胃癌術後引發之慢性腹瀉中醫治療

Chinese Medical Treatment of Chronic Diarrhea Caused after the Operation for Stomach Cancer

鄭宏足(Hung-Jue Cheng)

《中醫藥研究論叢》 11卷2期 (2008/09) Pp. 47-59

https://doi.org/10.6516/TJTCM.200809_11(2).0005

摘要

一名三十五歲病人，二年前罹患胃癌進行全胃切除手術(gastrectomy)，脾臟切除，胰臟切除2/3，一直無法正常進食，只能以流體少量進食，食道異常乾燥，飲食經過則心如刀割疼痛，體重急速下降八公斤，清晨五點固定會水瀉2次以上，經常脹氣難以入眠，影響日常生話甚巨。面色蒼白，脈沈澀，舌淡苔白，四肢冰冷，畏寒，中醫辨證診斷為少繪病陰虧陽虛，治療給予四逆理中輩，經治療數月後，體重回升，已可正常進食固體食物，五更瀉症狀緩解。

關鍵字

胃癌 ； 全胃切除手術 ； gastrectomy ； 四逆湯 ； 四逆加參湯 ； 理中湯 ； 苓桂术甘湯 ； 五更瀉 ； 少陰病 ； 陰虧陽虛

並列摘要

A 35-year-old patient took the operation of gastrectomy, excision of spleen, and excision of 2/3 pancreas due to the stomach cancer two years ago. The patient has been unable to take food normally all the time, and only be able to eat little fluid. The esophagus was much dry, and when food was passing through it, the patient felt much painful. The body weight was dropped by eight kilograms rapidly. He had the watery diarrhea 2 or more times regularly at five o' clock in the early morning. He was bloated and difficult to fall asleep often. The daily life was influenced greatly. His face was pale, the pulse was unsmooth, the tongue was light and the fur was white, four limbs were ice-cold and were afraid of cold. The diagnosis of Chinese medicine syndrome was Sao Yin, Yin deficiency and Yang insufficiency. Si Ni Tang and Zi Zhong Tang were used for the treatment. After he was treated for several months, the body weight was increased, the solid food could be taken normally, and the diarrhea was alleviated before dawn.

並列關鍵字

Stomach cancer ； gastrectomy ； Si Ni Tang ； Si Ni Jia Sen Tang ； Zi Zhong Tang ； Ling Gui Zhu Gan Tang ； diarrhea before dawn ； Sao Yin disease ； Yin deficiency and Yang insufficiency