温病气营转化的病机及治法探讨  

Exploration of Pathogenesis and Treatment Methods of Qi-Ying Fen Transformation in Warm Diseases

作　　者：宋莹莹[1,2] 郭海[3] 杨进[1,2] 魏凯峰[1,2] SONG Yingying;GUO Hai;YANG Jin;WEI Kaifeng(School of Chinese Medicine,Nanjing University of Chinese Medicine,Nanjing 210023,China;Nanjing Hospital of Chinese Medi cine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210022,China;The Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University,Huaian 223300,China)

机构地区：[1]南京中医药大学中医学院,江苏南京210023 [2]南京中医药大学附属南京中医院,江苏南京210022 [3]南京医科大学附属淮安第一医院,江苏淮安223300

出　　处：《南京中医药大学学报》2024年第6期550-554,共5页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函〔2023〕85号);杨进全国名老中医药专家传承工作室项目(国中医药人教函〔2022〕75号);杨进江苏省名老中医药专家传承工作室项目(苏中医科教〔2021〕7号);江苏省中医药科技发展计划项目(MS2023003);南京市中西医结合疫病研究中心科研基金资助项目(NCMIC-2022-06)。

摘　　要：对温病气营转化的病机及治法进行探讨。认为温病为阳邪致病,最易损伤脏腑津液。津液是人体正气的重要组成部分,在肺为肺津,在胃为胃津,在肠为肠液,入脉而为营阴。气分证向营分证转变过程中,脏腑实质损害是其重要的病理机制,而血管内津液的耗损则是加剧气营转变的重要原因。火毒鸱盛是促进气营传变的始动因素,津液耗伤是加重气营传变的病理基础,清热保津是防治温病气营传变的必然治法,具体包括甘寒生津、咸寒清热、甘苦合化等法,对内科杂病及急重症亦有重要的临床指导价值。Pathogenesis and treatment methods of qi-ying fen transformation in warm diseases are explored.It is believed that warm diseases are caused by yang pathogenic factors and are most likely to damage the organs and body fluids.Body fluids,as important components of human body’s healthy qi,are usually present in the lungs as lung fluids,in the stomach as stomach fluids,in the intestines as intestinal fluids,and in blood vessels as nutrient yin.During the transformation from qi fen syndrome to ying fen syndrome,visceral parenchymal damage acts as its important pathological mechanism and fluid depletion in blood vessels is an important reason for exacerbating qi-ying fen transformation.Excessive fire-toxicity,as an initial factor,promotes qi-ying fen transformation.Fluid depletion is the pathological basis for exacerbating qi-ying fen transformation.Clearing heat and protecting fluids,with sweet-flavored and cold-natured drugs to generate fluids,salty-flavored and cold-natured drugs to clear heat,and combination of sweet-flavored and bitter-flavored drugs,is an inevitable treatment method for preventing and treating qi-ying fen transformation in warm diseases,and it also has important clinical guidance value for internal miscellaneous diseases and acute severe cases.

关 键 词：温病 气分证 营分证 气营转化 津液 清热保津 

分 类 号：R254.2[医药卫生—中医内科学]