国医大师周仲瑛复法理论辨治外感热病经验  

TCM Master Zhou Zhongying’s Experience in Treating Exogenous Febrile Diseases with Compound Method Theory

作　　者：郑志攀 叶放[3] ZHENG Zhipan;YE Fang(Traditional Chinese Medicine Department,Henan Provincial People’s Hospital,Zhengzhou 450003,China;Traditional Chinese Medicine Department,People’s Hospital of Zhengzhou University,Zhengzhou 450003,China;The First Clinical Medical College,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]河南省人民医院中医科,河南郑州450003 [2]郑州大学人民医院中医科,河南郑州450003 [3]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《南京中医药大学学报》2025年第1期122-127,共6页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家中医药管理局“国医大师周仲瑛传承工作室”建设项目(国中医药人教发〔2010〕59号)。

摘　　要：总结首届国医大师周仲瑛教授复法理论治疗外感热病的经验,其特点为病势发展迅速,前后相贯;病理因素兼夹,互为因果;病位留滞传变,多脏相关;病情危重险恶,错杂反复。外感热病中复法的应用要点为辨识病理因素,分清先后主次;明确发病部位,注意邪正关系;厘清寒热虚实,以期阴阳平和;预测病势传变及时截断扭转。提出清气凉营,表里双解,开上、宣中、导下等外感热病常用复法,并以行气活血、扶正固脱法治疗厥、脱等外感重症。The paper summarizes the theoretical basis of the Compound Method Theory proposed by the first TCM master Professor Zhou Zhongying for the treatment of exogenous febrile diseases.The theoretical basis is the rapid development of the disease and its continuity;pathological factors are intertwined and mutually causal;the disease is retained and transmitted,and multiple organs are related;the condition is critical and dangerous,with a mix of ups and downs.The key points of applying the complex method are to identify pathological factors and distinguish between the primary and secondary factors;identify the location of the disease and pay attention to the relationship between pathogenic factors and positive factors;clarify the excess and deficiency of cold and heat,in order to achieve a peaceful balance between yin and yang;predict the spread of the disease and promptly intercept and reverse it.The commonly used compound methods for external febrile diseases,such as clearing qi fen and cooling ying fen,resolving the exterior and interior,and promoting the upper,dispersing the middle,and guiding the lower were proposed.The treatment of severe external febrile diseases such as syncope and prolapse was also carried out using the methods of promoting qi and blood circulation,strengthening healthy qi and consolidating the body.

关 键 词：复法理论 复合病机 周仲瑛 外感热病 清气凉营法 

分 类 号：R249[医药卫生—中医临床基础]