摘要
目前在中医药治疗脓毒症及脓毒性休克时主要采用"四证四法"的辨证方法.该辨证方法虽然适用于临床,但是辨证难度相对较大,且证候之间的关系未阐明.使用"相火论"的辨证思路,根据脓毒症等发展过程,"相火"的演进过程可分为阳常有余、阴常不足、相火受损、相火衰败4个阶段,对应毒热证(血瘀证)、热厥、寒厥、脱证4个疾病阶段,相应的治疗分别是凉血解毒活血化瘀、益气养阴、回阳救逆、扶正固脱4种方法,治疗过程中需要顾护胃气."相火论"的引入可阐释"四证四法"之间的关系,更深刻地揭示其内涵.
At present,the main use of Chinese medicine in the treatment of sepsis and sepsis shock is"four patterns and four methods".Although this method is suitable for clinical treatment,it is difficult for doctors to use,and the relationship between"four patterns"has not been clarified.The author introduces the dialectical thinking of"ministerial fire theory",and aims to interpret"four patterns and four methods".Sepsis and sepsis shock can be devided into four stages:Yang excess,Yin insufficient,fire damage,and fire decay,which corresponding to four disease stages:heat syndrome,heat syncope,cold syncope,and decaying,and the corresponding treatments are heat clearing,nourishing Yin,rescue Yang,rescue shock respectively.Abdominal problems should be considered during this process.
作者
林闽
张建兰
陈锋
陈凤娟
Lin Min;Zhang Jianlan;Chen Feng;Chen Fengjuan(Jiaxing Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine,Jiaxing 314000,Zhejiang,China)
出处
《中华危重病急救医学》
CAS
CSCD
北大核心
2019年第10期1285-1288,共4页
Chinese Critical Care Medicine
基金
浙江省嘉兴市医学重点学科建设项目(2019-22)
浙江省嘉兴市公益性研究计划项目(2019AD32235)。
关键词
脓毒症
脓毒性休克
相火论
四证四法
脱证
Sepsis
Sepsis shock
Ministerial fire theory
Four patterns and four methods
Syncope
