中医清热解毒治法在脓毒症中的应用  

Application of Qingre Jiedu Method on Sepsis in TCM

作　　者：李丽萍 张平平[2] 王东强[2,3] 李志军 Li Liping;Zhang Pingping;Wang Dongqiang;Li Zhijun(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学,天津301617 [2]天津市第一中心医院,天津300192 [3]天津医科大学,天津300070

出　　处：《中国中医急症》2020年第5期867-869,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：天津市中医药重点领域科研项目(2017006);天津市中医药管理局中医、中西医结合科研课题(2017053);国家中医药管理局“十二五”重点专科建设项目。

摘　　要：本文通过论述中医对脓毒症病因病机及辨证认识,提出热毒既是其致病因素亦是病理产物,脓毒症各个时期皆有热及毒的参与,故使用清热解毒治法尤为重要。清热解毒法可应用于脓毒症的各个时期,其代表方剂凉膈散、清瘟败毒饮及黄连解毒汤均可应用于脓毒症的治疗,但治疗各有侧重。临证应精确辨证,以减轻脓毒症患者症状,改善预后。This paper discusses the etiology,pathogenesis and syndrome differentiation of sepsis in traditional Chinese medicine,and points out that heat and toxin is not only the pathogenic factor but also the pathological product. Sepsis has the participation of heat and toxin in every period,so it is very important to use Qingre Jiedu method in all stages of sepsis,and its representative prescriptions,such as Liangge San,Qingwen Baidu Decoction and Huanglian Jiedu Decoction,can be used in the treatment of sepsis,but each has its own emphasis. In order to alleviate the symptoms and improve the prognosis of patients with sepsis,clinical syndrome differentiation should be accurate.

关 键 词：脓毒症 热毒 辨证论治 中医药 清热解毒法 

分 类 号：R631[医药卫生—外科学]