李兰治疗重症急性胰腺炎的临床经验※

Professor li LAN"s clinical experience in the treatment of severe acute pancreatitis

摘要:

重症急性胰腺炎是临床常见的危重症疾病，具有病情险恶、并发症多、病死率较高的特点。李兰教授认为该病以脾虚失运、湿热内蕴、腑气不通为其核心病机，并且脾气虚贯穿整个病理过程的始终，从而提出了以益气健脾、清热利湿、通里攻下为总治法，早期予中药直肠滴入配合外敷法，中晚期予中药内服、外敷及直肠滴入三者联合，以达到邪去则正安的目的，临床疗效显著，凸显了中医药在危急重症中的潜力和优势，对总结、传承、发扬名中医治疗重症疾病的经验具有重大意义。

Abstract:

Severe acute pancreatitis is a common clinical critical disease, with "sinister condition, complications, high mortality".Belong to the category of "pain" in medicine in severe acute pancreatitis, professor li LAN thought the disease by pixu (spleen deficient), hot and humid embodiment, relieving gas barrier as its core and pathogenesis, and spleen-deficiency always throughout the pathological process, thus puts forward the disease with replenishing qi spleen, heat lishi, scored for the general therapeutic principle, in the early to drip into the rectum with Chinese medicine external treatment method, the middle-late medicines are, topical and rectum drops into the joint, in order to reach the purpose of evil to are Ann, clinical pay off, highlights the potential and advantage of traditional Chinese medicine in emergency