Acute pancreatitis Chinese medicine diagnosis and treatment technology

China's traditional Chinese medicine reported

        Acute pancreatitis is in pancreatic enzyme in the pancreas is activated by the pancreas after their own digest chemical inflammation. With acute abdominal pain on clinical, nausea, vomiting, fever and blood and urine increased amylase for features, is one of the common acute abdominal disease. Clinical manifestations of weight is differ, light person to give priority to the pancreas edema, illness have self-limited, prognosis is good. A few in serious condition, and pancreatic bleeding necrosis, with peritonitis, shock, complications, and case fatality ratio was high. The disease onset by 20 to 40 years old prime more.

        The disease of traditional Chinese medicine "abdominal pain," "" chest" category.

        A, causes and mechanism

        Food festival, drinking alcohol, treating disease were in the long and tapeworm about this disease can lead to within the happen. The causes of diseases can cause stomach made, damp and hot accumulate knot, the gas of the upper to give vent to adverse, setting gas lift disorders. The disease a, this is the spleen and standard lies in the liver, bravery, intestines and stomach; Disease of Yang card and more than sex, hot, empirical evidence, and give priority to reality. Its incidence and pathogenesis development process can contain yu, blood stasis, heat, "genre, five links, especially in hot," is the main pathogenesis of the link.

        Second, syndrome differentiation and classification

        1. And stomach certificate: stalking, often for pain, the aggravate, hiccups vomiting, defecate not free, what is abdominal distension and pain, swelling gas a little slow bolts. Tongue reddish or dark red, moss thin yellow, pulse string the number.

        2. Taste real heat syndromes: wan abdomen had full, new bulge out according to pain, sometimes vomiting, body heat fidgety, mouth thirst, move bowels dry knot, urinate short red. Red tongue, moss yellow dry or thick greasy, pulse string slippery number.

        3. Courage damp and hot card: stalking often flatulence, chest full of new wan, mouth bitter nausea, body yellow eyes, fever, body weight burnout, constipation or loose stools down and pee color yellow. Red tongue or dark red, moss HuangHou greasy, pulse string slippery number.

        4. The reading about card: drill epigastric pain, swelling and then to press, the aggravate, nausea and vomiting and fever jaundice. Red tongue, moss yellow greasy, pulse string number.

        5. Gas Yin depletion card: big belly full hard, to endure the pain, lip weather-shack, skin purple spot, breath faint, his limbs jue inverse. Red tongue dry, moss yellow dry have crack, pulse thin or micro may not and.

        Second, syndrome differentiation

        1. And stomach card

        [treatment] ShuGan qi, pouring down in general.

        [herbs] was ShuGan scattered and clear reduction pancreatic tonga. The main drugs: the fumatory, ZhiKe, sweet attached, turmeric, root of herbaceous peony, liquorice, radix scutellariae, rhizoma coptidis, yuan hu, MangXiao, born rhubarb.

        If nausea and vomiting heavy, add ginger sprouting, dried tangerine or orange peel, or with ginger cha tongue; Stool stem node impassability, add MangXiao against the service; If food sluggish and corruption "swallow acid, can drink and food guide of delay choose products, such as solid, acid-insoluble cortex magnoliae officinalis, forsythia; Hawthorn, malt, semen raphani, etc.

        2. Taste real heat syndromes

        [treatment] in the attack, setting clear discharge hot.

        [herbs] clear pancreatic decoction and big bear gas tonga decreases. The main drugs: the fumatory, radix scutellariae, rhizoma coptidis, root of herbaceous peony, sweet, yuan hu, born rhubarb (after), cortex magnoliae officinalis, MangXiao, acid-insoluble real, honeysuckle.

        If the heat and add forsythia, dandelion, purple flower DeDing, etc.; Obviously blood stasis and salvia miltiorrhiza performance, angelica, peony skin; If what TianHuaFen, make with thirst.

        3. Courage damp and hot card

        [treatment] clear the humid and hot liver.

        [herbs] clear pancreatic decoction and diarrhea tonic liver tonga decreases. The main drugs: LongDanCao, radix scutellariae, gardenia, radix akebia,, gall, rhizoma coptidis, root of herbaceous peony, extensive combination, yuan hu, born rhubarb.

        Signing Jo and constipation and MangXiao (blunt against); If the loose stools, abdominal distension, the NaCha, add poria cocos, largehead atractylodes rhizome, dried tangerine or orange peel; Blood stasis obvious adds the danshen, turmeric, root.

        4. The reading about card

        [treatment] clear Hui pancreatic flooding, qi in general.

        [herbs] clear soup, pancreatic Ⅱ. Major drug: radix scutellariae, hu, rhizoma coptidis, sweet, betel, ShiJunZi, neem nuts root skin, asarum, MangXiao (blunt against).

        Jaundice and feed ChenHao, tiger remarkableness rod, turmeric; Add JinLingZi threat pain heavy scattered; God NaCha tired with tuckahoe, dangshen, largehead atractylodes rhizome.

        5. Gas Yin depletion card

        [treatment] yiqi solid take off the liquid, the spilled hot in the deposit Yin.

        [herbs] add liquid gas bearing tonga decreases. Major drug: prince and, radix ophiopogonis, yuan participation, born dihuang, gardenia, yuan hu, rhubarb (after), MangXiao.

        Three, experience party

        1. Effect made the pain soup

        [efficacy] ShuGan qi, qingrejiedu, in the attack.

        [drug composition] officinale born 30 grams, the dandelion 30 grams, fumaric 15 grams, radix 10 grams, ZhiKe 10 grams, born rhubarb 10 grams.

        [usage] the medicinal cold water immersion half an hour, Fried twice, the Fried 30 minutes, born rhubarb is another use boiled water immersion half an hour or more, medicine juice's two times take or take,

        2. WangChangYong party

        [efficacy] the setting of relief, ShuGan XieYu.

        [drug composition] angelica 50-100 g, radix 15 grams, root of herbaceous peony 20 grams, sweet 10 g (after), of frutus 15 g, radix scutellariae 15 grams, coptis chinensis franch 5 grams, yuan hu 15 grams, danshen 20 grams, born astragalus 20 grams, roasted liquorice 10 grams.

        [usage] water frying take a daily agent, 10, for a period of treatment. Along with the card to add and subtract: what she would add bamboo vomiting 10 grams, sprouting 10 grams; The yellow 20 grams increase constipation (after), MangXiao 10 g (a blunt); Abdominal pain play reuse 50 g officinale, add sichuan melia japonica son of 15 g; Toxic heat with gypsum and 50 g, honeysuckle 15 grams, 15 g forsythia bush; Hot and humid jaundice and gall 50 grams, jersey 20 grams diarrhea; Hui faint and ebony 5 g, betelnut 15 grams.

        Four, traditional Chinese medicine

        1. Clear open spirit injection

        [efficacy] qingrejiedu, cool blood back yellow.

        [usage] adults from 40 to 60 ml each time, add 10% glucose injection 500 ml, intravenous drip, once per day, the totality of children.

        2. The gd bitter yellow injection

        [efficacy] heat lishi retreat to yellow.

        [usage] adult every time 20 ml, add 10% glucose injection 500 ml, intravenous drip, once per day, the totality of children.

        3. The dragon hui pill

        [efficacy] clear liver lidan, purging fire detoxification.

        [usage] adult each take 3 ~ 6 g, once per day, before taking. Pediatric reduction.

        4. Open ShunQi blue pill

        [efficacy] to do gas lead lag.

        [usage] honey pills, adults take nine grams per twice a day. Pediatric reduction.

        Five, the appropriate technology

        1. HaoZhen

        (1) cold evil inner product type. Prescription: in wan, god que close yuan, foot, sun). Operation: in wan, foot three mile with warm acupuncture, sun for flat with flat diarrhea technique, have to gas for degrees. God que, close yuan every ginger bread of lateral or with sticks, sticks to the limb pain reduction temperature, for degrees.

        (2) cold empty type. Prescription: chapter in wan, door, spleen, stomach yu yu, air sea, foot three mile, god que. Operation: the first stab spleen yu yu stomach, clip ridge Pierce, needle into one inch, waiting for an acid, bilge, hemp, go there and feel after, twisting turn or blow a needle handle two minutes, sticks in wan, chapter after door, gas sea, foot three mile and god que, flush with local for degrees.

        (3) warm damp and hot delay type. Prescription: e. yu, day on virtual axis, the lander, branch lander, close valley, QuChi, main. Operation: the first rubs crosswisely needle, to pinpoint the vertebral body or clip ridge puncture, stab an inch deep, gas, twisting turn scraping the needle handle two minutes, then the needle, the virtual axis day lander, branch lander, close valley, QuChi, main, all with the reducing method, gas, LiuZhen 10 to 20 minutes.

        (4) and type. Prescription: liver yu, door, gas, the sea of coffins, YangLingQuan emmeniopathy day, three mile, foot. Operation: the first needle liver yu, spine inclined to tip or caught ridge inclined thorn, into an inch deep, gas, twisting or blow a needle to handle two minutes later they needle. Needle period after the door, the spurs or flat thorn 0.5 ~ 0.8 inch, sea, and air YangLingQuan emmeniopathy and foot, three mile all straight thorn, have to LiuZhen 20 minutes after the gas.

        (5) and blood stasis. Operation: liver, midriff first needle yu yu, to pinpoint the vertebral body or clip ridge straight thorn, Pierce one inch, gas, twisting or blow a needle to handle two minute needle, needle day again, air sea, coffins multiple, blood, the three Yin hand in, all use the reducing method, gas, LiuZhen 10 to 20 minutes.

        (6) diet stagnant type. Prescription: in wan, day hub, gas sea, foot three mile, XuanJi, main. Operation: first in wan, day needle coffins, air sea, to puncture gas, did mention in turn twisting reducing method, then the needle foot three mile, XuanJi, main, all with the reducing method, gas, LiuZhen 10 to 20 minutes. The needle, ai sticks with article in wan, day hub, gas sea 10 minutes.

        2. Earpins

        Prescription: bravery, pancreatic, god door, sympathetic. Operation: local strict disinfection, with 0.5 inch HaoZhen puncture, gas another strong stimulation technique, LiuZhen an hour twice a day, and six times for one period of treatment.

        3. Water booster

        Prescription: feet under the virtual). Operation: local conventional disinfection, choose 10% glucose injection, each hole injection 5 ~ 10 ml, or with atropine, each hole into the 0.25 mg, once per day, three for one period of treatment.

        4. Moxibustion

        Prescription: inside pass, Yin ling springs. Operation: with the ai line dividing sparrow peck, each hole jiu 15 minutes to skin flush for degrees, two times per day, 6 times for one period of treatment.

        5. Massage therapy

        Prescription: in wan, Shan, beam door, door shut, in chapter, foot three mile, liver, stomach yu yu. Operation: patients take the supine position, use first palm gently knead abdomen, the key is in in wan acupuncture point, about 5 minutes. To thumb Shan knead in the door, door, beam chapter, customs clearance, foot in three mile, acupuncture point, every point in about two minutes. The last patients who take prone, with palm TuiBei department the bladder to flush for degrees, about 10 minutes, palm knead liver, stomach yu yu, power can be larger, with patients tolerated for degrees, each point in about two minutes.

        6. Cutem law

        Prescription: on, spleen, stomach often yu yu. Operation: patients take side-lying position, choose medium cupping jar, with flash points out the dominated in the above, leave cans of 20 minutes, twice a day, six times for one period of treatment.

        7. Apply umbilical therapy

        PiXiao 30 to 90 grams. Will PiXiao break, cloth, and apply the umbilical plexus. Daily two times, each time 10 minutes, the six for one period of treatment.