伤寒腹诊法辨治急性胰腺炎  

Application of traditional Chinese medicine abdomen diagnosis in treatment of acute pancreatitis

作　　者：苏杭[1,3] 唐文富 SU Hang;TANG Wenfu(Health Management Center,General Practice Medical Center,West China Hospital,Sichuan University,Chengdu,610041,China;West China Center of Excellence for Pancreatitis,Institute of Integrated Traditional Chinese and Western Medicine,West China Hospital,Sichuan University;Health Management Center,West China Tianfu Hospital,Sichuan University)

机构地区：[1]四川大学华西医院全科医学中心健康管理中心,成都610041 [2]四川大学华西医院中西医结合中心胰腺炎中心 [3]四川大学华西天府医院健康管理中心

出　　处：《中国中西医结合消化杂志》2024年第2期125-129,共5页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：国家自然科学基金项目(No:82174264);四川省自然科学基金项目(No:2023NSFSC1808)。

摘　　要：急性胰腺炎的中医腹诊法以《伤寒论》的六经辨证体系为基础,结合腹诊技术评估和治疗胰腺炎。腹诊通过细致的望闻问切,尤其是腹部切诊来辨识患者体质、诊断内脏病变及其气血津液的病理变化。伤寒腹诊提供了急性胰腺炎早期阳明腑实证的治疗指导,强调活血化瘀在整个治疗过程中的重要性,此外,腹诊法还能帮助了解腹水和痰饮的积聚情况,指导临床治疗。总体而言,伤寒腹诊强调四诊合参、整体观察,可清楚反映急性胰腺炎的病情变化,为急性胰腺炎提供了一种全面、个性化的诊疗方法。This study explores the application of Traditional Chinese Medicine(TCM)abdominal diagnostics in treating acute pancreatitis,grounded in the Shang Han Lun Six-Jing differentiation system.Focusing on abdominal palpation,the approach discerns patients'constitutional variances and diagnoses visceral pathologies and Qi-blood-fluid imbalances.In early-stage Yangming Fu syndrome of acute pancreatitis,the method underscores the significance of invigorating blood and resolving stasis throughout treatment.Additionally,it facilitates understanding of ascites and phlegm-fluid accumulation,guiding clinical management.Overall,the TCM abdominal diagnostic method integrates comprehensive observation and syndrome differentiation,offering a holistic and personalized treatment strategy for acute pancreatitis.

关 键 词：急性胰腺炎 伤寒腹诊 腹部切诊 辨证论治 

分 类 号：R256.35[医药卫生—中医内科学]