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[大柴胡汤治疗腹腔间隔室综合征的临床体会与思考]

[Clinical experience and thinking of treating abdominal compartment syndrome by dachaihu decoction].

作者信息

Mao Shuai, Zhang Min-Zhou

机构信息

Second Clinical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, China.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2013 Jun;33(6):845-6.

Abstract

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.

摘要

从古今文献中检索了关于大柴胡汤(DD)的描述。胃脘或腹部痞满被提出作为大柴胡汤证(DDS)的主要症状。大柴胡汤证的病机包括少阳之气不利、胆胃失常以及里热内结。腹腔间隔室综合征的主要临床特征是严重腹胀,这与大柴胡汤证相似。使用大柴胡汤可取得显著疗效。经典方剂的临床应用应注重主症并把握病机。

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