[目的]观察香黄散经中药透皮技术对急性重症胰腺炎的疗效。[方法]采用随机平行对照法,将临床74例急性重症胰腺炎住院患者按就诊顺序号方法随机分为实验组和对照组。对照组37例用西医常规方法进行治疗,实验组37例在对照组的基础上加用香黄散经中药透皮技术给予神阙,足三里穴位贴敷加神灯照射30min,每日2次,2周为1疗程。观察两组患者治疗后腹胀消失时间,腹痛消失时间,肠鸣音恢复时间,排气时间,住院时间,血常规及血清淀粉酶变化及不良反应,判定疗效。[结果]实验组和对照组总有效率分别为64.86%和43.24%,经χ2检验,2组总有效率差异有统计学意义(P<0.01),实验组高于对照组。[结论]香黄散经中药透皮技术能有效提高急性重症胰腺炎的疗效,值得推广。 [Objective] To observe the effect of traditional Chinese medicine of Xiang-huang San on acute severe pancreatitis through transdermal technique. [Methods] Randomized controlled trial was used to divide 74 inpatients with acute severe pancreatitis into two groups: experimental group and control group. The control group of 37 cases with conventional Western methods of treatment, the experimental group of 37 cases in the control group based on the addition of traditional Chinese medicine through the percutaneous Huang Xiang San Shenque, Zusanli acupressure plus Shen lamp irradiation 30min, 2 times a day , 2 weeks for a course of treatment. The disappearance of abdominal distension time, disappearance of abdominal pain, bowel sounds recovery time, exhaust time, hospital stay, blood and serum amylase changes and adverse reactions were observed after treatment to determine the curative effect. [Results] The total effective rates of experimental group and control group were 64.86% and 43.24% respectively. There was significant difference between the two groups (P <0.01) by χ2 test, and the experimental group was higher than the control group. [Conclusion] Xiang-huang San through the traditional Chinese medicine transdermal technology can effectively improve the efficacy of acute severe pancreatitis, it is worth promoting.