基于卫气营血理论识别与调控脓毒症免疫状态  

Identification and regulation of sepsis immune status based on the theory of Wei-defence,qi,Ying nutrients,and blood

作　　者：艾碧琛 何宜荣 AI Bichen;HE Yirong(College of Chinese Medicine,Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学中医学院,湖南长沙410208

出　　处：《湖南中医药大学学报》2023年第11期2112-2116,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金项目(30801473,81603535);湖南省自然科学基金项目(14JJ3119);长沙市自然科学基金项目(kq2202262)。

摘　　要：脓毒症早期免疫过度激活,后期转为广泛免疫抑制,准确评估脓毒症患者免疫状态并给予相应免疫调理是降低脓毒症死亡率的突破口。目前,脓毒症免疫调节的单一性及缺乏精准性问题导致疗效不尽如人意。卫气营血理论常用于脓毒症临床诊治。卫、气、营、血4证与脓毒症不同的免疫状态相关,其治法能调节对应的脓毒症免疫状态。卫气营血辨证能实现对脓毒症免疫状态的精准识别及多作用点的整体调控,体现中医辨证论治理论体系的独特优势。The over activated immunity for sepsis at early stage will turn into widespread immune suppression.Thus,the accurate assessment of immune status of sepsis patients and the following immune regulation is the key to decreasing mortality.At present,the monotony and lack of precision in immune regulation for sepsis has led to unsatisfactory efficacy.The theory of Wei-defence,qi,Ying nutrients,and blood is often used in the clinical diagnosis and treatment of sepsis.Since the four patterns of Wei-defence,qi,Ying nutrients,and blood are related to different immune states of sepsis,and the treatment methods can regulate the corresponding immune status.Pattern identification of Wei-defence,qi,Ying nutrients,and blood can accurately recognize the sepsis immune status and generally regulate multiple action points,demonstrating the unique advantages of the TCM theoretical system of treatment based on pattern identification.

关 键 词：卫气营血辨证 脓毒症 免疫 免疫调节 免疫识别 辨证论治 精准医学 

分 类 号：R259[医药卫生—中西医结合]