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”

作　　者：陈祥华 林平[1,2] 何友成 黄铭涵[1,2] 黄建辉[1] 李思汉 CHEN Xianghua;LIN Ping;HE Youcheng;HUANG Minghan;HUANG Jianhui;LI Sihan(The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China;Featured and Advanced Subjects of the Spleen and Stomach,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Basic Medical School of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510006,China)

机构地区：[1]福建中医药大学附属第二人民医院,福州350003 [2]福建中医药大学脾胃特色优势学科,福州350122 [3]广州中医药大学基础医学院,广州510006

出　　处：《世界中医药》2022年第15期2216-2218,共3页World Chinese Medicine

基　　金：福建省自然科学基金项目(2020J01253);福建省医学创新课题(2018-CX-47)。

摘　　要：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.

关 键 词：急性非静脉曲张性上消化道出血 治血四法 @唐宗海 血证论 病因病机 治疗 

分 类 号：R278[医药卫生—中医学] R255.7