急性胰腺炎中医临床诊疗现状及策略OA

The involvement of traditional Chinese medicine(TCM)in the clinical management of acute pancre-atitis(AP)has gained broad recognition.Drawing on published literature as well as relevant consensuses and guide-lines,this paper summarizes recent progress in TCM-based clinical research on the diagnosis and treatment of AP.Current studies mainly focus on the correlations between TCM syndrome patterns and disease severity,micro-level pattern differentiation,clinical efficacy evaluation,and stratified treatment strategies.Existing evidence indicates that the advantages of TCM in AP lie in its comprehensive therapeutic approach,characterized by the integration of dynamic and static interventions and coordinated regulation of upper and lower aspects of the body.Diagnostic and therapeutic strategies such as early intervention,whole-course participation,integration of disease and syndrome differentiation,and stage-based and severity-stratified treatment have played a positive role in AP management.TCM interventions may improve microcirculation,alleviate inflammatory responses and pancreatic injury,and regulate immune function and intestinal microbiota balance,thereby increasing overall treatment efficacy,shortening disease duration,and reducing the incidence of severe disease and mortality.