Discussion on the TCM pathogenesis of acute respiratory distress syndrome of sepsis syndrome from "blood stasis with toxin blocking collaterals" and "deficient healthy qi"
10.3760/cma.j.cn115398-20230703-00026
- VernacularTitle:从“瘀毒阻络”和“正气不足”角度探讨脓毒症急性呼吸窘迫综合征的中医病机
- Author:
Qing ZHANG
1
;
Chengxiang WANG
;
Shuli CHENG
;
Nan KOU
;
Jingqin WU
;
Hongri XU
;
Qingquan LIU
Author Information
1. 北京中医药大学东直门医院通州院区重症监护室,北京 101121
- Keywords:
Respiratory distress syndrome;
Sepsis;
Syndrome of blood stasis with toxin blocking collaterals;
Deficient healthy qi;
Syndrome of qi failing to control t
- From:
International Journal of Traditional Chinese Medicine
2024;46(6):681-685
- CountryChina
- Language:Chinese
-
Abstract:
Acute respiratory distress syndrome is one of the common complications of sepsis syndrome, belonging to the "Chuan syndrome", "Baochuan", and "Chuantuo" in the TCM field, and the disease is mainly located in the lung. The main etiology and pathogenesis of sepsis syndrome is deficient healthy qi and blood stasis with toxin blocking collaterals. Blood stasis and toxin invade the lung, causing heat and toxin to burn the body fluid in the blood. Blood viscosity and poor circulation lead to the accumulation of blood stasis and toxin in the lung. Acute deficiency syndrome, heat toxin damaging qi, heat toxin burning body fluid deficiency with little ability to dissipate qi, resulting in deficiency of healthy qi, inability to regulate breathing, inability to consolidate body fluid, inability to promote blood circulation, causing phlegm, dampness, and blood stasis blocking the lung. This disease is characterized by blood stasis with toxin blocking collaterals, deficient lung qi, and obstruction of lung qi caused by phlegm, water, dampness, and blood stasis. Therefore, blood stasis with toxin blocking collaterals, as well as deficient healthy qi are TCM pathogenesis of ARDS with sepsis syndrome.