Recently, a person underwent lumbar epidural anesthesia. Three days after the operation, there was still no ventilation. The rice did not enter, and the abdominal distension was intolerable. After literature search, it was found that there were many clinical studies using grass fruit decoction to treat postoperative abdominal distension. The efficiency was extremely high. It could smoothly ventilate and eliminate abdominal distension symptoms within about an hour after drinking, so 15g of grass fruit was mashed and 100ml of boiled water was taken.
After taking, there was no obvious bowel sound, and after four hours of observation, no ventilation, abdominal distension and abdominal pain were observed, and the treatment was ineffective.
There are three questions:
1. In the clinical report, the grass and fruit are fried in water for half an hour. This case is a boiling water bubble suit, which may differ.
2. There are many varieties of grass fruits, it is difficult to determine whether they are authentic
3. Is it difficult to determine whether there is gastroparesis? Intestinal obstruction?
Of course, it is also possible that this therapy itself is wrong. According to the records of this herb, grass fruits have stronger strength and weaker energy, but grass cardamom has better moderation and qi strength.
In fact, in response to such situations, I personally still prefer to adjust the stomach to Chengqi Soup.
In addition, I still have many doubts about the methods of Western medicine that strictly prohibit eating after surgery. Eating Mizutani itself is a stimulus. What is the relationship between the pros and cons of each?
Have a chance to discuss it with your colleagues.
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近日某人行腰部硬膜外麻醉，术后三日仍未排气，水米未进，腹胀难耐，经文献检索，发现有不少运用草果煎剂治疗术后腹胀的临床研究，有效率超高，大约能在喝下一小时内顺利排气，消除腹胀症状，遂予草果15g捣碎，开水泡水100ml服用。
服用后，无明显肠鸣音，观察四小时未排气，腹胀并生腹痛，治疗无效。
问题有三个：
1、临床报道中草果为水煎半小时，此例为开水泡服，可能会有差别
2、草果的品种较多，难以确定是否为正品
3、难以判断是否有胃轻瘫？肠梗阻？
当然了，也有可能是这种疗法本身就是错误的，根据本草记载，草果温中力量较强，行气力弱，反而草豆蔻拥有较好的温中和行气力量。
其实针对此类情况，我个人还是比较倾向于调胃承气汤。
另外，我对于西医在术后严禁饮食的方法仍存有许多疑惑，进食水谷本身就是一种刺激，个中的利弊关系究竟是怎样呢？
有机会要和同仁们好好探讨一下。
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