摘要
本文报导36例急性胰腺炎的中医治疗情况,其中痊愈31例,好转3例,无效2例。作者认为胰腺炎从脏腑位置、发病机理、临床表现等都可归属少阳阳明兼病。根据急性胰腺炎的主要证候,结合脏腑、八纲、气血辨证,主要可归纳为气滞血瘀证、阳明腑实证、少阳腑证、瘀湿相搏证及火邪伤络血热妄行证等证型。除火邪伤络血热妄行证急需手术外,其余各证都可应用大柴胡汤为主辨证施治的非手术疗法。大柴胡汤兼有小柴胡汤与大承气汤之意,符合急性胰腺炎的少阳阳明兼病的病理,故以该方为主辨证施治疗效比较满意。
In accordance with its location, pathogenesis and clinical manifestations, acute pancreatitis is believed to be a shaoyang and yangming syndrome complex in TCM, which can be classified into the following types: qi-stagnation with blood stasis, sthenia-syndrome of yangming fu-organ, syndrome of shaoyang fu-organ, blood-stasis-dampness syndrome, blood vessels damaged by fire, and failure of blood to circulate within the vessels.
In the last two of the above-mentioned types, heat evil is virulent, extremeties are cold, evils are dominant, healthy qi is deficient and blood is extravasated. It is therefore, necessary to have surgical treatment for clearing out the extravasated pancreatic juice and blood so that the healthy qi can be strengthened.
For the rest types, a non-surgical treatment is recommended. Based on zheng differentiation, the rest types may be treated with the prescription of Da Chai Hu Tang(DCHT, Bupleuri Decoction for Regulating Shaoyang and Yangming) and the prescription may be modified according to different cases. DCHT is a prescription with both of the effects of Xiao Chai Hu Tang(Bupleuri Decoction for Regulating Shaoyang) and Da Cheng Qi Tang(Potent Purgative Decoction), and accords with the pathology of acute pancreatitis.
关键词
胰腺炎
中医药疗法
PANREEAT1T1S/Pathogenesis(TCM) PANCREAT1TIS/TCM therapy DACHA1HU TANG/Therapeutic use
