基于六经辨证探讨血行感染脓毒症的治疗  

Discussion on treatment of hematogenous sepsis based on syndrome differentiation of six channels theory

作　　者：曾祥珲[1] 邓贤斌[1] 颜芳[1] 老膺荣[1] 黄臻[1] 温姗[1] ZENG Xianghui;DENG Xianbin;YAN Fang;LAO Yingrong;HUANG Zhen;WEN Shan(Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong 510370,China)

机构地区：[1]广东省中医院,广东广州510370

出　　处：《上海中医药杂志》2022年第4期38-41,49,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：省部共建中医湿证国家重点实验室专项(SZ2020ZZ01);广东省卫健委科研项目(YN2020CC01);广东省中医院李可古中医齐玉茹学术经验传承工作室项目(中医二院[2014]89号-22);广东省中医院齐玉茹学术经验传承工作室项目(中医二院[2015]37号-4)。

摘　　要：基于六经辨证体系探讨血行感染脓毒症的辨治理法。认为其根本原因始于“胃”虚,病邪初犯太阳,迅速病传入里,急性期以三阳病为主;病机以少阳阳明合病、阳明里病等为主,治疗注重及时清解邪热,截断病势,以防病传入阴;辨证用方为当归柴胡汤、大柴胡汤、千金百痛壮热方、白虎汤等。并举验案2则。Based on syndrome differentiation of six channels theory,the paper discusses the syndrome differentiation and treatment of hematogenous sepsis. It is considered that the deficiency of stomach qi is the root cause of the disease with the first attack of the pathogenic factors on Taiyang meridian and then spreading into the interior rapidly. In the acute stage,Sanyang disease is the main condition. The main pathogenesis of the disease is Shaoyang Yangming syndrome complex and interior yangming disease. In order to prevent the disease from spreading into yin,timely clearing away pathogenic heat is focused on to cut off the development of the disease treated with the prescriptions such as Danggui Chaihu Decoction,Da Chaihu Decoction,Qianjin Baitong Zhuangre fang,Baihu Decoction,which are prescribed according to syndrome differentiation. And two proven cases are presented.

关 键 词：血行感染 菌血症 脓毒症 湿热证 六经辨证 中医药疗法 

分 类 号：R278[医药卫生—中医学]