外感高热诊疗心悟  

Experience of diagnosis and treatment of exogenous high-grade fever

作　　者：熊兴江[1] 王阶[1] 

机构地区：[1]中国中医科学院广安门医院心内科,北京100053

出　　处：《中西医结合学报》2011年第6期681-687,共7页Journal of Chinese Integrative Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(No.2003CB517103);国家自然科学基金资助项目(No.90209011)

摘　　要：外感高热的辨证论治有规律可循,治疗的关键则是方证的准确识别。六经辨证为诸病而设,非为伤寒一病而设,高热的辨证治疗可遵循六经辨证规律。温病源自伤寒,而又羽翼伤寒,大量有效的温病方方证在高热诊疗中有重要价值。误治变证是疾病的特殊形式,高热过程中常见有误治变证,"观其脉证,知犯何逆,随证治之"是重要治则。总结疾病的体质层次规律和疾病层次规律,临证时不拘泥于疾病的现代病名诊断与中医证候诊断,根据疾病的四诊信息,遵循"有是证用是方"、"见证施治"原则,中医在高热的临床诊疗中会大有作为。There is a regular pattern in the diagnosis and treatment of exogenous high-grade fever,of which the key point is formula syndrome identification.Syndrome differentiation of the six channels is appropriate for not only exogenous cold but also various other conditions.The diagnosis and treatment of high-grade fever can also follow the law of syndrome differentiation of the six channels.The theory of epidemic febrile diseases stems from and elaborates on an understanding of exogenous febrile conditions,so many effective formulas used to treat epidemic febrile diseases also have great value in the treatment of high-grade fever.Deteriorated syndrome,which is central to this condition,is very commonly seen in cases of high-grade fever,the key therapeutic principle of which is established according to syndromes.Allowing analysis that does not rigidly adhere to either established modern diagnosis or traditional Chinese syndromes,prominent achievements could be made in treating high-grade fever by summarizing the regular presenting patterns in terms of the constitution and symptoms.

关 键 词：高热 方证辨证 中医药疗法 

分 类 号：R254[医药卫生—中医内科学]