摘要
急危重症所累及脏器多而复杂,中医内科的脏腑辨证思路有其局限性。气津血精神奉养周身,为五脏六腑所共有,可以很好地弥补脏腑辨证的局限性。本文从气津血精神方面探讨了急危重症的病机演变规律,得出结论如下:急症表现为病在气津层面,以气逆津伤为核心病机,应迅速祛除邪气,力求阻断病势;重症表现为耗液动血,治疗应注重益气养阴扶正,防止邪气内陷耗伤藏真;危症多在伤精扰神基础上出现,死亡率高,中医治疗应多种方法并用,全面系统地扶正祛邪。
Acute critical illness involves many and complicated organs. There are limitations from syndrome differentiation of zang-fu viscera of TCM. Qi ,body fluid,blood and spirit supply the whole body,belonging to all the organs, which can most make up for the limitation of syndrome differentiation of zang-fu viscera. In this arti- cle,we discuss pathogenesis changes of acute critical illness from the theory of Qi,body fluid,blood and spirit, and have＂ made the following conclusions. Acute symptoms are manifested in Qi and body fluid levels, Qi rev-erse and body fluid injury as the core pathogenesis,and we should quickly dispel evil to stop patient＇s condition. Se- vere cases are manifested in the toss of body fluid and blood,and the＂ treatment should pay attention to nourish- ing Qi and Yin,strengthening the body resistance, preventing the evil invagination from hurt the organs. Crisis ap- pears on the basis of spirit destruction;the mortality rate is high. Chinese medicine treatment should use multiple methods to comprehensively and systematically eliminate pathogen to suooort vital Oi.
出处
《中国中医急症》
2018年第2期303-305,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
北京市医院管理局重点医学专业发展计划专项(ZYLX201611)
关键词
气津血精神
急危重症
病机
理论探讨
Qi, body fluid, blood and spirit
Acute critical illness
Pathogenesis
Theoretical discussion
