温阳益气法在危急重症治疗中的应用

Application of Warming Yang and Benefiting Qi Method in Treating Emergency and Severe Cases

现代医学治疗危急重症多是针对病因给予对症支持和功能替代。中医学认为,人体一切机能由气所推动,机能障碍与气的丢失关系密切。危急重症所致气的丢失和损耗更加严重,因此,其病情严重而复杂、变化丛生,然病机虽复杂,但多与气虚火衰相关。提出在辨证的基础上运用温阳益气法与现代医学对症支持相结合治疗危急重症,包括多脏器功能障碍、重症感染、机会感染、凝血纤溶和体温调节功能紊乱,在功能替代的同时修复气的损耗,截断机能障碍的进一步恶化,或为重症医学的疗法开辟新的道路。

In modem medicine, emergency and severe cases are mostly treated by providing symptomatic support and .functional replacement aiming at the causes. In Chinese medicine, it is thought that all the functions of the human body are propelled by Qi. Dysfunction of the body and the loss of Qi are closely related. The loss and con- sumption of Qi due to emergency and severe cases is more difficult. Thus the condition is serious, complicated and changeful. Though the pathogenesis is complicated, it is mostly related to Qi deficiency and fire decline. The authors put forward that based on syndrome differentiation, warming Yang and benefiting Qi method is combined with modem medicine symptomatic support to treat emergency and severe cases, including multiple organ dysfunction, severe infection, opportunistic infection, disorder of coagulation, fibrinolysis, and thermoregulation. At the same time of functional replacement, Qi loss may be invigorated. Further deterioration of dysfunction may be prevented. It might open up a new path for emergency and severe cases therapy.