Cryptogenic Multifocal Ulcerous Stenosing Enteritis Treated by Integrated Traditional Chinese and Western Medicine： A Case Report
10.13288/j.11-2166/r.2024.09.018
- VernacularTitle:中西医结合治疗隐源性多灶性溃疡性狭窄性小肠炎1例
- Author:
Lu XU
1
;
Danping QIN
2
;
Shisi SHAO
1
;
Yao HUANG
1
;
Qiang YANG
3
Author Information
1. The First Clinical Medical College of Zhejiang Chinese Medical University， Hangzhou， 310053
2. The First Affiliated Hospital of Zhejiang Chinese Medical University
3. Hangzhou Hospital of Traditional Chinese Medicine
- Publication Type:Case Reports
- Keywords:
cryptogenic multifocal ulcerous stenosing enteritis;
fortifying spleen and reinforcing healthy qi;
clearing dampness and heat and removing stagnation;
replenishing qi and invigorating blood
- From:
Journal of Traditional Chinese Medicine
2024;65(9):970-975
- CountryChina
- Language:Chinese
-
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 qi is taken as the basis； during the active stage of the disease， the method of moving qi 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-fu （脏腑） organs； simultaneously， replenishing qi 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.
