中西医结合治疗肝胆胰疾病的现状和展望

危北海; 周滔

中西医结合治疗肝胆胰疾病的现状和展望

危北海,
周滔

1. 首都医科大学附属北京中医医院
2. 北京市中医研究所

详细信息

中图分类号: R57
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出版历程
- 出版日期: 2013-04-20

Current and future perspectives on integrative traditional Chinese and Western medical management of gastroenterological diseases

摘要

摘要:
近年来,中西医结合治疗消化疾病取得了显著进展,主要体现在发现中西医之间的结合点,如西医"肠肝轴"学说与中医"肝病传脾"理论的相同点等;通过建立肝硬化腹水、非酒精性脂肪性肝病、肝纤维化、急慢性胰腺炎等疾病辨病和辨证结合的诊断标准,逐步形成了中西医结合消化疾病的新诊断模式;把中医学理论的研究、创新与消化疾病的防治结合起来,如肝硬化的"虚损生积"理论创新、通里攻下与活血化瘀在重症急性胰腺炎中的治法研究,为提高中西医结合治疗消化疾病的证治水平和临床疗效奠定了理论和实践基础。中西医结合明显提高了慢性肝炎、肝纤维化与肝硬化、消化系肿瘤、胆道结石等疾病的治疗效果,显示出中西医结合的特色和优势。中西医结合消化病学虽然取得了不少进展,但距离人们的要求仍相差很远。因此,把中西医有机地结合起来,逐步发展成为成熟的中西医结合消化病学,是现阶段从事中西医结合消化疾病研究的主要任务。
- 中西医结合疗法 /
- 肝疾病 /
- 胆道疾病 /
- 胰腺疾病
Abstract:
In recent years, significant progress has been made in the systematic investigation and application of integrative traditional Chinese and western medical management of digestive system diseases.Evidence-based modern investigations of the pathogenic processes and related etiologies are confirming the systemic nature of disease and the need for a comprehensive approach to clinical management.For example, the conditions of acute pancreatitis and hepatitis caused by pathogenic agents are intimately associated with inflammation signaling and circulatory function.In traditional Chinese medicine (TCM) , the individual's systemic condition is addressed, complementing the targeted approach of Western medicines and therapies.Here, we review the theoretical and biological aspects of the integrative treatment modality for the various pancreatic and hepatobilliarly diseases that have been reported.In particular, the outcomes and mechanisms of integrative management of chronic hepatitis, liver fibrosis and cirrhosis, severe acute pancreatitis, gallstones, and malignancies of the digestive system are discussed in the context of specific TCM herbs and decoctions.
- TCM WM THERAPY /
- liver diseases /
- biliary tract diseases /
- pancreatic diseases

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参考文献(18)

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