从“邪之所凑,其气必虚”谈脓毒症“急性虚证”理论  

Discussing the“Acute Deficiency Syndrome”of Sepsis from the Perspective of“Where Evil Attacks,Its Qi Must be Deficient”

作　　者：王津[1] 奚小土[1] Wang Jin;Xi Xiaotu(Emergency Department,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广东省中医院急诊科,广东广州510120

出　　处：《亚太传统医药》2024年第7期133-135,共3页Asia-Pacific Traditional Medicine

基　　金：广东省中医药局科研项目(20211166);广东省中医院第十三届朝阳人才专项课题(2022KT1221)。

摘　　要：中医经典用“邪之所凑,其气必虚”揭示了疾病发生的外邪侵犯与正气不足这两个先决条件,其中“必虚”说明了相对于“邪实”而言“正虚”存在的必然性。脓毒症是临床常见的急危重症,往往迅速恶化,死亡率高。中医专家在认识该病时创造性地提出以“急性虚症”作为其核心病机之一,这一论述与中医经典理论高度契合。然而,这里的“虚”包含了整体之虚、局部之虚、暂时之虚,以及相对之虚等丰富的内涵。对“急性虚症”的全面理解,有助于正确认识和治疗脓毒症。The traditional Chinese medicine(TCM)classics use the phrase“Where evil attacks,its Qi must be deficient”to describe the two preconditions for disease-external pathogenic invasion and internal Qi deficiency.The phrase“must be deficient”indicates the inevitability of“internal deficiency”relative to“external excess.”Sepsis is a common critical condition seen clinically that often deteriorates rapidly with high mortality.TCM experts have creatively proposed“acute deficiency syndrome”as a core pathogenetic mechanism in recognizing this disease,aligning closely with classical TCM theories.However,“deficiency”here contains the rich implications of holistic deficiency,local deficiency,temporary deficiency,and relative deficiency.A comprehensive understanding of“acute deficiency syndrome”will facilitate accurate recognition and treatment of sepsis.

关 键 词：中医理论 脓毒症 急性虚证 

分 类 号：R259[医药卫生—中西医结合] R221[医药卫生—中医内科学]