临床应用大柴胡汤治疗腹腔间室综合征的体会和思考

Clinical Experience and Thinking of Treating Abdominal Compartment Syndrome by Dachaihu Decoction

梳理古今文献对《伤寒论》大柴胡汤证的阐述,提出"心下急"为其主要症状,病机在于少阳失疏,胆胃不和,邪热内结。临床所见腹腔间室综合征同样是以严重腹部胀闷为主要特征,用大柴胡汤"下之",效果显著。临床使用经方应当着眼主症,把握病机。

The descriptions about Dachaihu Decoction （DD） were retrieved from ancient and modern literatures. A feeling of being oppressed in stomach or abdomen was raised to be a main symp- tom of Dachaihu Decoction syndrome （DDS）. The pathogenesis of DDS includes failure of shaoyang to flow upward, abnormality of gallbladder and stomach, and inner stagnation of heat. The main clinical fea- ture of abdominal compartment syndrome is severe abdominal distension, which is similar to that of DDS. Significant effects could be achieved by using DD. The clinical use of classical prescriptions should focus on main symptoms and grasp the pathogenesis.