三表汤“首剂大量”随证施量策略在外感发热治疗中的运用  

fiCases study on treatment of exogenous fever with Sanbiao Decoction by applying the"first high-dose"medication strategy according to syndromes

作　　者：姬航宇[1] 王新苗 安学东 连凤梅[1] JI Hangyu;WANG Xinmiao;AN Xuedong;LIAN Fengmei(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《吉林中医药》2024年第2期182-184,共3页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金课题(面上项目)(81274000);国家重点基础研究发展计划(973计划)项目(2010CB530601)。

摘　　要：通过分享仝小林院士应用三表汤为基础方治疗外感发热的一则病例,阐释其运用“首剂大量”随证施量策略治疗疾病的体会:此法多用于治疗急症或急重症,如外感急症早期,以求迅速起效;使用首剂大量必须重视“症靶”,作为及时调量的指征,中病即减/止;可采用调整服药间隔时间和每服量灵活控制方药用量,以保证用药安全。This article presents a case of treating exogenous fever with Sanbiao Decoction as the basic prescription by Academician Tong Xiaolin,and explains his experience in using the"first high-dose"medication strategy to treat diseases according to syndromes.This method is mostly used to treat emergencies or acute and severe diseases,such as early acute exogenous diseases,in order that the drugs may take effect quickly.When using this strategy,close attention must be given to"symptom targets",which act as an indication for a timely dosage adjustment.If the medication has already taken effect,the dosage can be reduced or the medication is stopped immediately.The total dosage of medicines can be flexibly controlled by adjusting the interval of taking medicines and each dose to ensure safety.

关 键 词：随证施量 用药策略 首剂大量 外感发热 验案 

分 类 号：R254[医药卫生—中医内科学]