医院获得性肺炎从“热毒痰瘀”论治初探

A preliminary study on the treatment of hospital-acquired pneumonia from“heat,poison,phlegm and blood stasis”

医院获得性肺炎是医院获得性感染死亡的主要原因,单纯的西医治疗往往效果不理想,而中医药强调整体观念,并运用其独特的辨证论治,有利于疾病的预后与转归。医院获得性肺炎归属于中医学风温肺热病范畴,其病因病机复杂多样,辨治难扣纲挈。笔者认为其关键病机为热毒炽盛、痰瘀互结,故文章从“热毒痰瘀”四个方面探析医院获得性肺炎的病因病机,法遵证循,为中西医结合治疗该病提供新方法、新思路。

Hospital-acquired pneumonia is the main cause of death of hospital-acquired infection,the effect of simple western medicine treatment is often not ideal,while traditional Chinese medicine emphasizes the overall concept,and the application of syndrome differentiation treatment is conducive to the prognosis and outcome of the disease.Hospital-acquired pneumonia belongs to the category of wind-warm and lung-heat disease in traditional Chinese medicine,the etiology and pathogenesis of hospital-acquired pneumonia are complex and diverse,which makes diagnosis and differentiation treatment difficult.The author thinks that the key pathogenesis is heat and poison,phlegm and blood stasis,therefore,this paper analyzes the etiology and pathogenesis of hospital-acquired pneumonia from four aspects of“heat,poison,phlegm and blood stasis”from the perspective of evidence-based medicine,to provide new methods and new ideas for the treatment of the disease with the combination of traditional Chinese and western medicine.