关键词: 术后早期肠麻痹, 排便, 腹胀, 脾胃失和, 冲任虚损, 和法, 调补冲任, 消化系统

Abstract: Postoperative ileus (POI) is a syndrome that fails to effectively transmit gastrointestinal contents due to changes in gastrointestinal motility after an abdominal or non- abdominal surgery. The main clinical manifestations are nausea, vomiting, abdominal distension and delayed exhaust and defecation.In traditional Chinese medicine, disharmony of the spleen and stomach is the basic pathogenesis of POI in abdominal surgery, and Chong Ren deficiency is the main pathogenesis. Accordingly, as for its clinical treatment, the harmonizing method is suggested.If the Middle Qi is harmonious, the upper and lower parts of the body will be unblocked, the spleen (qi) will ascend and the stomach qi will descend, and the Bowel Qi will be unblocked. Chong and Ren will be hurt in patients with POI after a gynecological abdominal surgery, which is the syndrome of both deficiency and excess, in which deficiency is embodied in deficiency of Chong Ren's Qi and blood; excess is the medal blade cutting the uterus, which hurts Chong and Ren, leading to blood stasis. As for the treatment, we should pay attention to the pathological essence of deficiency and excess, and adopt the methods of removing blood stasis and promoting the spleen and stomach to promote the recovery of gastrointestinal and Chong Ren functions.

Key words: postoperative ileus, defecation, abdominal distension, disharmony of the spleen and stomach, Chong Ren deficiency, harmonizing therapy, tonifying Chong Ren, digestive system