| 引用本文: |
崔夏雨,姜超,贺晨明,李菲,张文,方邦江.“急性虚证”理论在急危重症中的临床应用与实践意义——方邦江学术思想与临床经验研究[J].湖南中医药大学学报,2023,43(8):1439-1444[点击复制] |
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| “急性虚证”理论在急危重症中的临床应用与实践意义——方邦江学术思想与临床经验研究 |
| 崔夏雨,姜超,贺晨明,李菲,张文,方邦江 |
| (陕西中医药大学第一临床医学院中西医临床医学系, 陕西 咸阳 712046;西安医学院第二附属医院, 陕西 西安 710038;陕西省脑疾病防治重点实验室, 陕西 西安 710021;上海中医药大学附属龙华医院急诊科, 上海 200032) |
| 摘要: |
| “急性虚证”是指多因素致使机体正气大量损耗、无力抗邪，从而导致病邪直入、脏腑衰败的危重证候。从脓毒症、脑出血、COVID-19三个急危重症分析其病因病机、证候特点、辨证治法，以及“急性虚证”在西医中与免疫紊乱状态的联系。明确其复杂的临床表现、模糊的病理机制与疾病进程中不同阶段病理状态改变之间的关联。通过探讨中医学“急性虚证”理论与西医学急危重症临床症状之间的关系，阐述“急性虚证”在急危重症治疗中的临床意义。 |
| 关键词: 方邦江 急性虚证 急危重症 学术思想 加味锦红汤 复元醒脑汤 |
| DOI：10.3969/j.issn.1674-070X.2023.08.015 |
| 投稿时间：2023-04-17 |
| 基金项目:国家重点研发计划项目（2018YFC1705900）；国家自然科学基金面上项目（81973811）；国家中医药管理局中医药传承与创新“百千万”人才工程（岐黄工程）“岐黄学者”（国中医药人教发〔2018〕12号）。 |
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| Clinical application and practical significance of “acute deficiency pattern” theory in acute and critical diseases: FANG Bangjiang's academic thoughts and clinical experience |
| CUI Xiayu,JIANG Chao,HE Chenming,LI Fei,ZHANG Wen,FANG Bangjiang |
| (Department of Integrated Chinese and Western Medicine, the First Clinical School of Medicine, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi 712046, China;The Second Hospital of Xi'an Medical University, Xi'an, Shaanxi 710038, China;Shaanxi Key Laboratory of Brian Disorders, Xi'an, Shaanxi 710021, China;Department of Emergency Medicine, LongHua Hospital of Shanghai University of Chinese Medicine, Shanghai 200032, China) |
| Abstract: |
| Acute deficiency pattern is critical, in which multiple factors cause a large depletion of the body's healthy qi and the inability to resist pathogenic factors, resulting in direct attack of pathogenic factors and failure of the zang-fu organs. In this paper, the etiology, pathogenesis, characteristics, and treatment of acute deficiency pattern of three acute and critical diseases (sepsis, cerebral hemorrhage, and COVID-19), as well as the connection between acute deficiency pattern of Chinese medicine and immune disorders of western medicine were analyzed. The relationship among its complex clinical manifestations, ambiguous pathological mechanism and pathological changes at different stages of the disease process was clarified. By discussing the relationship between the theory of "acute deficiency pattern" in Chinese medicine and the clinical symptoms of acute and critical diseases in western medicine, the clinical significance of acute deficiency pattern in the treatment of acute and critical diseases was expounded. |
| Key words: FANG Bangjiang acute deficiency pattern acute and critical disease academic thoughts Modified Jinhong Decoction Fuyuan Xingnao Decoction |
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