Construction and application of diagnosis and treatment system for early acute pancreatitis based on syndrome differentiation of six channels
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摘要: 急性胰腺炎是临床常见急腹症之一，重症胰腺炎的病死率高，早期干预阻断其全身炎症反应，是阻止急性胰腺炎向重症发展的关键所在。中医药作为早期干预措施之一能有效阻断全身炎症反应，降低重症发生率。本文基于六经辨证体系，从“表里观”、“津液观”以及“正邪观”，阐述早期急性胰腺炎病发于少阳、阳明、厥阴这3个层面，系统论述早期急性胰腺炎的疾病传变规律、治疗原则以及处方用药，以期构建中医药对早期急性胰腺炎诊疗体系。Abstract: Acute pancreatitis is one of the most common acute abdominal diseases in clinical practice. Severe pancreatitis has a high mortality rate. Early intervention to block the systemic inflammatory response is the key to preventing the development of acute pancreatitis in the severe abdomen. As one of the early intervention measures, traditional Chinese medicine can effectively block systemic inflammatory responses and reduce the incidence of severe diseases. Based on the syndrome differentiation system of the six channels, this paper expounds on the occurrence of early acute pancreatitis in Shaoyang, Yangming, and Jueyin from the three levels of "external and internal view", "body fluid view" and "positive and evil view", systematically discusses the disease transmission rules, treatment principles, and prescription drugs of early acute pancreatitis, to build a TCM diagnosis and treatment system for early acute pancreatitis.
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