肠痈
Alias阑尾炎
Traditional Chinese Medicine Definition
Intestinal abscess, also known as appendicitis, is one of the surgical diseases in traditional Chinese medicine. According to the records in "Internal Medicine of Traditional Chinese Medicine," an intestinal abscess refers to the obstruction of the intestinal meridians due to the stagnation of Qi and blood, and the accumulation of damp-heat, leading to the formation of abscesses. The pathogenesis is primarily characterized by Qi stagnation and blood stasis, damp-heat accumulation, and clinical manifestations include right lower abdominal pain, tenderness upon palpation, accompanied by nausea and vomiting.
In clinical practice of traditional Chinese medicine, the core pathogenesis of intestinal abscess is Qi stagnation and blood stasis, with common precipitating factors including irregular diet, emotional disorders, and excessive fatigue. During the differential diagnosis, it is important to differentiate between cold, heat, deficiency, and excess. The stasis syndrome is characterized by fixed pain in the right lower abdomen, tenderness upon palpation, accompanied by nausea; while the damp-heat syndrome is manifested by severe abdominal pain, tenderness upon palpation, fever, and nausea and vomiting. In terms of treatment, traditional Chinese medicine often adopts methods such as promoting Qi and activating blood circulation, and clearing away dampness and heat to treat the stasis syndrome, as well as clearing heat and promoting diuresis, and purging internally to treat the damp-heat syndrome. Overall, the treatment of intestinal abscess requires the flexible application of differential diagnosis and treatment methods in traditional Chinese medicine according to specific patterns, in order to restore the intestinal Qi, eliminate dampness and heat stasis, and achieve therapeutic goals.
Common Syndrome Types and Key Points of Differentiation
瘀滞证
Main Manifestations：右下腹固定痛,拒按,伴恶心
Management Approach：行气活血,通腑泄热
湿热证
Main Manifestations：腹部剧痛拒按,发热,恶心呕吐
Management Approach：清热利湿,通里攻下
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For patients with intestinal abscess presenting with pain in the right lower abdomen that is tender to palpation, timely differential diagnosis and treatment are crucial to prevent the spread of pathogenic factors.
— 王正香 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)