半夏泻心汤治疗脓毒症胃肠功能障碍探讨

摘要

Sepsis is an important and difficult problem in the field of acute and severe diseases,and its treatment is mainly to control infection and inhibit inflammatory reaction.The use of antibiotics in the control of infection has achieved good results,but there is no better way for the inflammatory response,and Chinese medicine in this respect has obvious advantages.Basic pathogenesis of systemic inflammatory response is Qi-movement disturbance,and middle-jiao is hub of Qi-movement disturbance.Therefore,the author used middle-jiao and the spleen and stomach as a breakthrough,and Banxia Xiexin Decoction in acrid opening and bitter downbearing,regulated middle-jiao and Qi,inhibited inflammatory response,and thereby improved gastrointestinal function.%脓毒症是急危重症领域的重大课题和难题,其治疗主要是控制感染和抑制炎症反应.抗生素的使用在控制感染方面取得了良好的疗效,但针对炎症反应还没有较好的方法,而中医在此方面则有明显优势.全身炎症反应的根本病机是气机逆乱,而中焦是气机逆乱的枢纽,因此笔者以中焦脾胃为突破口,运用半夏泻心汤辛开苦降,调理中焦气机,抑制炎症反应,进而改善胃肠功能.