透邪法在外感温热病中的应用  

Application of expelling pathogen in exogenous febrile disease

作　　者：米爽 滑宬 

机构地区：[1]北京市宣武中医医院呼吸科,北京100000

出　　处：《吉林中医药》2018年第1期13-15,共3页Jilin Journal of Chinese Medicine

基　　金：北京市中医药科技项目(QN2014-21)

摘　　要：外感温热病多由肺卫受邪,起于肌表,始于上焦,若邪气未及时宣透,或误用下法,邪气内陷,病机由表入里,由浅入深,由上焦及下焦,导致变证蜂起。透邪法通常用于燥热伤卫、阴虚感温以及风热犯肺等症候,立足于邪,着眼于透,从而能够起到化湿透邪、祛风行血的作用,并且具有育阴而不滞邪、透邪而不伤正的功效。故治疗上应重视宣透邪气、宣畅气机,给邪以出路,使邪气还从表出,以免闭门留寇。根据外感温热病的进展程度,采用透邪法进行对症治疗,对其中医研究进展进行梳理,为外感温热病的中医透邪法治疗研究提供借鉴。Exogenous febrile disease is caused by syndrome of pathogen invading lung-defense phase,which comes from fleshy exterior,starts from upper burner,if pathogen can not outthrust promptly or misuse,pathogen comes into interior,pathogenesis will come from superficies to interior,from the shallower to the deeper,from upper burner to lower burner,which leads to transmuted pattern of wind.Expelling pathogen method is commonly used in dryness-heat damaging the defense,yin deficiency and contraction disease,and wind-heat invading the lung,based on the pathogen,focus on the penetration,thus can play the role of soaking the pathogen,dispelling the wind and the action of blood,and it has the effect of raising yin without stagnation,through pathogen and without injury.The treatment should pay attention to outthrust pathogen,disseminate and facilitate the qi dynamic to make way for pathogen,pathogen from the exterior,so as not to stay in the body.According to the progress of exogenous febrile disease,by expelling pathogen for symptomatic treatment,combing the TCM research progress,aims to provide reference for the treatment of witchcraft epidemic febrile disease of TCM.

关 键 词：外感温热病 透邪法 伤寒 宣透邪气 宣畅气机 

分 类 号：R249.2[医药卫生—中医临床基础]