Objective: To observe clinical efficacy of the treatment based on syndrome differentiation of traditional Chinese medicine combined with western medicine on conventional therapy for acute pancreatitis (AP). Method: With in 80 cases of AP patients were randomly divided into the observation group and the control group (40 cases in each group). Two groups of patients were monitered with fasting

gastrointestinal decompression

correcting water and electrolyte disturbances

regulating acid-base balance; inhibiting gastric acid secretion and pancreatin

resisting infection

symptomatic treatment of spasmodic pain. Observation group was treated on the basis of traditional Chinese medicine with treatment based on syndrome differentiation

1/d decoction of 2-3 times the oral or nasal feeding. The 2 group were treated 7 d for 1 courses. Result: The cure rate was 55% in observ ation group 42.50% in control group

two groups had significant difference (P<0.05); the total efficiency was 92.50% in observation group

77.50% in the control group

two groups had significant difference (P<0.05). Abdominal distention

abdominal pain

fever

constipation and other clinical symptoms disappeared time were (3.08±1.83)

(2.33±1.22)

(2.54±1.67)

(1.18±0.42) d in observation group

(5.14±1.78)

(4.57± 1.30)

(6.93±1.88)

(3.22±0.85) d in control group respectively.The observation group was better than control group (P<0.05). CRP

blood amylase

serum lipase recovery time

hospitalization time were (6.11± 1.53)

(4.48±1.86)

(4.64±1.64)

(8.53±2.42) d in observation group

(9.56±2.68)

(8.63±1.98)

(7.05±1.84)

(13.48±3.67) d in control group respectively. The observation group was beeter than control group (P<0.05 ). Conclusion: The efficacy of traditional Chinese medicine syndrome differentiation combined with western medicine treatment for conventional AP was significant

abdominal distension

abdominal pain

fever

constipation and other clinical symptoms disappeared

CRP

blood amylase

serum lipase recovery time was shortemed.