“急性虚证”理论在急危重症中的临床应用与实践意义
崔夏雨,姜超,贺晨明,李菲,张文,方邦江〔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
〔中图分类号〕R2-0? ? ? ?〔文献标志码〕A? ? ? ? 〔文章编号〕doi:10.3969/j.issn.1674-070X.2023.08.015
Clinical application and practical significance of "acute deficiency pattern" theory in acute and critical diseases: FANG Bangjiang's academic
thoughts and clinical experience
CUI Xiayu1, JIANG Chao2,3, HE Chenming1, LI Fei1, ZHANG Wen4, FANG Bangjiang4*
1. Department of Integrated Chinese and Western Medicine, the First Clinical School of Medicine, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi 712046, China; 2. The Second Hospital of Xi'an Medical University, Xi'an, Shaanxi 710038, China; 3. Shaanxi Key Laboratory of Brian Disorders, Xi'an, Shaanxi 710021, China;? 4.Department of Emergency Medicine, LongHua Hospital of Shanghai University of Chinese Medicine, Shanghai 200032, China
〔Abstract〕 Acute deficiency pattern is critical ......
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