摘要
中医急诊重症医学是一门新兴学科,本文结合古代医籍论述及当今临床实践,总结了中医救治急危重症的5个理念:救命留人之“整体观”;祛除病因之“病因论”;明辨虚实之“正邪论”;动态观察之“恒动观”;已病防变之“未病论”。救命留人之“整体观”是战略层面的,在急危重症的救治中要贯穿始终;祛除病因之“病因论”和明辨虚实之“正邪论”是战术层面的,关乎具体治疗方案的制订;动态观察之“恒动观”,是在治疗方案初步确定,动态观察病情变化,随时评估治疗效果,反馈修正治疗方案;而已病防变之“未病论”,则是我们通过以上4个理念的坚持,所应达到的理想状态。
Emergency and critical care medicine in traditional Chinese medicine(TCM)is a new discipline.There was no monograph on the treatment of critical illnesses in ancient times,so there was a lack of detailed dis⁃cussion on the treatment concept of critical illnesses in TCM.This article summarizes the five concepts of TCM in the treatment of critical illnesses,combining the discussion of ancient medical works and current clinical practice:1)the"holistic view"of saving lives and preserving people;2)the"etiology theory"of eliminating the causes;3)the"vital qi and pathogen theory"of distinguishing deficiency and excess;4)the"dynamic view"of constant obser⁃vation;5)the"preventive theory"of preventing diseases from developing.The"holistic view"of saving lives and preserving people is strategic,which should be throughout in the treatment of critical illnesses;the"etiology theo⁃ry"of eliminating causes and the"vital qi and pathogen theory"of distinguishing deficiency and excess are tacti⁃cal,which involve the development of specific treatment plans;the"dynamic view"of constant observation,which is to initially determine the treatment plan,continuously vet changes of critical illnesses,assess the therapeutic ef⁃fect at any time,and feedback and modify the plan;and the"preventive theory"of preventing diseases from devel⁃oping is an ideal state that we should achieve through the persistence of the above four concepts.
作者
陈腾飞
高子恒
刘清泉
孔立
Chen Tengfei;Gao Ziheng;Liu Qingquan;Kong Li(Beijing Traditional Chinese Medicine Hospital,Capital Medical University,Beijing 100010,China)
出处
《中国中医急症》
2024年第3期537-539,545,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
国家中医药管理局项目新冠指南(ZYZB2022-798)
宽街明医刘清泉工作室项目。
关键词
急危重症
中医
治疗理念
理论探讨
Emergency and critical illness
Traditional Chinese medicine
Treatment concept
Theory exploration
