霍乱证治考析  

An Examination and Analysis of the Diagnosis and Treatment of Cholera in Traditional Chinese Medicine

作　　者：苏金峰[1] 李富震[1] 姜德友[1] Su Jinfeng;Li Fuzhen;Jiang Deyou(Heilongjiang University of Chinese Medicine,Heilongjiang,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《中国中医急症》2024年第7期1267-1269,1274,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：黑龙江省中医药科研项目(ZYW2023-016);中央支持地方高校改革发展资金人才培养项目(2021ZYYQSK001);国家中医药管理局中医学术流派传承工作室建设项目(LPGZS2012-14);国家中医药考试2021年度科研课题(TB2021004);黑龙江省中医药科研项目(ZHY2020-80);黑龙江中医药大学“优秀青年骨干教师支持计划”项目(15041190036)。

摘　　要：霍乱以临床特征得名。历代医家出于“司外揣内”“审证求因”等中医思维习惯,对于表现为“挥霍缭乱”特点的病症,多归为“霍乱”范畴进行论述。文章考察历代中医相关文献,发现霍乱有真霍乱、类霍乱之分,病因病机有寒热之辨、干湿之别以及亡阴损阳之变,论治又有温中散寒燥湿、清热化湿解暑、回阳固脱、理气解郁诸法,不乏化瘀以助回阳、解毒理血辟秽等治疗创见,对于诊治现代临床常见的急性胃肠炎、功能性胃肠病、肠梗阻、糖尿病酮症酸中毒、心肾功能衰竭以及应激性吐泻皆有重要的借鉴意义,学者切莫忽视。Cholera is named based on its clinical characteristics.Throughout history,traditional Chinese medi⁃cine(TCM)practitioners,driven by the diagnostic principles of“observing externals to infer internals”and“scruti⁃nizing symptoms to seek causes”,have categorized diseases exhibiting the hallmark features of“swift and chaotic onset”under the broad term“cholera”.This paper reviews historical TCM literature to reveal distinctions between true cholera and similar conditions,identifying etiological and pathogenetic variations such as cold versus heat,dry⁃ness versus dampness,and yin depletion versus yang damage.Therapeutic approaches range from warming the cen⁃ter,dispelling cold,and drying dampness,to clearing heat,resolving dampness,and alleviating summer heat,along⁃side strategies to restore yang,solidify the essence,and resolve qi stagnation.Notable innovations include the use of blood stasis resolution to aid yang restoration and detoxification combined with blood regulation to dispel foul⁃ness.These insights hold significant relevance for diagnosing and treating contemporary conditions such as acute gastroenteritis,functional gastrointestinal disorders,intestinal obstruction,diabetic ketoacidosis,heart and kidney failure,and stress-induced vomiting and diarrhea in modern clinical practice,urging medical professionals not to overlook them.

关 键 词：霍乱 病名 病因病机 治疗 

分 类 号：R254.7[医药卫生—中医内科学]