从"卫气营血"辨证到"三证三法"看脓毒症的诊治思辨

Distinguishing the "Wei Qi Ying Xue" syndrome differentiation from the "three certificates and three methods" to the diagnosis of sepsis

"三证三法"是中国急救医学先驱王今达教授提出的治疗脓毒症的中西医结合理论。"卫气营血"辨证是清代名医叶天士提出的用于治疗温病的辨证理论。"三证三法"理论中"毒热证"(即炎症"风暴")向"血瘀证"(即凝血"风暴")的转化主要借鉴了"卫气营血"辨证中"卫、气分证"向"营、血分证"的传变关系,同时"毒热证"向"血瘀证"的转化是普通感染向脓毒症进展的分水岭。及时应用血必净注射液可以截断这种转化,这也是血必净注射液可以治疗脓毒症的原因之一。

The "three certificates and three methods" is a combination of Chinese and Western medicine for the treatment of sepsis proposed by Professor Wang Jinda, a pioneer in Chinese emergency medicine. The "Wei Qi Ying Xue" syndrome differentiation is a dialectical theory proposed by Ye Tianshi, a famous doctor in the Qing Dynasty, for the treatment of warm diseases. The "three certificates and three methods" theory of "toxin-heat syndrome"(inflammation storm) to the "blood stasis syndrome"(coagulation storm) conversion mainly focus on the "Wei Qi Ying Xue" syndrome differentiation of the "Wei, Qi syndrome" to "Ying, Xue syndrome", and poison. The conversion of "toxin-heat syndrome" to "blood stasis syndrome" is a watershed in the progression of common infections to sepsis. The timely application of Xuebijing injection can cut off this transformation, which is one of the reasons why Xuebijing injection can treat sepsis.