摘要
目的:通过临床实践研究,提出急性阑尾炎的中医临床证型诊疗标准。方法:查阅近50年以来的全国高等中医药院校统编或自编的外科教材,以及临床相关的文献资料,总结出急性阑尾炎的辨证分型和用药规律。结果:共识是中医将急性阑尾炎分为四型:瘀滞型、蕴热型、毒热型、脓肿型,并提出各型阑尾炎的治疗原则和方药。结论:西医急性阑尾炎病理演变规律是:单纯性阑尾炎→化脓性阑尾炎→坏疽穿孔性阑尾炎→阑尾周围脓肿,分别与中医辨证分型的瘀滞型→蕴热型→毒热型→脓肿型相对应,这是一个典型的中西医临床结合点,对指导临床治疗意义重大。
Objective:Through the clinical practice study,the clinical criteria for diagnosis and treatment of acute appendicitis with TCM syndrome is put forward.Methods:The surgical teaching materials and clinical literature of the national institutes of higher Chinese medicine in the past 50 years are reviewed,and the syndrome differentiation and drug rule of acute appendicitis is summarized.Results:TCM divides acute appendicitis into four types:the Yuzhi type(瘀滞型),the Yunre type(蕴热型),the Dure type(毒热型),the Nongzhong type(脓肿型),and the treatment principle and prescription of various appendicitis are different.Conclusion:The pathological evolution of acute appendicitis in western medicine is:simple appendicitis,suppurative appendicitis,gangrene perforative appendicitis,periappendiceal abscess,which is corresponding to stasis type,heat type,toxic heat type,abscess type in TCM,it is a typical clinical combination point of Chinese and western medicine,which is of great significance for guiding clinical treatment.
出处
《中医临床研究》
2018年第15期85-87,共3页
Clinical Journal Of Chinese Medicine
关键词
急性阑尾炎
肠痈
辨证分型
病证结合
诊疗标准
Acute appendicitis
Intestinal carbuncle
Syndrome differentiation
Syndrome combination
Diagnosis and treatment standard
