.It is believed that the pathogenesis of anterior resection syndrome is weakness of the spleen and stomach,retention of cancerous toxins,dysregulation of the ventilator,and conduction disorders.During the treatment,the first consultation is needed to collect clinical data and differentiate syndrome types.Clinically,it can be roughly divided into spleen and stomach weakness type,qi deficiency and inactivity type,spleen deficiency and dampness type,spleen deficiency and liver type,spleen and kidney yang type,and qi and yin Deficiency type,Qi stagnation and blood stasis type,Damp-heat bet type,among which the weakness of the spleen and stomach is the basic syndrome type.According to the pathogenesis,the treatment method is to strengthen the spleen and replenish qi,regulate Qi machine,detoxify and anti-cancer,and dialectically treat patients according to the actual situation of the patient.Carefully mix anti-detox and anti-cancer products to effectively improve the clinical symptoms of patients,improve quality of life,reduce recurrence and metastasis.Summarize relevant experience to readers.