毛帅,张敏州.临床应用大柴胡汤治疗腹腔间室综合征的体会和思考[J].中国中西医结合杂志,2013,33(6):0845-8046 |
临床应用大柴胡汤治疗腹腔间室综合征的体会和思考 |
Clinical Experience and Thinking of Treating Abdominal Compartment Syndrome by Dachaihu Decoction |
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DOI:10.7661/CJIM.2013.06.0845 |
中文关键词: 腹腔间室综合征 大柴胡汤 心下急 |
英文关键词:abdominal compartment syndrome Dachaihu Decoction oppressed feeling in stomach or abdomen |
基金项目:国家自然科学基金资助项目(No81202782) |
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中文摘要: |
梳理古今文献对《伤寒论》大柴胡汤证的阐述,提出“心下急”为其主要症状,病机在于少阳失疏,胆胃不和,邪热内结。临床所见腹腔间室综合征同样是以严重腹部胀闷为主要特征,用大柴胡汤“下之”,效果显著。临床使用经方应当着眼主症,把握病机。 |
英文摘要: |
The descriptions about Dachaihu Decoction (DD) were retrieved from ancient and modern literatures. A feeling of being oppressed in stomach or abdomen was raised to be a main symptom of Dachaihu Decoction syndrome (DDS). The pathogenesis of DDS includes failure of shaoyang to flow upward, abnormality of gallbladder and stomach, and inner stagnation of heat. The main clinical feature of abdominal compartment syndrome is severe abdominal distension, which is similar to that of DDS. Significant effects could be achieved by using DD. The clinical use of classical prescriptions should focus on main symptoms and grasp the pathogenesis. |
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