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从毒瘀虚论治脓毒症
引用本文:张云松,朱晓林.从毒瘀虚论治脓毒症[J].山西中医,2012,28(7):1-3.
作者姓名:张云松  朱晓林
作者单位:1. 山东中医药大学附属医院,济南,250011
2. 山东中医药大学
摘    要:脓毒症属于中医温热病范畴。其病因多为温热毒邪内蕴于体内,毒瘀互结是其基本病机,正气亏虚是脓毒症的病理基础,关键病理机转可概括为毒、瘀、虚。其发病以正虚为本,以毒、瘀为标。其传变规律及辨证治疗多遵温热病卫气营血辨证。在病变过程中,机体正气亏虚是内因,感受温毒邪气是外因,温毒内蕴、毒瘀互结则是其主要病理变化,也是造成脓毒症高死亡率的关键。治当以解毒化瘀扶正为法,积极救治,提高疗效,降低病死率。

关 键 词:脓毒症  毒瘀互结  正气亏虚  病因病机

Discussion of Pyaemia in the View of Deficiency
ZHANG Yun-song , ZHU Xiao-lin.Discussion of Pyaemia in the View of Deficiency[J].Shanxi Journal of Traditional Chinese Medicine,2012,28(7):1-3.
Authors:ZHANG Yun-song  ZHU Xiao-lin
Institution:( The Hospital Affiliated to Shandong University of Chinese Medicine, Jinan, 250011, China)
Abstract:Pyaemia belongs to the category of febrile disease in TCM. Its etiology is that toxic heat occupies the body, the basic pathogenesis is toxin and blood stasis tangle, and the pathological grounding is asthenia of healthy energy. The key pathogenesis can be summed up into toxin, blood stasis and deficiency. Its onset is be- cause of asthenia of healthy energy in essence and toxin and blood stasis in appearance. Its progress pattern and differentiation and treatment follow the syndrome differentiation method of wei, qi, ying and blood. In the disease process internal cause is asthenia of healthy energy in body, and the exopathic cause is epidemic heat evil factor attacking. The main pathological changes are epidemic heat and toxin heap in body so as to toxin and blood stasis tangle each other, which is the key to leading to the high mortality rates in pyaemia. To cure it we have to detoxi- cate, dissolve blood stasis and strengthen body resistance actively in order to improve curative effect and reduce the case-fatality rate.
Keywords:pyaemia  tangle of toxin and stasis  asthenia of healthy energy  etiology and pathogenesis
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