半夏泻心汤治疗脓毒症胃肠功能障碍探讨  

Discussion of Banxia Xiexin Decoction on Sepsis Gastrointestinal Dysfunctiona

作　　者：孔立[1] 田正云 张飞虎[1] 郝浩[1] K ONG Li TIA N Zhe ngyun ZHANG Feihu et al(Affiliated Hospital of Shandong University of Traditional Chinese Medicine ,Shandong,Ji- nan 250014,China.)

机构地区：[1]山东中医药大学附属医院,山东济南250014

出　　处：《中国中医急症》2017年第7期1194-1196,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家中医药管理局"张灿玾国医大师工作室"研究项目(国中医药人教发[2010]59号);国家中医药管理局科研专项(JDZX2015302);山东省中医药科技发展计划项目(2009-099)

摘　　要：脓毒症是急危重症领域的重大课题和难题,其治疗主要是控制感染和抑制炎症反应。抗生素的使用在控制感染方面取得了良好的疗效,但针对炎症反应还没有较好的方法,而中医在此方面则有明显优势。全身炎症反应的根本病机是气机逆乱,而中焦是气机逆乱的枢纽,因此笔者以中焦脾胃为突破口,运用半夏泻心汤辛开苦降,调理中焦气机,抑制炎症反应,进而改善胃肠功能。Sepsis is an important and difficult problem in the field of acute and severe diseases,and its treatment is mainly to control infection and inhibit inflammatory reaction. The use of antibiotics in the control of infection has achieved good results,but there is no better way for the inflammatory response,and Chinese medicine in this respect has obvious advantages. Basic pathogenesis of systemic inflammatory response is Qi-movement disturbance,and middle-jiao is hub of Qi-movement disturbance. Therefore,the author used middle-jiao and the spleen and stomach as a breakthrough,and Banxia Xiexin Decoction in acrid opening and bitter downbearing,regulated middle-jiao and Qi,inhibited inflammatory response,and thereby improved gastrointestinal function.

关 键 词：脓毒症 胃肠功能障碍 炎症反应 气机逆乱 半夏泻心汤 

分 类 号：R631[医药卫生—外科学]