首页|期刊导航|中国中医基础医学杂志|姜良铎"存津液,保胃气"理论在脓毒症中西医治疗中的应用

姜良铎"存津液,保胃气"理论在脓毒症中西医治疗中的应用OA

Application of Professor Jiang Liangduo's Theory of"Preserving Body Fluids and Maintaining Stomach Qi"in the Integrated Chinese-Western Medicine Treatment of Sepsis

中文摘要英文摘要

脓毒症是急诊病死率高的疾病,治疗难度大,患者预后差.姜良铎教授基于数十年急诊危重症诊疗经验,结合中医经典理论,提出"存津液,保胃气"的治疗理论,本文围绕该理论在脓毒症中西医结合治疗中的应用展开论述.文章强调存津液并非单纯输液,更要注重其质与功能,可以实现液体复苏,纠正液体平衡,在"驱邪"时要注意"扶正";保胃气对提升机体保护功能、增强免疫意义重大,且二者通过气化功能相互关联,说明气化功能是脓毒症患者治疗需要关注的重点.结合现代研究与中医古籍,探讨该理论在脓毒症治疗中的应用,为优化治疗方案、提高患者存活率及改善预后提供理论支持.

Sepsis is a disease commonly encountered in emergency departments,characterized by indeterminate treatment strategies and a high mortality rate,leading to generally poor patient prognosis.Based on decades of experience in emergency and critical care,integrated with classical Chinese medicine theories,Professor Jiang Liangduo proposed the therapeutic theory of"preserving body fluids and maintaining stomach Qi".This paper discusses the application of this theory in the integrated Chinese-Western medicine treatment of sepsis.It emphasizes that preserving body fluids is not merely about fluid infusion but focuses more on their quality and function to achieve fluid resuscitation and correct fluid balance,while also considering"strengthening healthy Qi"during"expelling pathogenic factors".Maintaining stomach Qi is crucial for enhancing the body's protective functions and immunity.The two are interconnected through the function of Qi transformation,indicating that Qi transformation is a key focus in the treatment of sepsis patients.By integrating modern research and ancient Chinese medical texts,this paper explores the application of this theory in sepsis treatment,providing theoretical support for optimizing treatment plans,improving patient survival rates,and enhancing prognosis.

赵艺源子;吴彩军;马林沁;姜良铎;陈昕玥

北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700||北京中医药大学脓毒症研究所,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学针灸推拿学院,北京 100029

医药卫生

姜良铎脓毒症保胃气存津液中西医结合

Jiang LiangduoSepsisMaintain stomach QiPreserve body fluidsIntegrated Chinese-Western medicine

《中国中医基础医学杂志》 2026 (5)

971-975,5

全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)

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