摘要
脓毒症是病原微生物入侵机体导致的全身炎症反应综合征,属临床危急重症,在疾病进展过程中往往出现高热、出血等症状,与火热密切相关。火盛-热燔是脓毒症发病的重要因素,临证治疗应分期论治。脓毒症初期,热邪伤卫气,向里传营,治疗宜透热转气,方选清营汤;脓毒症进展期,卫气分之热邪积滞不解,传入营血,灼烧精津,进而化火,治疗宜采用泻火解毒法,出现呕吐、腹水合并急性肝损伤者给予茵陈蒿汤;出现谵妄、意识不清合并脓毒症脑病者给予醒脑涤痰承气汤。
Sepsis is a systemic inflammatory response syndrome caused by pathogenic microorganisms invading the body.It is a critical and severe clinical condition,often presenting with high fever and bleeding during disease progression,which is closely related to fire and heat.Excessive fire and intense heat are important factors in the pathogenesis of sepsis,and clinical treatment should be staged accordingly.In the early stage of sepsis,heat pathogens damage the defense qi and spread to the nutrient aspect.Treatment should aim to release heat and transform qi,with Nutrient-Clearing Decoction being selected.In the progression stage of sepsis,heat pathogens stagnate in the defense qi aspect and do not resolve,spreading to the nutrient and blood aspects,scorching the essence and fluids,and transforming into fire.Treatment should focus on clearing fire and detoxifying.For cases with vomiting,ascites,and acute liver injury,Virgate Wormwood Decoction is adopted.For cases with delirium,unconsciousness,and septic encephalopathy,Decoction for Arousing the Brain and Flushing Phlegm Away and Purgation is selected.
作者
武可尚京
陈先玉
龙柯宇
李斌
张静
WU Keshangjing;CHEN Xianyu;LONG Keyu;LI Bin;ZHANG Jing(Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan,China,610072)
出处
《河南中医》
2024年第9期1321-1325,共5页
Henan Traditional Chinese Medicine
基金
中国出土医学文献与文物研究中心研究项目(2020C03)
四川省干部保健科研项目(川干研2022-504,川干研2023-504)。
关键词
火
热
脓毒症
清营汤
茵陈蒿汤
醒脑涤痰承气汤
fire
heat
sepsis
Nutrient-Clearing Decoction
Virgate Wormwood Decoction
Decoction for Arousing the Brain and Flushing Phlegm Away and Purgation
