摘要
根据伏邪温病理论并结合治疗脓毒症的临床实践经验,认为“伏邪久藏”为诱发脓毒症之潜在病因;“邪热内伏,瘀毒阻络,内外合邪”是脓毒症的发病之机;余邪深伏,正虚邪恋,致脓毒症合并持续炎症-免疫抑制-高分解代谢综合征(PICS)等不良预后。治疗上以“清、透、养”为大法,运用“清法”清除体内毒邪,“透法”透邪散热、开达通路、清剿余邪,“养法”扶正祛邪外出、顾护脾肾和阴液,防止脓毒症向PICS转变。
According to the theory of latent pathogen in warm disease and the clinical practice experience in treating sepsis,it is believed that long-term accumulation of latent pathogen is the potential cause of sepsis.“Internal accumulation of pathogenic heat,stasis toxin blocking the collaterals,and combined internal and external pathogens”is the pathogenesis.Residual pathogen deeply buried and lingering pathogen due to healthy qi deficiency lead to persistent inflammation-immunosuppression-hypercatabolic syndrome(PICS)and other poor prognosis in sepsis.The main treatment method is to“clear,vent and nourish”.The clearing method is used to clear the pathogenic toxin in the body.The venting method can vent the pathogen and dissipate heat,open and unblock the pathway,and clear away residual pathogen.The nourishing method is to reinforce healthy qi and eliminate pathogen,care spleen-kidney and harmonize yin fluid,and prevent the transformation of sepsis into PICS.
作者
徐建兴
杨志旭
XU Jianxing;YANG Zhixu(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing,100091)
出处
《中医杂志》
CSCD
北大核心
2023年第11期1171-1174,共4页
Journal of Traditional Chinese Medicine
基金
中国中医科学院科技创新工程重大攻关项目(C12021A02908)。
关键词
脓毒症
伏邪
温病
扶正祛邪
sepsis
latent pathogen
warm disease
rectifying healthy qi and eliminating pathogen
