Cai Bingqin's Thoughts on the Treatment of"Postoperative Stress Syndrome"in Abdominal Surgery from the Perspective of Liver
10.13359/j.cnki.gzxbtcm.2025.02.032
- VernacularTitle:蔡炳勤从肝论治腹部外科"术后应激证"的思路
- Author:
Jie CHENG
1
;
Sili LU
;
Jiamin WANG
;
Zihui XIONG
;
Junming HE
Author Information
1. 广州中医药大学第二临床医学院,广东广州 510405
- Keywords:
postoperative stress syndrome;
treatment from the perspective of liver;
abnormal sweating;
sleep disorders;
emotional disorders;
gastrointestinal dysfunction;
soothing liver and invigorating spleen;
Sini San;
Cai Bingqin
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(2):483-487
- CountryChina
- Language:Chinese
-
Abstract:
Postoperative stress symptoms are caused by surgical trauma,and now still lack active intervention methods to promote the recovery of body function in the field of western medicine.Professor Cai Bingqin analyzed the etiology and pathogenesis of stress symptoms after abdominal surgery,which usually manifested as abnormal sweating,sleep disorders,emotional disorders,and gastrointestinal dysfunction,and then put forward the concept of postoperative stress syndrome for the perioperative period.Professor Cai Bingqin believes that surgical stimulation,as the important etiological factor responsible for postoperative stress symptoms,can cause excessive stress in the body,which results in a series of symptoms affecting the recovery of patients.Liver plays a defensive and adaptive role in postoperative stress by regulating qi movement,blood circulation and emotions.The symptoms of abnormal sweating,sleep disorders and emotional disorders are related with the function of the liver in governing emotions,housing the ethereal soul,and ensuring the free movement of qi,while the gastrointestinal dysfunction manifestations of poor appetite,abdominal distention and constipation are due to the disharmony of liver and spleen.For the treatment of postoperative stress syndrome,Professor Cai proposes the principle of treating disease from the perspective of liver,and the methods of soothing liver and alleviating depression,and warming and activating qi movement are adopted.Sini San(Sini Powder for Soothing Liver and Regulating Qi)is commonly used as the basic prescription to ensure the normal function of liver and to ensure the free movement of qi,and then the harmony of qi and blood and the unobstruction of blood vessels will be achieved.Additionally,the assistance of therapy for invigorating spleen to dissolve dampness,and replenishing qi to consolidate superficies can adjust zang-fu organs'dysfunction,and will restore the balance of qi-blood and yin-yang.The proposal of"postoperative stress syndrome"will provide an approach to the management of perioperative period with traditional Chinese medicine,and will become the beneficial supplement to the existing fast-track surgery system.
