CAJ | 학술논문

在妇科肿瘤如宫颈癌、外阴癌等疾病的治疗中，放射治疗是主要手段之一，其常见并发症为放射性直肠炎。从中医角度来看，我国传统医学无放射性肠炎的相关记载，但可认为放射性肠炎属“泄泻”“痢疾”范畴。主要外因是放射线伤及肠道，其他相关因素包括先天禀赋不足，感受外邪，饮食所伤，情志失调，病后体虚等，总属本虚标实，虚实夹杂，病机为瘀毒互结，湿热下注。放射性直肠炎西医的治疗手段有限且效果不理想。本文在临床中运用大黄蜂房饮保留灌肠，功效解毒祛瘀，凉血止血，缓急止痛，取得了良好的疗效，弥补了西医治疗的不足，为中医药治疗放射性直肠炎提供一个新方法。
재부과종류여궁경암、외음암등질병적치료중，방사치료시주요수단지일，기상견병발증위방사성직장염。종중의각도래간，아국전통의학무방사성장염적상관기재，단가인위방사성장염속“설사”“이질”범주。주요외인시방사선상급장도，기타상관인소포괄선천품부불족，감수외사，음식소상，정지실조，병후체허등，총속본허표실，허실협잡，병궤위어독호결，습열하주。방사성직장염서의적치료수단유한차효과불이상。본문재림상중운용대황봉방음보류관장，공효해독거어，량혈지혈，완급지통，취득료량호적료효，미보료서의치료적불족，위중의약치료방사성직장염제공일개신방법。
In the treatment of gynecological oncology such as cervical cancer and other diseases, one of its main means of radiotherapy, which is a common complication of radiation proctitis. Without related radiation radiotherapy records on China’s traditional medicine, which is considered “diarrhoea” “dysentery”. The main external factor is radiation intestinal injuries, other relevant factors include the lack of innate endowment, getting external evil , dietetic irrationality, emotional disorders, physically weak after the illness, all of which can summarized as deficiency in origin and enrichment in symptom and unionizing inclusions. The pathogenesis is poison-blood stasis and dampness-heat diffusing downward. Limited treatment of western medicine and radiation proctitis is not ideal. In this paper, with rhubarb and nidus vespae decoction retention enema, the effectiveness of which is detoxification quyu, cooling blood to stop bleeding, stop pain, achieved good curative effect, to make up for the lack of Western medicine, providing a new method for chinese medicine treatment of radiation proctitis.