顽固性黄疸的中西医诊疗思路  

Diagnostic and Treatment Insights on Intractable Jaundice from Traditional Chinese Medicine and Western Medicine Perspectives

作　　者：杜宏波[1] 王宪波[1] 

机构地区：[1]首都医科大学附属北京地坛医院,北京市朝阳区京顺东街8号100015

出　　处：《中医杂志》2014年第24期2087-2090,共4页Journal of Traditional Chinese Medicine

基　　金：北京市中医药管理局"125"人才培养计划资助项目;北京市中医药科技发展基金项目资助(JJ2012-15);北京市卫生系统高层次卫生技术人才培养计划资助项目(2013-2-011)

摘　　要：系统总结北京地坛医院中西医结合中心治疗顽固性黄疸的经验。将顽固性黄疸按照现代医学诊断分为肝衰竭相关黄疸、肝内胆汁淤积相关黄疸、慢性肝病残黄及特殊类型黄疸四大类,结合在此领域的研究,系统论述了相关类型黄疸的临床特征、病机特点、辨证方法及治疗思路。顽固性黄疸治疗中强调病因论治,重视病机演变主线与患者个体辨证相结合,黄疸病急则治肠、缓则治脾,提出应正视中医治疗的局限,擅长利用多学科方法治疗顽固性黄疸。This article systematically sums up the experiences in the treatment of intractable jaundice in Beijing Ditan Hospital＇s Integrated Western and Traditional Chinese Medicine（ TCM） Center. According to modern medical diagnosis,intractable jaundice was categorized liver failure related jaundice,intrahepatic cholestasis related jaundice,chronic hepatopathy residual jaundice and special type jaundice. The clinical features,pathogenesis characters,methods of syndrome differentiation and insights of its treatments were discussed systematically based on the research in this field. It is concluded that the treatment of intractable jaundice should emphasize on etiologic factors,and pay attention to the main pathogenesis development combined with individual syndrome differentiation. The academic view in treating intestines for acute phase of jaundice and treating spleen for chronic phase is developed. Also,it is indicated that the limitation of TCM remedy should be recognized,and multidisciplinary approaches are suggested for treating intractable jaundice.

关 键 词：顽固性黄疸 肝衰竭 肝内胆汁淤积 

分 类 号：R575[医药卫生—消化系统]