| Malignant tumor takes a global high incidence, of which cancer of the digestive system has a large proportion. The current trends in the incidence are increasing year by year. Tumor resection is an important treatment for cancer of the digestive system, occupying a very high proportion of early tumor therapy. With the increasing in the number of cases of cancer, the incidence rate of postoperative gastrointestinal tract dysfunction (PGTD) has also been increased, including postoperative gastroparesis, postoperative nausea and vomiting, hiccups after surgery, postoperative adhesions ileus, after six postoperative constipation and postoperative diarrhea.Gastroparesis is a stomach surgery outflow tract obstruction as the main non-mechanical characteristics of functional disorders; postoperative hiccups due to the diaphragm and intercostal muscles and other assisted breathing clonic involuntary muscle contraction, airway flow change, issue-specific functional disorders of the voice, postoperative adhesions after surgery due to intestinal obstruction means lower power, intestinal adhesions with each other, can not effectively transfer a functional disease its contents; postoperative nausea, vomiting, constipation and postoperative diarrhea is after surgery except for the symptoms of other diseases and functional disorders separately named. Currently PGTD related to the pathogenesis is not very clear, coupled with the complexity of the patient’s condition, tumor factors affecting cure many diseases, and there is still not a lot of tumor surgery on clinical treatment programs for this group, and poor patient outcomes.Traditional Chinese medicine (TCM) treatment of PGTD achieved good effect, and is contained in a systematic study of it. The category, pathogenesis and treatment of the disease in traditional Chinese medicine have formed a certain understanding. Research reports were mainly for various diseases summarize experiences, clinical observations and experimental studies. No one yet has the individual diseases together systematically analyzed and summarized. Therefore, we are lack of summary awareness and normative treatment for the disease.Instructor Minghuan Zuo, engaging the treatment and research of gastrointestinal cancer, has recognized that the imperfect theories of awareness of PGTD limit the clinical efficacy. By analyzing modern diagnosis and treatment, combing with her personal extensive clinical experience in this field, she explained the etiology and pathogenesis, Key symptoms and clinical treatment with traditional Chinese medicine of the disease, and pointed out the deficiencies in literature, which both improve clinical outcomes, and have important significance in further researches.The dissertation is made of two parts. The first one is literature review and the second is literature studies and theoretical interpretation.The Literature review includes two articles. One is the western medicine research progress of PGTD of digestive system malignant tumor, of it which summarizes the pathogenesis, clinical diagnosis and treatment. The other is the Progress on TCM therapy of PGTD of digestive system malignant tumor, which summarizes basic understanding of TCM, etiology and pathogenesis, diagnosis and treatment of postoperative gastrointestinal dysfunction of digestive system malignant tumor.The body part elucidates the Chinese medicine pathogenesis, key points of syndrome and rule of treatment of postoperative gastrointestinal dysfunction of digestive system cancer, by researching of the ancient literature of traditional Chinese medicine, and analyzing of modern treatment medication. PGTD mainly includes six parts:postoperative gastroparesis, postoperative nausea and vomiting, hiccups after surgery, postoperative adhesions ileus, after six postoperative constipation and diarrhea, respectively belonging to these diseases of TCM, such as "piman""outu""eni""changjie""bianmi""xiexie"etc. The common pathogenesis is the disorder of qi movement. The syndrome differentiation is the key to the difference between patients with cancer and general surgery ones. Theoretical interpretation specifically points out that the existing treatment of the disease with oral liquid form increases the risk of gastrointestinal load. Many doctors blindly treat PGTD patients with "drastic purgation method" may exacerbate qi and blood on the basis of qi deficiency. Instructor Zuo firstly put forward to use of Chinese medicine external treatment on the basis of both local differentiation and syndrome differentiation, which resolves a contradiction where the whole body is deficient but local with evil factors. |
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