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[人参对脓毒症“急性虚证”免疫功能紊乱调节作用的研究现状与展望]

[Current research status and prospects of ginseng's regulatory effect on immune dysfunction caused by "acute deficiency syndrome" of sepsis].

作者信息

Zhong Kaiqiang, Chen Rui, Li Jun, Xi Xiaotu

机构信息

Department of Emergency, Guangdong Provincial Hospital of Chinese Medicine (the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, the Second Clinical Medical College of Guangzhou University of Chinese Medicine), Guangzhou 510120, Guangdong, China. Corresponding author: Xi Xiaotu, Email:

出版信息

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2024 Jul;36(7):681-686. doi: 10.3760/cma.j.cn121430-20240422-00366.

DOI:10.3760/cma.j.cn121430-20240422-00366
PMID:39223880
Abstract

Sepsis is a prevalent critical illness observed in emergency intensive care unit (ICU), characterized by life-threatening organ dysfunction caused by infection-induced inflammatory immune disorders in the body. The suppression of immune function plays a crucial role in the development and progression of sepsis. Traditional Chinese medicine theory of "acute deficiency syndrome" in sepsis shares similarities with the concept of "immunosuppression". According to this theory, ginseng is frequently utilized in clinical treatment of sepsis due to its ability to invigorate vitality and strengthen the body, playing a crucial role in tonifying deficiency and improving the overall health of patients. This paper provides a detailed discussion of the pathophysiological mechanisms of sepsis immune dysfunction and its correlation with "acute deficiency syndrome" in traditional Chinese medicine. It summarizes the current state of modern pharmacological research on ginseng's impact on the body's immune function, discusses relevant research progress and shortcomings regarding ginseng's therapeutic effects on immunosuppression in sepsis, and proposes future research directions.

摘要

脓毒症是急诊重症监护病房(ICU)中常见的危重病,其特征是由体内感染诱导的炎症免疫紊乱导致危及生命的器官功能障碍。免疫功能抑制在脓毒症的发生和发展中起关键作用。脓毒症的中医“急虚证”理论与“免疫抑制”概念有相似之处。根据该理论,人参因其能大补元气、强身健体,在脓毒症临床治疗中常被使用,对补虚及改善患者整体健康起着关键作用。本文详细探讨了脓毒症免疫功能障碍的病理生理机制及其与中医“急虚证”的相关性。总结了现代药理学研究中人参对机体免疫功能影响的现状,讨论了人参对脓毒症免疫抑制治疗作用的相关研究进展及不足,并提出了未来的研究方向。

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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2024 Jul;36(7):681-686. doi: 10.3760/cma.j.cn121430-20240422-00366.
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