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1 单味大黄新用 治疗急性胰腺炎:焦氏等报道应用单味生大黄治疗急性胰腺炎20例,用生大黄粉10~40g,煎服,1~2小时1次,待排便,症状体征减轻,尿淀粉酶正常后减量,改用3g,1日3次,巩固2~5天。其作用机理:①大黄有较强的抗菌作用,可降低毛细血管的通透性,改善脆性,减少体液外渗;②大黄能改善组织器官的循环和代谢;③大黄有攻积导滞作用,通过缓泻可加速胰酶排出,同时胃肠排空后可减少对胰腺刺激;使胰液分泌减少。大黄有消炎解痉止痛作用。医药信息报道治疗急性胰腺炎用生大黄30~50g,加开水120~200ml浸泡15~30分钟,分3次口服,3~5天后腹痛逐渐消失,3~7天体温降至正常。
1 Rhubarb monotherapy for the treatment of acute pancreatitis: Jiao et al reported 20 cases of acute pancreatitis with single-flavor rhubarb, with rhubarb powder 10 ~ 40g, decoction, 1 ~ 2 hours, until defecation, symptoms and signs Reduce, reduce the amount of normal urine amylase, use 3g, 3 times a day, consolidate 2 to 5 days. Its mechanism of action: 1 rhubarb has a strong antibacterial effect, can reduce capillary permeability, improve brittleness, reduce body fluid extravasation; 2 rhubarb can improve the circulation and metabolism of tissues and organs; 3 rhubarb has a role in leading lag, The pancreatic enzyme excretion can be accelerated by laxation, and the stimulation of the pancreas can be reduced after the gastrointestinal emptying; the secretion of pancreatic juice can be reduced. Rhubarb has anti-inflammatory, antispasmodic and analgesic effects. Medical information reported treatment of acute pancreatitis with rhubarb 30 ~ 50g, add boiling water 120 ~ 200ml soak 15 ~ 30 minutes, 3 times orally, 3 to 5 days after the disappearance of abdominal pain, body temperature 3 to 7 days to normal.