中国中医科学院西苑医院妇科,北京 100091
刘辉艳,女,39岁,博士,副主任医师。研究方向:中医妇科学。
黄欲晓,E-mail:hyx12386@ 163.com
收稿:2024-12-08,
纸质出版:2026-04-25
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刘辉艳,郑粹闪,高山凤,等.蔡连香运用“托补法”治疗女性腹部手术切口脂肪液化经验[J].北京中医药,2026,45(4):499-502.
LIU Huiyan,ZHENG Cuishan,GAO Shanfeng,et al.CAI Lianxiang's experience in treating fat liquefaction of incision after gynecological abdominal surgical by "Tuobu method"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):499-502.
刘辉艳,郑粹闪,高山凤,等.蔡连香运用“托补法”治疗女性腹部手术切口脂肪液化经验[J].北京中医药,2026,45(4):499-502. DOI: 10.16025/j.1674-1307.2026.04.014.
LIU Huiyan,ZHENG Cuishan,GAO Shanfeng,et al.CAI Lianxiang's experience in treating fat liquefaction of incision after gynecological abdominal surgical by "Tuobu method"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):499-502. DOI: 10.16025/j.1674-1307.2026.04.014.
蔡连香教授认为,女性腹部手术切口脂肪液化病机以肺脾气虚为本、痰瘀互结为标,应以“托补法”治疗,托补气血、扶正祛邪。手术切口乃刀刃损伤,术后患者气血俱虚,蔡教授常使用四物汤类方活血理伤,除肚腹肠隙间瘀血;结合女性“胞宫藏泻”节律,顺势祛瘀生新,使瘀血去、新血生。蔡教授结合六经辨证法认为,脂肪液化发生在皮肤腠理之间,病位在表,病性属虚寒,属太阳表阳虚证,以黄芪桂枝五物汤加减温阳通腠,可加速疮疡愈合。另外,预后首重顾护脾胃,忌食生冷油腻,善后调养,缓缓停药。
Professor CAI Lianxiang,based on conventional surgical treatment and combined with internal treatment methods of traditional Chinese medicine syndrome differentiation,believes that the pathogenesis of this disease is based on the deficiency of lung
qi
and spleen
qi
,and the combination of phlegm and blood stasis,with the"
Tuobu
method" as the main method.After gynecological surgery,if the blade is damaged and both
qi
and blood are deficient,use
Siwu decoction formula
to promote blood circulation and treat the injury,and remove congestion in the abdominal and intestinal spaces.At the same time,combined with the special rhythm of "uterus storage and leakage"in women,it can dispel blood stasis and generate new blood, so as to eliminate stagnant blood and generate new blood. In addition,based on the six meridian differentiation method, it is believed that fat
liquefaction occurs between the skin pores, the disease site is on the surface,and the disease type belongs to deficiency cold,which is a deficiency of
yang
on the surface of the sun.
Huangqi Guizhi Wuwu decoction
is modified to warm
yang
and promote the healing of ulcers;In the prognosis of this disease, the first priority is to protect the spleen and stomach.The patient is required not to stop taking medicine immediately after recovery,but to recuperate after treatment. Avoid eating raw,cold and greasy food.Long term recuperation is safe. Professor CAI Lianxiang's treatment of this disease integrates internal and external treatment,prevention and treatment,specimen analysis,and variability,with outstanding characteristics and significant clinical efficacy,which is worthy of promotion.
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