首页|基于现代病理生理机制的三焦内涵解读及其指导急危重症辨治思路

基于现代病理生理机制的三焦内涵解读及其指导急危重症辨治思路

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急危重症的研究目前多集中在西医领域,由于人们对中医药"慢郎中"的误解及其在急危重症方面研究的欠缺,中医药治疗急危重症亟需建立系统的理论构架体系和行之有效的思维模式.笔者深入学习经典三焦理论,通过临床有效诊治急危重症案例,认为三焦理论指导临床治疗急危重症,具有较为系统的理论构架以及明确的治疗原则与方药.三焦理论源于《黄帝内经》,三焦疾病的病理特点与中医对急危重症"中满、小大不利,治其标"的基本认识是一致的,"因势利导""分消上下之势"是针对三焦疾病贯穿始终的治疗原则.结合现代医学病理生理机制,探讨三焦"通透性网状效应"与炎症风暴、ICU多重耐药菌感染、胰腺胰酶自身消化学说以及肾性代谢紊乱等密切关系,从而对三焦理论的内涵进一步解读.治疗急危重症,临证要谨遵《黄帝内经》"急则气味厚,缓则气味薄"的用药原则,量效关系亦是关键.
Connotation of the triple energizer theory based on modern pathophysiological mechanism and its guidance for differentiation and treatment of acute and critical diseases
At present,the research of acute and critical diseases is mostly concentrated in the field of Western medicine.Due to people's misunderstanding of the'slow doctor'of traditional Chinese medicine(TCM)and the lack of research in acute and critical diseases,it is urgent to establish a systematic theoretical framework and an effective thinking model for the treatment of acute and critical diseases by TCM.The authors deeply studied the classic the triple energizer theory,and through the effective clinical diagnosis and treatment of acute and critical cases,I believe that the triple energizer theory guides the clinical treatment of acute and critical diseases,and has a relatively systematic theoretical framework and clear treatment principles and prescriptions.The triple energizer theory originated from the Huangdi Neijing.The pathological characteristics of the triple energizer disease are consistent with the basic understanding of TCM on acute and critical diseases of'fullness of abdomen,obstructed urine or bowel movements,treat life-threatening symptoms first'.'Guiding a matter along its course of development'and'separating the upper and lower trend'are the treatment principles for the triple energizer disease throughout.Combined with modern medical pathophysiological mechanism,the close relationship between'permeability network effect'of the triple energizer and inflammatory storm,multi-drug-resistant bacterial infection in ICU,pancreas pancreas enzyme digestion theory and renal metabolic disorders was discussed,so as to further interpret the connotation of the triple energizer theory.In the treatment of acute and critical diseases,clinical treatment should follow the principle of Huangdi Neijing.For the treatment of emergencies,the amount of drugs prescribed should be large,while for the treatment of chronic diseases,the amount of drugs prescribed should be small.The dose-effect relationship is also a crucial part.

Connotation of the triple energizer theoryModem pathophysiological mechanismEffective case of acute and critical diseaseDiagnosis and treatment regularityDose-effect relationship

柳红良、谷晓红、董斐

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中国中医科学院广安门医院,北京 100053

北京中医药大学疫病研究院,北京 100029

三焦理论内涵 现代病理生理机制 急危重症效验 证治规律 量效关系

第七批全国名老中医药专家学术经验继承项目第六批北京市名老中医药专家学术经验继承项目中国中医科学院广安门医院护航工程——骨干人才培育项目

020300150202030014099323024

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子：1.135
ISSN：1673-1727
年,卷(期)：2024.39(1)
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