首页|基于伏气温病理论探析慢性胰腺炎急性发作期诊疗思路

基于伏气温病理论探析慢性胰腺炎急性发作期诊疗思路

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伏气温病是一类特殊的温病,与反复发作的慢性炎症性疾病关系密切.慢性胰腺炎急性发作期具有邪气伏藏,因时而发的特点,与中医学伏气温病发病特点相似.从伏气温病理论探析慢性胰腺炎急性发作,饮酒、暴饮暴食、胆胰自身病变是其主要病因,饮食不节引动伏火,伏火内发,湿热瘀阻,腑气不通,并随发病部位不一、气血阴阳亏虚的不同而表现各异,发为本病.慢性胰腺炎急性发作期以定震源、清里热、辨虚实、透伏邪、护津液为主要辨治原则.从伏气温病角度探析慢性胰腺炎急性发作的病因、病机、辨证与治疗,以期为中医治疗慢性胰腺炎急性发作提供新的思路和方法.
Diagnosis and treatment of acute attacks of chronic pancreatitis based on the theory of warm disease due to latent pathogenic qi
Warm disease caused by latent pathogenic qi is a special type of warm disease closely related to recurrent chronic inflammatory diseases.Acute attacks of chronic pancreatitis exhibit the clinical characteristics that pathogenic factors lurk somewhere in the body while occur sometime in accordance with seasonal conditions,similar to those in warm disease due to pathogenic qi in traditional Chinese medicine.Based on the theory of warm disease due to pathogenic qi,it is found that the main causes for an acute attack of chronic pancreatitis involve alcohol drinking,craputence and pathological changes in the gallbladder and pancreas.That is to say,improper diet can induce inner latent fire,which in turn leads to damp-heat and blood stasis,and obstruction of fu-qi,with their manifestations varying in accordance with affected areas,resulting in an acute attack of chronic pancreatitis ultimately.In the syndrome differentiation and treatment of an acute attack of chronic pancreatitis,the main principles feature determining the affected site,clearing interior heat,distinguishing between excess and deficiency,eliminating hidden pathogens,and conserving body fluids.This article discusses the etiology,pathogenesis,syndrome differentiation as well as treatment of acute attacks of chronic pancreatitis from the perspective of warm disease due to latent pathogenic qi,expecting to provide new ideas and methods for its treatment in traditional Chinese medicine.

acute attack of chronic pancreatitiswarm disease by latent pathogenic qietiology and pathogenesislaws of syndrome differentiation and treatment

董泰然、邸莎、陈亚光

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北京中医药大学,北京 100029

中日友好医院,北京 100029

中国中医科学院广安门医院,北京 100053

慢性胰腺炎急性发作 伏气温病 病因病机 辨治规律

国家自然科学基金项目中国中医科学院广安门医院临床医学研究中心建设专项资助

817742962022LYJSZX16

2024

10.13463/j.cnki.jlzyy.2024.07.006

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子：0.843
ISSN：1003-5699
年,卷(期)：2024.44(7)
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