Adhesive intestinal obstruction is an obstruction caused by intestinal adhesions or adhesion bands, mostly caused by abdominal surgery, trauma, inflammation, bleeding, foreign bodies and so on. The clinical symptoms mostly include abdominal distension, abdominal pain, nausea and vomiting, and cessation of defecation, etc. In serious cases, it may further develop into intestinal necrosis and endanger life. Chinese medicine has good efficacy in the treatment of postoperative adhesive intestinal obstruction after tumor surgery. Since patients with intestinal obstruction cannot eat, the external treatment method of TCM, as a safe and effective treatment method with easy operation, has even more unique therapeutic advantages in the treatment of this disease.
Chinese medicine identification of adhesive intestinal obstruction According to Chinese medicine, adhesive intestinal obstruction is caused by the trauma of golden blade during abdominopelvic tumor surgery, anesthesia damage to qi and blood, dysfunction of internal organs, and irregularity of gastrointestinal qi mechanism. Due to the postoperative disorder of meridians and blood vessels, stagnation of qi flow, loss of intestinal conduction, and lack of up and down communication, it will easily lead to abdominal distension, abdominal pain, nausea, vomiting and stool closure. If the spleen and stomach are damaged for a long time, the spleen and yang will be easily damaged, and the deficiency of spleen and yang will further lead to cold condensation inside, which will lead to localized cold symptoms such as localized coldness of the abdomen, lower skin temperature, warmth and pressure, and pain reduction with warmth. Therefore, the method of warming Yang, dispersing cold, moving Qi and clearing the internal organs is adopted locally, and warm products are selected for local external application, which is in line with the treatment principle of “heat for cold” in Chinese medicine.
Chinese medicine external treatment for adhesive intestinal obstruction Chinese medicine external treatment has a long history, as early as in the Warring States period, there were Chinese medicine external treatment prescriptions recorded in the “52 Disease Formula”. According to the basic theory of Chinese medicine, Chinese medicine is made into different dosage forms, mainly ointment, dispersant, tincture, etc. According to the location of the disease and the development of the disease, different dosage forms of drugs are applied to the skin, orifices, acupuncture points and the local part of the disease, so as to achieve more direct therapeutic effect.
1.Chinese medicine acupuncture point application is called transdermal drug delivery system in modern pharmacology. According to the theory of Chinese medicine meridians, meridian point application therapy is one of the commonly used methods of external treatment of Chinese medicine, which has the dual therapeutic characteristics of percutaneous absorption of drugs and meridian point effect.
2, Chinese medicine enema method is through the injection of Chinese medicine into the rectum, so that the drug is directly absorbed by the rectal mucosa, to achieve the smooth flow of intestinal bowel, eliminating stagnation, enhance intestinal peristalsis, and quickly restore the normal physiological function of the gastrointestinal tract. According to research, rectal drug delivery is faster than oral absorption, and its total absorption and raw drug utilization is also higher than oral intake. At the same time, the drug is directly diffused into the abdominopelvic tissue through the intestinal mucosa, which can exert anti-inflammatory and analgesic effects and inhibit the proliferation of connective tissue, inhibit intestinal adhesions and achieve therapeutic effects.
Chinese medicine for adhesive intestinal obstruction For this disease, localized abdominal “cold evidence” type should be treated by warming Yang and regulating Qi, resolving blood stasis and clearing internal organs. The formula uses cinnamon, dry ginger, panax notoginseng, scorpion, houpo, xiaoxiang, clove, cinnamon stick and hedgehog to strengthen the spleen and regulate qi, warming and clearing stasis, and treating the evidence of cold stagnation in the spleen and stomach. Aromatic drugs such as mucuna pruriens and clove have the effect of pungent aromas that can lead the drugs directly to the disease, aromatic dampness to strengthen the spleen and open the stomach, aromatic qi to activate blood and relieve pain. The worm medicines such as Andrographis paniculata and Scorpion are sentient products, which enter the ligaments and are light and mobile in nature, and are good at moving around.
Through the clinical practice in recent years, it has been proved that the external treatment method of Chinese medicine has good effect and obvious characteristics in treating intestinal obstruction. After patients are diagnosed with adhesive intestinal obstruction, they should go to the hospital and be treated with medicine under the guidance of doctors.