中医通里攻下治疗急性胰腺炎的研究进展

Advances in treatment of acute pancreatitis with traditional Chinese medicine of removing stasis by purgation

急性胰腺炎(acute pancreatitis,AP)为临床常见急腹症之一,死亡率高,并发症多,发病机制复杂.目前,临床上对尚无手术指征的患者多采用以中西医结合治疗为主的综合性治疗,其中通里攻下法作为基本的中医治疗方法,治疗AP能缩短病程,减少并发症,降低病死率,在临床治疗的不同阶段都具有较明显的疗效.深入了解中医通里攻下法治疗AP的现状,吸取其中的精髓,具有一定的临床应用价值.本文对中医通里攻下法中常用的单味药及有效成分、复方治疗AP的研究进行了综述,并对作用机制进行了探讨,以期读者能够从中借鉴一些经验.

Acute pancreatitis （AP） is one of the acute abdomens with a high mortality, a high incidence of complications and a complicated mechanism. At present, patients with no indication for operation are always treated with integrated traditional Chinese and Western medicine. ＂Removing stasis by purgation＂, as a basic traditional Chinese treatment modality, can shorten the course of AP, decrease its complications and morality, and has obvious therapeutic effects on AP at its all clinical stages. It can be applied in the treatment of AP with a low cost. This paper reviews the commonly used single herbal medicine and its active ingredients as well as the compound prescriptions in the treatment of AP with traditional Chinese medicine of removing stasis by purgation and its mechanism.