基于唐宗海“治血四法”探讨急性非静脉曲张性上消化道出血的诊疗思路

Exploration of the Treatment Ideas of Acute Non-varices Upper Gastrointestinal Bleeding Based on TANG Rongchuan's“Four Methods of Treating Blood”

急性非静脉曲张性上消化道出血(ANVUGIB)是临床最常见的急症之一,具有较高复发率及病死率,其在中医学中属于“血证”范畴。唐宗海“治血四法”乃“通治血证之大纲”,对血证的治疗具有指导作用。现基于“治血四法”探讨ANVUGIB的病因病机,提出“止血为第一要法、止血不忘消瘀、宁血必先求本、补虚需掌握时机”的治疗思路,为运用“治血四法”辨治ANVUGIB提供临床思路。

Acute non-varices upper gastrointestinal bleeding(ANVUGIB)is one of the most common clinical emergencies,with a high recurrence rate and fatality rate.It belongs to the category of“blood syndrome”in traditional Chinese medicine.TANG Rongchuan′s“Four Methods of Treating Blood”is the“Outline of Treating Blood Syndrome”,which has a guiding role in the treatment of blood syndrome.This paper discusses the etiology and pathogenesis of ANVUGIB based on the theory of the“four methods of treating blood”,and puts forward the treatment thinking that“stop bleeding is the first method,stop bleeding without forgetting to eliminate blood stasis,seek the root of blood tranquilization,and grasp the opportunity to replenish deficiency”.This paper provides clinical ideas for the use of“four methods of treating blood”to treat ANVUGIB.