根据温病卫气营血理论辨治社区获得性肺炎

Differentiation and Treatment of Community Acquired Pneumonia Based on the Theory of Defense-Qi-Nutrient-Blood Theory of Warm Disease

清代叶天士创立了卫气营血辨证,以卫气营血为纲,用于外感温热病的辨证论治。卫气营血辨证是外感温热病发展过程中的不同病理阶段,分为卫分证、气分证、营分证、血分证。社区获得性肺炎(community acquired pneumonia,CAP)主要临床表现为发热、咳嗽、咯痰、气短、胸闷或胸痛,根据温病卫气营血理论,结合CAP临床证候特征,其发病特点与卫、气、营、血证有密切关系。CAP并发症涉及多个脏器病变,故血分证并不一定是该疾病最终发展阶段,需要进一步的发展和完善,从而更有利于此类疾病的规范化辨证论治。

In the Qing Dynasty,Ye Tian-shi founded defense-qi-nutrient-blood syndrome differentiation,which was used as the principle to treat exogenous febrile diseases. Defense-qi-nutrient-blood syndrome differentiation refers to the different pathological stages in the development of exogenous febrile disease,which can be divided into defense aspect syndrome,qi aspect syndrome,nutrient aspect syndrome,and blood aspect syndrome. The main clinical manifestations of community acquired pneumonia( CAP)are fever,cough,phlegm,shortness of breath,chest tightness or chest pain. According to defense-qi-nutrient-blood theory of warm disease and the characteristics of CAP clinical syndromes,its onset characteristics are closely related to defense aspect syndrome,qi aspect syndrome,nutrient aspect syndrome,and blood aspect syndrome. CAP complications involve multiple visceral lesion,so blood aspect syndrome is not necessarily the final stage of development of the disease,which needs further development and improvement,so it is more conducive to the standardization of syndrome differentiation and treatment of such diseases.