温阳运脾除湿法治疗先天性胆道闭锁术后黄疸1例

黄莉荣; 薛征

doi:10.16305/j.1007-1334.2021.2009037

您当前的位置：

首页 >

文章列表页 >

温阳运脾除湿法治疗先天性胆道闭锁术后黄疸1例

临证承启 | 更新时间：2022-08-03

- 温阳运脾除湿法治疗先天性胆道闭锁术后黄疸1例
- Treatment of jaundice after congenital biliary atresia by warming yang, activating spleen and removing dampness: A case report
- 上海中医药杂志 2021年55卷第6期页码：23-25
- 作者机构：
  
  1.上海中医药大学附属市中医医院儿科（上海　200071）
- 作者简介：
  
  黄莉荣，女，硕士研究生，主要从事小儿消化系统及呼吸系统疾病临床研究工作
  薛征，主任医师，博士研究生导师；E-mail: xz695@163.com
- 基金信息：
  
  上海市卫计委进一步加快中医药事业发展三年行动计划项目(ZY〔2018-2020〕-FWTX-4004)
- DOI：10.16305/j.1007-1334.2021.2009037
  中图分类号：
扫描看全文
黄莉荣, 薛征. 温阳运脾除湿法治疗先天性胆道闭锁术后黄疸1例[J]. 上海中医药杂志, 2021,55(6):23-25.

Lirong HUANG, Zheng XUE. Treatment of jaundice after congenital biliary atresia by warming yang, activating spleen and removing dampness: A case report[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(6):23-25.
黄莉荣, 薛征. 温阳运脾除湿法治疗先天性胆道闭锁术后黄疸1例[J]. 上海中医药杂志, 2021,55(6):23-25. DOI： 10.16305/j.1007-1334.2021.2009037.

Lirong HUANG, Zheng XUE. Treatment of jaundice after congenital biliary atresia by warming yang, activating spleen and removing dampness: A case report[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(6):23-25. DOI： 10.16305/j.1007-1334.2021.2009037.

摘要

介绍薛征教授采用温阳运脾除湿法治疗先天性胆道闭锁术后黄疸病案1则。案中患儿先天禀赋不足、脾失健运以致湿邪阻遏，本虚标实，发为黄疸；其色黄晦暗，属阴证，腹胀便溏，属寒证。治疗时以温阳运脾、除湿退黄为思路，扶正祛邪，疗效满意。

Abstract

A proven case of Professor Xue Zheng’s treatment of jaundice after congenital biliary atresia by warming yang, activating spleen and removing dampness was introduced. According to the medical record, the child had congenital endowment deficiency, and suffered from dampness obstruction due to dysfunction of spleen in transportation and transformation. The mixture of root vacuity and branch repletion resulted in jaundice. The dark, dull and yellow skin indicated the case belonged to yin jaundice, while abdominal distension and loose stool indicated cold syndrome. Professor Xue adopted the method of warming yang, activating spleen, removing dampness and jaundice to strengthen healthy qi and eliminate pathogenic factors, and achieved satisfactory therapeutic effects.

关键词

先天性胆道闭锁术后黄疸阴黄温阳运脾除湿病案

Keywords

congenital biliary atresiapost-operationjaundiceyin jaundicewarming yangactivating spleenremoving dampnessmedical record

references

VIJ M, RELA M. Biliary atresia: pathology, etiology and pathogenesis[J]. Future Sci OA, 2020, 6(5): FSO466.

HARTLEY J L, DAVENPORT M, KELLY D A. Biliary atresia[J]. Lancet, 2009, 374(9702): 1704-1713.

RYON E L, PARRECO J P, SUSSMAN M S, et al. Drivers of hospital readmission and early liver transplant after Kasai portoenterostomy[J/OL]. J Surg Res, 2020, 256: 48-55[2020-08-20]. https://pubmed.ncbi.nlm.nih.gov/32683056/https://pubmed.ncbi.nlm.nih.gov/32683056/.

BEZERRA J A，WELLS R G，MACK C L，et al.Biliary atresia: clinical and research challenges for the 21st century[J]. Hepatology, 2018, 68(3): 1163-1173.

郭振亚，张若岩，柳明江，等. 先天性胆道闭锁的病因研究进展[J]. 临床肝胆病杂志，2015,31(8):1343-1346.

单禹华，龙喜带，夏强. 先天性胆道闭锁最新研究进展[J]. 肝胆外科杂志，2014,22(2):154-157.

吴雄志，陈丹. 黄疸证型客观化研究[J]. 中国中西医结合杂志，2005,25(9):773-776.

刘玉萍，邱小玉，刘烨，等. 茵陈的药理作用研究进展[J]. 中草药，2019,50(9):2235-2241.

华强，冯健，李范珠. 茵陈蒿利胆退黄药物基础的临床研究[J]. 中华中医药学刊，2011,29(7):1520-1521.

史永平，孔浩天，李昊楠，等. 栀子的化学成分、药理作用研究进展及质量标志物预测分析[J].中草药，2019,50(2):281-289.

浏览量

188

下载量

CSCD

CNKI被引量

文章被引用时，请邮件提醒。

提交

工具集

关联资源

基于《金匮要略》“血痹虚劳篇”探讨肝硬化“扶正化瘀”的中医论治思路

芒硝外敷预防儿童ERCP术后胰腺炎的临床研究

从肺疫论治重型新型冠状病毒肺炎验案2则

中西医结合诊治新型冠状病毒肺炎的几点思考

中西医结合治疗甘肃地区新型冠状病毒肺炎验案4则