从津液代谢探讨对急性胰腺炎的防治规律

Discussion on the Prevention and Treatment of Acute Pancreatitis from Body Fluid Metabolism

摘要: 津液是机体一切正常水液的总称，是组成人体脏腑组织器官的基本物质，也是维持机体各器官功能正常运行及人体正常生命活动的必备基础。津液在人体中的异常衍化与急性胰腺炎的病理改变具有高度一致性。本文梳理人体津液代谢与胰腺功能的内在联系，分析了急性胰腺炎各阶段主要发生的津液病变衍化，强调津液代谢障碍是急性胰腺炎发作的核心病机。归纳出在急性发作期应做到疏肝利胆，清热利湿，通腑泻下，活血攻毒，治以祛邪为主，兼以顾护正气；缓解期则重在调理脾运，辨证用药，治以扶正为主，兼以祛除余邪；恢复期则在强健脾运的基础上做到分证论治，改变体质偏颇，同时注意调畅情志，起居有常，饮食调整，减少复发。

Abstract: Body fluid is the general name of all normal water in the body. It is the basic substance that makes up the viscera, tissues and organs of the human body, and is also the necessary basis for maintaining the normal functioning of all organs of the body and normal life activities of the human body. The abnormal evolution of body fluid in human body is highly consistent with the pathological changes of acute pancreatitis. This paper reviews the internal relationship between body fluid metabolism and pancreatic function, analyzes the evolution of body fluid lesions occurring in each stage of acute pancreatitis, and emphasizes that body fluid metabolism disorders are the core pathogenesis of acute pancreatitis. It is concluded that in the acute attack period, we should achieve the functions of soothing the liver and promoting bile flow, clearing heat and removing dampness, promoting bowel movements, activating blood circulation and attacking to xins. The treatment should focus on dispelling evil, while also taking care of the healthy atmosphere; In the remission period, the focus is on regulating spleen transport, differentiation of symptoms and drugs, mainly on fuzheng, and eliminating residual evil; In the recovery period, on the basis of strengthening the spleen movement, it can be treated according to different syndromes, change the physical bias, and pay attention to regulating emotions, living regularly, diet adjustment, and reducing recurrence.