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中国慢性阑尾炎治疗网中医药物治疗方法通解阑尾汤治疗阑尾炎

通解阑尾汤治疗阑尾炎

疗法提供:天津港口医院 王长元

治疗方法:

通解阑尾汤方药组成:元胡、川楝子、厚朴、枳实、大黄、丹皮、红藤、败酱草、陈皮、半夏。

加减:腹痛重加郁金、蒲黄;发热重加生石膏、紫草;包块重加莪术、白附子;便结重加槟榔、芒硝;腹冷痛加乌药、小茴香。

用法:每日1剂,水煎200ml,早晚分服。

通解阑尾汤意在“通腑解毒”。方用厚朴、枳实、大黄组成小承气汤为主药,具有通腑导滞、透脓拔毒作用,犹如肠内引流排毒之功效。辅以丹皮、红藤、败酱草清瘀热,解肠毒为臣,若无败酱草可用白花蛇舌草代之。

佐以陈皮、半夏和谐胃肠,斡旋中洲,矫缓承气之峻猛。再用金铃子散、元胡、川楝子行气化瘀,以达通解止痛目的。诸药合用通腑化瘀,行气解毒,为治疗阑尾炎有效处方。

通解阑尾汤是病证结合的产物。综合中西医病证特点认为:阑尾炎是由于患者饮食劳逸不当,热毒内蕴,聚于盲肠阑尾,局部红肿热痛而发炎,甚至化脓,穿孔,大网膜包裹;以致腑气不通,胃肠失和,郁热日深,亦可引发全身症状,如体温升高等。通解阑尾汤正是抓主要病机,解决病证关键问题之主方,可谓“一通百通”。

     
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