摘要
急性胰腺炎(AP)是一种临床常见的消化系统炎症性疾病,具有起病急,进展快,病情凶险,致死率高等特点.AP的中医论治思路主要包括"通腑泻热""消、托、补"及"滞"与"浊"学说,中西医协同治疗AP具有一定优势.近年来,大连医科大学附属第一医院依据相关中医理论,对AP进行了基础机制研究及临床诊治的实践,提出了"SELECT"理念、"胰-肠-炎(毒)-肺"理论、从"痈"论治、"胰脾一体"以及"滞"与"浊"学说等理论,并开发出特色中药颗粒制剂,使得AP的临床诊治效果大幅提高.本文将对大连医科大学附属第一医院实践总结的中西医结合诊治AP思路进行综述.
Abstract
Acute pancreatitis (AP) is a common inflammatory disease of the digestive system in clinical practice,characterized by sudden onset, rapid progression, dangerous condition, and a high mortality rate.The traditional Chinese medicine (TCM) treatment approach for AP mainly includes the theories of "unblocking the organs and relieving heat","dissipating, supporting, and tonifying", "spleen carbuncle", and "stagnation" and "turbidity".Integrative treatment combining TCM and Western medicine offers certain advantages for AP.In recent years, the First Affiliated Hospital of Dalian Medical University has conducted basic mechanism research and clinical diagnosis and treatment of AP based on relevant TCM theories.The "SELECT", "pancreatic-intestinal-inflammation (toxin)-lung", "carbuncle", " pancreas and spleen as a whole", "stagnation and turbidity" and other theories have been proposed, and characteristic TCM granule formulations have been developed, greatly improving the clinical diagnosis and treatment outcomes for AP.This article provides a review of the practice by integrating traditional Chinese and Western medicine in the diagnosis and treatment of AP at the First Affiliated Hospital of Dalian Medical University.
基金项目
国家自然科学基金面上项目(82374248)
第七批全国老中医药专家学术经验继承工作(国中医药办人教函[2021]272号)
兴辽英才计划(XLYC2212013)