从痰饮辨治急性呼吸窘迫综合征探析  

Differentiation and Treatment of Acute Respiratory Distress Syndrome from Phlegm Retention

作　　者：黄玉符 左俊岭[2] 王林[2] Huang Yufu;Zuo Junling;Wang Lin(Guangzhou University of Chinese Medicine,Guangdong,Guangzhou 510405,China)

机构地区：[1]广州中医药大学,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《中国中医急症》2023年第7期1178-1181,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：广州市科技计划项目(202102080465)。

摘　　要：急性呼吸窘迫综合征(ARDS)是重症医学科常见临床综合征,其发病机制复杂,病死率高,目前尚无特效治疗药物,仅以对症支持治疗为主。本文从“微观辨证”出发,结合现代病理生理机制,提出痰饮是ARDS的核心病机,热、毒、瘀、虚为ARDS的关键证候。治疗上应通过一治根源、二治寒热、三治虚实、四治留瘀4个步骤祛除ARDS之特征性痰饮。Acute respiratory distress syndrome(ARDS)is a common clinical syndrome in intensive care unit.Its pathogenesis is complex,and its mortality is high.Currently,there are no specific therapeutic drugs,and only symp-tomatic supportive treatment is the main treatment.Based on microscopic syndrome differentiation and modern pathophysiological mechanism,this paper proposes that phlegm retention is the core pathogenesis of ARDS,and that heat,poison,stasis and deficiency are the key syndromes of ARDS.In terms of treatment,the characteristic in phlegm retention of ARDS should be eliminated through four steps:treat the root of phlegm retention"firstly,treat cold and heat,then treat deficiency and accumulation,and finally treat blood stasis.

关 键 词：急性呼吸窘迫综合征 痰饮 病机 

分 类 号：R563.8[医药卫生—呼吸系统]