Discussion on treatment of hematogenous sepsis based on syndrome differentiation of six channels theory

Xianghui ZENG; Xianbin DENG; Fang YAN; Yingrong LAO; Zhen HUANG; Shan WEN

doi:10.16305/j.1007-1334.2022.2107049

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Discussion on treatment of hematogenous sepsis based on syndrome differentiation of six channels theory

更新时间：2022-07-09

- Discussion on treatment of hematogenous sepsis based on syndrome differentiation of six channels theory
- Shanghai Journal of Traditional Chinese Medicine Vol. 56, Issue 4, Pages: 38-41(2022)
- 作者机构：
  
  1.广东省中医院（广东广州 510370）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2022.2107049
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曾祥珲,邓贤斌,颜芳等.基于六经辨证探讨血行感染脓毒症的治疗[J].上海中医药杂志,2022,56(04):38-41.

ZENG Xianghui,DENG Xianbin,YAN Fang,et al.Discussion on treatment of hematogenous sepsis based on syndrome differentiation of six channels theory[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(04):38-41.
曾祥珲,邓贤斌,颜芳等.基于六经辨证探讨血行感染脓毒症的治疗[J].上海中医药杂志,2022,56(04):38-41. DOI： 10.16305/j.1007-1334.2022.2107049.

ZENG Xianghui,DENG Xianbin,YAN Fang,et al.Discussion on treatment of hematogenous sepsis based on syndrome differentiation of six channels theory[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(04):38-41. DOI： 10.16305/j.1007-1334.2022.2107049.

摘要

基于六经辨证体系探讨血行感染脓毒症的辨治理法。认为其根本原因始于“胃”虚，病邪初犯太阳，迅速病传入里，急性期以三阳病为主；病机以少阳阳明合病、阳明里病等为主，治疗注重及时清解邪热，截断病势，以防病传入阴；辨证用方为当归柴胡汤、大柴胡汤、千金百痛壮热方、白虎汤等。并举验案2则。

Abstract

Based on syndrome differentiation of six channels theory，the paper discusses the syndrome differentiation and treatment of hematogenous sepsis. It is considered that the deficiency of stomach qi is the root cause of the disease with the first attack of the pathogenic factors on Taiyang meridian and then spreading into the interior rapidly. In the acute stage，Sanyang disease is the main condition. The main pathogenesis of the disease is Shaoyang Yangming syndrome complex and interior yangming disease. In order to prevent the disease from spreading into yin， timely clearing away pathogenic heat is focused on to cut off the development of the disease treated with the prescriptions such as Danggui Chaihu Decoction， Da Chaihu Decoction， Qianjin Baitong Zhuangre fang， Baihu Decoction， which are prescribed according to syndrome differentiation. And two proven cases are presented.

关键词

血行感染菌血症脓毒症湿热证六经辨证中医药疗法

Keywords

bloodstream infectionbacteremiasepsisdamp⁃heat syndromesyndrome differentiation of six channels theorytraditional Chinese medicine therapy

references

TIMSIT J F， RUPPE E， BARBIER F， et al. Bloodstream infections in critically ill patients： an expert statement［J］. Intensive Care Med， 2020， 46（2）： 266-284.

LAUPLAND K B. Incidence of bloodstream infection： a review of population-based studies［J］. Clin Microbiol Infect， 2013， 19（6）： 492-500.

刘辉，冯永文，姚咏明. 脓毒症治疗新进展［J］. 中华重症医学电子杂志（网络版），2018， 4（4）： 299-303.

孙芳园，钱风华，杨豪杰，等. 脓毒症（风温病·邪陷肺卫证）中西医诊治方案研究［J］. 中国中医急症，2016， 25（1）： 31-33.

罗峰，杨曼. 清瘟败毒饮合大承气汤联合西药治疗肺炎合并脓毒症39例［J］. 中医研究，2019， 32（7）： 16-18.

詹向周，黄青. 浅谈中医外感热病中神志异常与现代感染学中意识障碍的一致性［J］. 四川中医，2008， 26（5）： 10-11

刘清泉. 对脓毒症中医病机特点及治法的认识［J］. 北京中医，2007， 26（4）： 198-200.

陈腾飞，赵国桢，刘清泉，等. 中医古代脓毒症医案筛选标准专家共识［J］. 中国中医急症，2020， 29（5）： 761-764.

张明，朱辉. 基于“阳明为成温之薮”论柯琴的温病观［J］. 湖南中医杂志，2021， 37（6）： 112-114.

蔡阳平，王兰. 姜良铎教授从状态论治脓毒性休克［J］. 现代中医临床，2017， 24（4）： 14-16.

王今达，李志军，李银平. 从“三证三法”辨证论治脓毒症［J］. 中国危重病急救医学，2006， 17（11）： 643-644.

高麦仓，尤金枝，郑刚，等. 从“瘀”探析脓毒症的病变机理［J］. 现代中医药，2017， 37（1）： 60-62.

孙慧慧，罗嗣雄，刘永芳，等. 基于“脾为之卫”理论探讨肠道黏膜免疫与类风湿关节炎的中医机制［J］. 中医学报，2021， 36（3）： 506-510.

许家栋. 经方探源［M］. 北京：人民卫生出版社，2020.

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