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頁籤選單縮合
題 名 | 敗血症病機之中醫文獻研究=The Study of Chinese Medical Literature on the Pathogenesis of Sepsis |
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作 者 | 王琦嫻; 鄭勇彥; 蘇奕彰; | 書刊名 | 臺灣中醫醫學雜誌 |
卷 期 | 5:1 民95.06 |
頁 次 | 頁95-105 |
分類號 | 413.223 |
關鍵詞 | 敗血症; 全身炎症; 多器官功能障礙; Sepsis; Systemic inflammatory response syndrome; Multiple organ dysfunction syndrome; |
語 文 | 中文(Chinese) |
中文摘要 | 敗血症的高死亡率是臨床上有待突破的問題,許多新療法仍處於臨床試驗階段。本文嘗試探尋中醫的病機思維,以提供臨床有效治療的依據。我們以「北京中醫研究院傳統醫學資料庫」及「中國期刊網全文資料庫」收錄之期刊論文為對象,將「敗血症」、「全身炎症」、「多器官功能障礙」作為關鍵字進行搜尋,並將與中醫病機有關之文獻資料進行分析與整理。研究結果顯示大部分的學者認為敗血症與中醫之疔瘡走黃、疽毒內陷相關,其病機為正氣衰弱,毒邪乘虛而入,內陷臟腑,造成臟腑功能失常。而從全身炎症反應綜合症到多器官功能障礙綜合症之動態病程類似外感溫病自氣分證進入營血分證之傳變,無論是疔瘡或疽毒,一旦走黃或內陷均會進入氣、營血的傳變。因此,我們認為從感染進入敗血症符合中醫從衛進入氣營血之病機傳變;在敗血症病程進展過程中,中醫對於正邪之間相對強弱概念特別重視。當正氣尚未虛衰之前,及早截斷病勢為治療之優先考量;若病人正虛太甚,病程快速內傳入裡,就要仔細評估體虛的程度,適當的加入扶正藥進行治療,以達到增加存活率的目的。 |
英文摘要 | The high mortality rate of sepsis is a difficult problem to overcome in modern treatments. Many approaches of the new therapies are still evaluated in clinical trials. We try to find a new point of view from Traditional Chinese Medicine and hope that we could develop a more effective therapy. "Sepsis", "systemic inflammatory response syndrome" and "multiple organ dysfunction syndrome" were used as key words. The data which was related to the pathogenesis of Chinese medicine by "the traditional medical database of the academy of Chinese medicine of Beijing" and "the Chinese periodical network full text database" were analyzed. The results showed that most scholars thought the pathogenesis of sepsis was correlated to the inward sinking of deep-rooted carbuncle to internal organs involvement of toxin. So, we thought the progression from infection to sepsis was correlated to weifen, qifen, yingfen and xuefen syndrome in Traditional Chinese Medicine. In sepsis course, it was emphasized that the relative intensity between vital qi and pathogen. Hence, the principle of treatment was to keep sepsis from progression before the deficiency of vital qi in order to increase the survival rate. |
本系統中英文摘要資訊取自各篇刊載內容。