Altern Ther Health Med. 2021 Sep;27(5):74-76.
Postoperative intestinal obstruction is one of the most common and challenging complications after patients receive pelvic or abdominal surgery. The effectiveness of conventional therapies is varied and they are associated with a high recurrence rate. Traditional Chinese Medicine can be beneficial in the treatment of intestinal obstruction. In this case, a 65-year-old woman had progressively increasing abdominal pain, distension, and constipation following total hip replacement surgery. The patient was diagnosed with partial intestinal obstruction and was treated for 6 days without success using conventional Western medicine, including Enema Glycerini and Sodium Phosphates Rectal Solution. We received a request from the surgical department for a Chinese medicine consultation. Two doses of modified Dachengqi Decoction herbal formula were prescribed for the patient. The patient had her first flatus and defecation within 2 hours after ingestion of the first dose of herbal medicine and subsequently all of the symptoms were relieved. The patient was soon discharged without any further complications; a 5-year follow-up indicated that the patient had no recurrence of intestinal obstruction. This case is the first to report the effect of a Chinese herbal decoction in achieving remission of intestinal obstruction with only 1 dose. Large scale randomized controlled trials are warranted to confirm our findings.
术后肠梗阻是患者接受骨盆或腹部手术后最常见和最具挑战性的并发症之一。传统疗法的效果各不相同，且它们与高复发率相关。中药在肠梗阻的治疗中可能是有益的。在本例中，一位 65 岁女性在全髋关节置换手术后出现腹痛、腹胀和便秘逐渐加重。该患者被诊断为部分肠梗阻，经传统西医治疗 6 天无效，包括甘油灌肠剂和磷酸钠盐灌肠溶液。外科部门要求我们进行中医会诊。为患者开了两剂大承气汤加减的中草药配方。患者在服用第一剂草药后 2 小时内首次放屁和排便，随后所有症状均得到缓解。患者很快出院，没有出现任何其他并发症；5 年随访表明患者没有肠梗阻复发。这是首例报道仅用 1 剂中药汤即可缓解肠梗阻的病例。需要进行大规模的随机对照试验来证实我们的发现。
