Cryptogenic Multifocal Ulcerous Stenosing Enteritis Treated by Integrated Traditional Chinese and Western Medicine： A Case Report

XU Lu; QIN Danping; SHAO Shisi; HUANG Yao; YANG Qiang

doi:10.13288/j.11-2166/r.2024.09.018

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Cryptogenic Multifocal Ulcerous Stenosing Enteritis Treated by Integrated Traditional Chinese and Western Medicine： A Case Report

更新时间：2024-04-25

- Cryptogenic Multifocal Ulcerous Stenosing Enteritis Treated by Integrated Traditional Chinese and Western Medicine： A Case Report
- Journal of Traditional Chinese Medicine Vol. 65, Issue 9, Pages: 970-975(2024)
- 作者机构：
  
  1.浙江中医药大学第一临床医学院，浙江省杭州市滨江区浦沿街道滨文路548号，310053
  2.浙江中医药大学附属第一医院
  3.杭州市中医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.09.018
  CLC：
- Received：26 September 2023，
  
  Revised：2023-12-23，
  
  Published：02 May 2024
- 稿件说明：
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徐璐,钦丹萍,邵诗思等.中西医结合治疗隐源性多灶性溃疡性狭窄性小肠炎1例[J].中医杂志,2024,65(09):970-975.

XU Lu,QIN Danping,SHAO Shisi,et al.Cryptogenic Multifocal Ulcerous Stenosing Enteritis Treated by Integrated Traditional Chinese and Western Medicine： A Case Report[J].Journal of Traditional Chinese Medicine,2024,65(09):970-975.
徐璐,钦丹萍,邵诗思等.中西医结合治疗隐源性多灶性溃疡性狭窄性小肠炎1例[J].中医杂志,2024,65(09):970-975. DOI： 10.13288/j.11-2166/r.2024.09.018.

XU Lu,QIN Danping,SHAO Shisi,et al.Cryptogenic Multifocal Ulcerous Stenosing Enteritis Treated by Integrated Traditional Chinese and Western Medicine： A Case Report[J].Journal of Traditional Chinese Medicine,2024,65(09):970-975. DOI： 10.13288/j.11-2166/r.2024.09.018.

摘要

隐源性多灶性溃疡性狭窄性小肠炎是一种以小肠多发溃疡和狭窄导致以慢性复发性肠梗阻、消化道出血为特征的罕见病，目前尚无特异性治疗方法。报告运用中西医结合方案治疗隐源性多灶性溃疡性狭窄性小肠炎1例，该患者以乏力、腹胀、双下肢水肿为主症，西医以激素及对症治疗为主，中医治疗全程以健脾扶正为基础，疾病活动期配合行气导滞、清化湿热、收敛生肌等，缓解期配合宣肺行水、调和脏腑，同时将益气活血贯穿始终，并重视中药免疫调节剂雷公藤多苷的维持治疗。治疗2年余患者临床症状明显缓解，病情稳定，各项指标基本正常。

Abstract

Cryptogenic multifocal ulcerous stenosing enteritis（CMUSE） is a rare and difficult disease characte-rized by chronic recurrent intestinal obstruction and gastrointestinal bleeding caused by multiple ulcers and strictures of the small intestine. There is still a lack of mature and systematic guidance for the treatment of the disease. This paper reported a case of CMUSE mainly manifested as fatigue， abdominal distention， and edema of both lower limbs ， who is treated by integrated traditional Chinese and western medicine. In western medicine treatment， hormone and symptomatic treatment are mainly used. In traditional Chinese medicine treatment， the method of fortifying spleen and reinforcing healthy

is taken as the basis； during the active stage of the disease， the method of moving

and removing stagnation， clearing and removing dampness and heat， astringing and engendering flesh should be combined with， while during the remission stage， it is advised to unite with the method of diffusing lung and moving water， regulating and harmonizing

zang

（脏腑） organs； simultaneously， replenishing

and invigorating blood can be used throughout the treatment， and attach importance to the maintenance therapy of the traditional Chinese medicine immunomo-dulatory agent Tripterygium glycosides. After more than 2 years of treatment， the patient's clinical symptoms were significantly relieved， and all indicators basically restored to normal， having a stable condition.

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references

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