基于少阳阳明合病论治胆汁淤积型急性胰腺炎

Treatment for Cholestatic Acute Pancreatitis Based on the Theory of Shaoyang Yangming Combined Disease

急性胰腺炎为消化科常见危急重症之一,常见病因主要为胆石症、高三酰甘油血症及过度饮酒,单纯胆汁淤积导致的胰腺炎较为少见。目前中西医结合为此病主要的治疗手段,中医药在该病的治疗方面发挥重要作用,应充分挖掘其优势。少阳阳明合病为此病重要病机,大柴胡汤为主要治疗方剂,此文通过病位剖析、证治特点及结合具体临床医案对其进行深入阐释,以期为同道在此病的治疗方面提供一定思路。

Acute pancreatitis is one of the common critical severe diseases in the department of gastroenterology.The common causes of acute pancreatitis are cholelithiasis,hypertriglyceridemia and excessive alcohol consumption,Pancreatitis caused by simple cholestasis is relatively rare.At present,the combination of traditional Chinese and western medicine is the main treatment means of this disease,traditional Chinese medicine plays an important role in the treatment of this disease,and its advantages should be fully exploited.Shaoyang Yangming combined disease is an important pathogenesis of this disease,and Dachaihu decoction is the main therapeutic prescription.This paper made an in-depth explanation of it through the analysis of the disease location,the characteristics of syndrome and treatment and combined with specific clinical cases,in order to provide certain ideas for the treatment of this disease.