复方大黄煎剂高位灌肠治疗肝昏迷  

Modified Dahuang Decoction with High Position Enema on Hepatic Coma

作　　者：王融冰[1] 马剡芳[1] 张伟[1] 江宇泳[1] 

机构地区：[1]首都医科大学附属北京地坛医院,北京100015

出　　处：《中国中医急症》2014年第6期1075-1076,共2页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家中医药管理局中医传染病重点专科建设项目(2011-8)

摘　　要：本文介绍复方大黄煎剂高位灌肠治疗肝病性脑病（肝昏迷）的急诊处理办法.中医学认为本病多为脾虚湿热、浊毒内生,上扰神明,蒙蔽清窍,用大黄、芒硝、乌梅组方的复方大黄煎剂高位保留灌肠,取其釜底抽薪、清热泄毒之意,治疗Ⅱ～Ⅲ度肝性脑病获较好疗效.本法治疗内毒素血症、慢加急性肝衰竭、肝性脑病,均收效良好,显示釜底抽薪、清热泄毒法治疗代谢性肝性脑病安全有效,操作简便.用中医大承气汤证治则指导肝衰竭氨代谢障碍肝性脑病有效.本疗法属“急则治标”,当积极处理原发病并采取综合措施.Objective：To introduce the Modified Dahuang Decoction with high position enema on hepatic coma.Methods：From the TCM pathogenesis theory of hepatic encephalopathy that the mental activities were disturbed by the turbidity toxin endogenous causing the spleen deficiency and dampness-heat,the patients were treated by the Modified Dahuang Decoction which included the Dahuang,mirabilite and dark plum with methods of extracting the firewood from under cauldron and clearing heat and purging fire.It was a good effect of this therapy in Ⅱ ～ Ⅲ ° hepatic encephalopathy.Results：From these clinical studies,it was effective and safe of methods including the methods of extracting the firewood from under cauldron and clearing heat and purging fire in hepatic encephalopathy.Conclusion：It is useful of Dachengqi Decoction syndromes therapy principle in the hepatic encephalopathy.However,the patients should be treated primary disease because above therapies is just symptomatic treatment.

关 键 词：肝性脑病 大黄 高位灌肠 治疗 

分 类 号：R575.4[医药卫生—消化系统]