从"状态辨治"探析中西医结合治疗急性呼吸窘迫综合征
Exploring the Integrated Traditional Chinese and Western Medicine Treatment for Acute Respiratory Distress Syndrome from the Perspective of State Differentiation and Treatment
郭怡鲲 1程淼 2晏军 2薛贝 1陈琳雯 1李书娇 1姜尚上 2姜良铎 2班承钧2
作者信息
- 1. 北京中医药大学东直门医院,北京市东城区海运仓5号,100700;北京中医药大学
- 2. 北京中医药大学东直门医院,北京市东城区海运仓5号,100700
- 折叠
摘要
从状态辨治出发,认为急性呼吸窘迫综合征(ARDS)的病机为邪毒伤肺,肺气暴脱,肺气欲绝,气不摄血,气不摄津,津液溢于脉外,形成湿痰瘀毒结于体内,最终导致气机失调,诸症丛生,故"气损"是ARDS的核心病机.提出了有形之气和无形之气双补的中西医结合治疗思路,以中药益气固脱、抗渗利湿、解毒化瘀、调畅气机,结合西医辅助通气协同改善气的固摄、推动、气化作用,使邪气得去、正气得复,腑气得通,气血阴阳得以顺接,生命活动得以维持,从而达到中西医结合治疗ARDS的目的.
Abstract
From the perspective of state differentiation and treatment,it is believed that the pathogenesis of acute respiratory distress syndrome(ARDS)is that evil poisons injured the lungs,and the lung qi suddenly col-lapsed,then blocked and exhausted,and the qi failure to control blood and liquid,then the fluids overflow outside the vessels,and damp phlegm,stasis,and toxins became knotted up in the body,which ultimately leads to qi dysfunc-tion,and a series of symptom arise,so qi impairment is the principal mechanism of ARDS.A combination of Chinese and Western medicine was proposed to treat ARDS by combining tangible qi and intangible qi,using Chinese herbal medicine to boost qi and relieve collapse,percolate and drain dampness with bland medicinals,resolve toxins and dis-solve stasis,and regulate qi,and combining with Western medicine to assist qi circulation to improve qi's consolida-tion,propulsion,and transformation,so as to make the evil qi go away,the positive qi restored,the viscera qi circu-lated,qi,blood,yin,and yang connected,and the activities of life maintained,and thus to achieve the goal of treat-ing ARDS by integrated Chinese medicine and Western medicine.
关键词
急性呼吸窘迫综合征/状态辨治/益气固脱/机械通气/有形之气/无形之气Key words
acute respiratory distress syndrome/state differentiation and treatment/boosting qi to relieve collapse/mechanical ventilation/tangible qi/intangible qi引用本文复制引用
基金项目
国家自然科学基金(81973784)
北京中医药大学东直门医院科技创新专项(2020)(DZMKJCX-2020-027)
出版年
2024
国家科技期刊平台
NSTL
万方数据