1.湖北中医药大学中医学院,湖北省武汉市武昌区昙华林188号,430060
2.湖北省中医院/湖北中医药大学附属医院/湖北省中医药研究院
kejia@hbhtcm.com
收稿:2023-08-09,
修回:2023-12-03,
纸质出版:2024-04-02
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吕安淇,施雨峰,杨毅等.凃晋文从热毒论治重症流行性感冒经验[J].中医杂志,2024,65(07):674-677.
LYU Anqi,SHI Yufeng,YANG Yi,et al.TU Jinwen's Experience in the Treatment of Severe Influenza Based on the “Heat Toxin Theory”[J].Journal of Traditional Chinese Medicine,2024,65(07):674-677.
吕安淇,施雨峰,杨毅等.凃晋文从热毒论治重症流行性感冒经验[J].中医杂志,2024,65(07):674-677. DOI: 10.13288/j.11-2166/r.2024.07.003.
LYU Anqi,SHI Yufeng,YANG Yi,et al.TU Jinwen's Experience in the Treatment of Severe Influenza Based on the “Heat Toxin Theory”[J].Journal of Traditional Chinese Medicine,2024,65(07):674-677. DOI: 10.13288/j.11-2166/r.2024.07.003.
总结凃晋文教授从热毒论治重症流行性感冒的临证经验。认为重症流行性感冒的主要病机为热毒壅肺,强调毒随邪入、热由毒生、变从毒起的病机过程,提出以温毒同治、多法联用为治则。临证结合卫气营血辨证,认为疾病早期病在卫分、气分,治宜以清热解毒、解表透邪、和解表里、泻下通腑等多法联用以祛热毒,常用自拟退热1号方加减;疾病进展期病在营血,治宜透热解毒兼以清营凉血,常用自拟退热1号方合清营汤或犀角地黄汤加减;疾病后期阴液损耗、热毒伏于血分,治宜透热解毒兼以滋阴凉血,常用沙参麦冬汤合竹叶石膏汤加减。同时强调以清法、和法为要,祛邪勿伤正,遣方用药还需注意辨体施治。
To summarize Professor TU Jinwen's clinical experience in the treatment of severe influenza based on the “heat toxin theory”. He believed that “heat toxin” is the main disease mechanism of severe influenza, emphasized the pathogenesis process that toxin enters with the pathogenic
qi
, heat generates by the toxin, and changes initiate from the toxin, and proposed simultaneous treatment of warmth and toxin and combination of multiple methods as the treatment principles. Syndrome differentiation in clinic should combine with
wei
-
qi
-
ying
-blood. The disease in the early stage located in
wei
(defensive) and
qi
level, treated by clearing heat and resolving toxins, releasing the exterior and expelling pathogen, harmonizing the exterior and interior, dredging the bowels with diarrhea, and combining other methods to get rid of the heat and toxin, and modified
Self
-
Prescribed Tuire No. 1 Formula
(自拟退热1号方) is recommended; the disease in progression stage located in
ying
-blood, treated by relieving heat and resolving toxins, and clearing the
ying
level and cool the blood, with prescriptions as modified
Self
-
Prescribed Tuire No. 1 Formula
plus
Qingying Decoction
(清营汤), or
Xijiao Dihuang Decoction
(犀角地黄汤); the disease in the late stage with of
yin
fluid consumption, and heat toxin in the blood level, treated by eliminating heat and resolving toxins, and enriching
yin
and cooling the blood, with prescriptions as modified
Shashen Maidong Decoction
(沙参麦冬汤) and
Zhuye Shigao Decoction
(竹叶石膏汤). At the same time, it is emphasised that heat-clearing and fire-draining method and harmonising methods are important, and that dispelling pathogen should not injure healthy
qi
, and that the selection of prescriptions and medicines need consider syndrome differentiation and treatment.
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方邦江 , 张洪春 , 张忠德 , 等 . 2023年春季成人流行性感冒中医药防治专家共识 [J]. 陕西中医药大学学报 , 2023 , 46 ( 4 ): 1 - 6 .
杨毅 , 肖万泽 . 涂晋文教授论治外感高热经验 [J]. 湖北中医杂志 , 2005 , 27 ( 10 ): 18 - 19 .
曾子轩 , 宋远瑛 . 凃晋文治疗外感热病卫、气分证的研究思路 [J]. 湖北中医杂志 , 2021 , 43 ( 4 ): 26 - 28 .
程海波 . 周仲瑛“疫毒”学术思想探析 [J]. 中医杂志 , 2021 , 62 ( 7 ): 564 - 567 .
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