谭子虎基于“清、消、补”分期论治脑炎邪毒经验撷华  

TAN Zihu based on the Experience of“Clearing,Eliminating,and Supplementing”in the Treatment of Encephalitis and Poison

作　　者：阮丽玉 谭子虎[2] 陈延 郭珍立 林莉楠 龚玉环 RUAN Liyu;TAN Zihu;CHEN Yan;GUO Zhenli;LIN Linan;GONG Yuhuan(Hubei University of Traditional Chinese Medicine,Hubei Wuhan 430061,China;Hubei Provincial Hospital of Traditional Chinese Medicine,Hubei Wuhan 430061,China;Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Hubei Wuhan 430015,China)

机构地区：[1]湖北中医药大学第一临床学院,湖北武汉430061 [2]湖北省中医院,湖北武汉430061 [3]湖北省中西医结合医院,湖北武汉430015

出　　处：《中医药临床杂志》2024年第12期2298-2301,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：湖北省卫生健康委员会中医药中西医结合科研面上项目(ZY2021M025)。

摘　　要：脑炎,中医多列为温病之内,为脑实质炎症性疾病。谭子虎认为,脑炎的发生多为机体湿热之毒浸淫,或痰瘀互结或正虚邪恋之气阴两虚、枢机失调夹杂所致。其遵循卫气营血的传变规律,由外至内、从表透里进行性发展。治疗上应注重分期分治,病初期多清湿热邪毒以截疾病本源,防止传变;病中期着重消痰瘀蕴毒使气营、营血两清,兼通气血阻塞之道;病末期应重视补五脏阴血、调和阴阳枢机以治之。使用方药多用银翘散合白虎汤、清营汤合清瘟败毒饮、紫雪丹、六味地黄丸、火麻仁、酸枣仁等。Encephalitis is often listed as a febrile disease in traditional Chinese medicine and is an inflammatory disease of the brain.TAN Zihu believes that the occurrence of encephalitis is mostly caused by the infiltration of dampheat poison in the body,or the combination of phlegm and blood stasis,or the combination of qi and yin deficiency and central nervous system disorders.It follows the law of transmission and transformation of Wei Qi,Ying and Blood,and develops progressively from the outside to the inside and from the surface to the inside.In treatment,we should pay attention to staged treatment.In the early stage of the disease,we should clear damp-heat evil toxins to cut off the source of the disease and prevent transmission;in the middle stage of the disease,we should focus on eliminating phlegm and blood stasis to clear Qi,Ying and blood,and unblock the way of qi and blood blockage;in the late stage of the disease,we should pay attention to replenishing the yin and blood of the five internal organs and harmonizing the yin and yang pivots to treat it.The prescriptions used are mostly Yinqiao Powder combined with Baihu Decoction,Qingying Decoction combined with Qingwen Baidu Drink,Zixuedan,Liuwei Dihuang Pills,Huoma Ren,Suanzaoren,etc.

关 键 词：脑炎 温病 三期分治 “清、消、补” 谭子虎 

分 类 号：R249[医药卫生—中医临床基础] R277.7[医药卫生—中医学]