Clinical efficacy of <italic style="font-style: italic">Chaimu Chengqi Decoction</italic> retention enema combined with Chinese herbal hot pack in treatment of adhesive intestinal obstruction of<italic style="font-style: italic"> qi</italic> stagnation and blood stasis syndrome

SUN Tao; GENG Jinhai; LIU Chang; WANG Xiaochao; LIAO Yongxin; WANG Yulin

doi:10.16025/j.1674-1307.2025.12.004

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Clinical efficacy of Chaimu Chengqi Decoction retention enema combined with Chinese herbal hot pack in treatment of adhesive intestinal obstruction of qi stagnation and blood stasis syndrome

更新时间：2026-01-24

- Clinical efficacy of Chaimu Chengqi Decoction retention enema combined with Chinese herbal hot pack in treatment of adhesive intestinal obstruction of qi stagnation and blood stasis syndrome
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 12, Pages: 1520-1525(2025)
- 作者机构：
  
  中国中医科学院广安门医院保定医院普外肛肠科，保定 071000
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.12.004
  CLC：
- Received：08 January 2025，
  
  Published：25 December 2025
- 稿件说明：
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孙涛，耿金海，刘畅，等.柴木承气汤保留灌肠联合中药热奄包治疗气滞血瘀型粘连性肠梗阻效果观察［J］.北京中医药，2025，44（12）：1520-1525.

SUN Tao,GENG Jinhai,LIU Chang,et al.Clinical efficacy of Chaimu Chengqi Decoction retention enema combined with Chinese herbal hot pack in treatment of adhesive intestinal obstruction of qi stagnation and blood stasis syndrome[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(12):1520-1525.
孙涛，耿金海，刘畅，等.柴木承气汤保留灌肠联合中药热奄包治疗气滞血瘀型粘连性肠梗阻效果观察［J］.北京中医药，2025，44（12）：1520-1525. DOI： 10.16025/j.1674-1307.2025.12.004.

SUN Tao,GENG Jinhai,LIU Chang,et al.Clinical efficacy of Chaimu Chengqi Decoction retention enema combined with Chinese herbal hot pack in treatment of adhesive intestinal obstruction of qi stagnation and blood stasis syndrome[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(12):1520-1525. DOI： 10.16025/j.1674-1307.2025.12.004.

摘要

目的

观察柴木承气汤保留灌肠联合中药热奄包治疗气滞血瘀型粘连性肠梗阻的临床疗效。

方法

选择2022年1月—2024年7月于中国中医科学院广安门医院保定医院普外肛肠科就诊的100例气滞血瘀型粘连性肠梗阻患者，依据治疗方式将其分为观察组、对照组各50例。2组均给予西医常规治疗，观察组加用柴木承气汤保留灌肠联合中药热奄包治疗，连续治疗5 d。对比2组治疗后症状改善时间、住院时间，治疗前后临床症状评分、血清超敏C反应蛋白（CRP）、红细胞沉降率（ESR）、中性粒细胞百分比（NEU），治疗3、5 d后总有效率。

结果

治疗3 d后，观察组总有效率82.0%，对照组总有效率74.0%，2组间差异无统计学意义（

0.05）；治疗5 d后，观察组总有效率98.0%，对照组总有效率80.0%，观察组总有效率高于对照组（

0.05）。观察组治疗5 d后的总有效率高于治疗3 d后的总有效率（

0.05）。治疗后，观察组首次排气时间、首次排便时间、肠鸣音恢复时间、恢复饮食时间、住院时间均短于对照组（

0.05）。治疗3、5 d后，2组临床症状评分均低于治疗前（

0.05），且观察组临床症状评分低于对照组（

0.05）。治疗3、5 d后，2组血清CRP、ESR、NEU水平均低于治疗前（

0.05），且观察组血清CRP、ESR、NEU水平低于对照组（

0.05）。

结论

采取柴木承气汤保留灌肠联合中药热奄包治疗气滞血瘀型粘连性肠梗阻，可有效缩短患者首次排气、排便、肠鸣音恢复、恢复饮食及住院时间、改善临床症状、减轻炎症反应，从而提高治疗效果。

Abstract

Objective

To observe the clinical efficacy of

Chaimu Chengqi Decoction

retention enema combined with Chinese herbal hot pack in the treatment of adhesive intestinal obstruction of the

stagnation and blood stasis syndrome.

Methods

A total of 100 patients with adhesive intestinal obstruction of

stagnation and blood stasis syndrome， treated at the Department of General Surgery and Colorectal Surgery， Guang'anmen Hospital， China Academy of Chinese Medical Sciences， from January 2022 to July 2024， were included. Patients were divided into an observation group and a control group， 50 cases each， according to treatment method. Both groups received conventional Western medical treatment， while the observation group additionally received

Chaimu Chengqi Decoction

retention enema combined with Chinese herbal hot pack for 5 consecutive days. Recovery time， hospital stay， clinical symptom scores， serum hypersensitive C-reactive protein （CRP）， erythrocyte sedimentation rate （ESR）， neutrophil percentage （NEU）， and total effective rate after 3 and 5 days of treatment were compared between groups.

Results

After 3 days of treatment， the total effective rate was 82.0% in the observation group and 74.0% in the control group， with no significant difference （

0.05）. After 5 days， the total effective rate was 98.0% in the observation group and 80.0% in the control group， significantly higher in the observation group （

0.05）. In the observation group， the total effective rate after 5 days was higher than that after 3 days （

0.05）. The time to first flatus， time to first defecation， time to bowel so

und recovery， time to diet resumption， and hospital stay in the observation group were shorter than those in the control group （

0.05）. Clinical symptom scores and serum CRP， ESR， and NEU levels in both groups decreased after 3 and 5 days of treatment （

0.05）， with greater reductions in the observation group compared with the control group （

0.05）.

Conclusion

Chaimu Chengqi Decoction

retention enema combined with Chinese herbal hot pack can effectively shorten the time to first flatus， time to first defecation， time to bowel sound recovery， time to diet resumption， and hospital stay， improve clinical symptoms， and reduce inflammatory responses in patients with adhesive intestinal obstruction of the

stagnation and blood stasis syndrome， thereby enhancing overall treatment efficacy.

关键词

Keywords

references

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Clinical efficacy of Chaimu Chengqi Decoction retention enema combined with Chinese herbal hot pack in treatment of adhesive intestinal obstruction of qi stagnation and blood stasis syndrome

DOI：10.16025/j.1674-1307.2025.12.004

摘要

Abstract

关键词

Keywords

references