周亚滨辨证论治疑难发热
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摘要
发热者外感即内伤,而不明原因的疑难发热辨治为临证之难。通过收集导师周亚滨教授临证治疗疑难发热的验案,阐发周师治疗疑难发热的辨证体系思路,构建以伤寒六经辨证、脏腑内伤辨证再到温病辨证的体系。精选周亚滨教授临证治疗发热验案来诠释基于不同的辨证体系下辨治疑难发热的思路,以此启发在疑难发热的治疗上提供参考。
The fever is not exogenous, that is, internal injury, and the difficult fever of unknown origin is difficult to treat clinically. Based on Professor Zhou's clinical treatment of difficult fever, the construction of syndrome differentiation system based on typhoid fever syndrome differentiation of six channels theory; syndrome differentiation of viscera internal injury, and syndrome differentiation of febrile disease were summarized. This article selected three typical fever cases from Professor Zhou's clinical experience to explain the thought of treating difficult fever based on different syndrome differentiation system, so as to provide reference for the treatment of difficult fever.
The fever is not exogenous, that is, internal injury, and the difficult fever of unknown origin is difficult to treat clinically. Based on Professor Zhou's clinical treatment of difficult fever, the construction of syndrome differentiation system based on typhoid fever syndrome differentiation of six channels theory; syndrome differentiation of viscera internal injury, and syndrome differentiation of febrile disease were summarized. This article selected three typical fever cases from Professor Zhou's clinical experience to explain the thought of treating difficult fever based on different syndrome differentiation system, so as to provide reference for the treatment of difficult fever.
引文
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[2]HASDAY J D,FAIRCHILD K D,SHANHOLTZ C.The role of fever in the infected host[J].Microbes Infect,2000,2(15):1891-1904.
[3]APPENHEIMER M M,CHEN Q,GIRARD R A,et al.Impact of fever-range thermal stress on lymphocyte-endothelial adhesion and lymphocyte trafficking[J].Immunol Invest,2005,34(3):295-323
[4]林昶东,陈剑峰.浅谈发热促进机体免疫的机制[J].生命的化学,2019,39(1):53-58.
[5]贾伟华,宋宁,冯桂山,等.发热待查病因诊断的研究进展[J].实用医学杂志,2018,34(20):3325-3328.
[6]张文宏,李太生.发热待查诊治专家共识[J].上海医学,2018,41(7):385-400.
[7]王蓓.中医药对比西药治疗癌性发热疗效及安全性的Meta分析[D].武汉:湖北中医药大学,2018.
[8]林国彬.中医辨证治疗上呼吸道感染发热306例[J].天津中医药,2010,27(2):129.
[9]殷鸣.伤寒学说的发展:内伤与温病学说合论[J].中华中医药杂志,2018,33(10):4318-4320.
[10]谷建军,庄乾竹.中医脏腑辨证的形成与发展源流[J].世界中西医结合杂志,2011,6(5):372-374.
[11]胡西美.温病学派学术源流探析[J].吉林中医药,2010,30(12):1107-1108.
[12]宋咏梅.《伤寒论》辨治发热的思路[C]//中华中医药学会.国际(中日韩)经方学术会议暨第二届全国经方论坛论文集,北京:2012.
[13]王丽琴,李赛美.基于六经探析《伤寒论》之发热[J].江苏中医药,2018,50(11):11-13.
[14]白建英,张秀芬,杨贵真,等.李东垣《脾胃论》“阴火”理论探讨[J].中华中医药杂志,2018,33(10):4586-4588.
[15]齐文杰,张淑文,王红.温病湿热证的现代研究进展[J].中国中医急症,2010,19(7):1200-1201.
[16]李东垣.脾胃论[M].北京:中国医药科技出版社,2011:61.
[17]李东垣.内外伤辨惑论[M].北京:人民卫生出版社,2007:24.
[18]薛雪.湿热论[M].北京:人民卫生出版社,2007:48.
[19]吴鞠通.温病条辨[M].北京:人民卫生出版社,2005:42.
[20]曾毅龙.从仲景原文探析太阴发热的证治[J].成都中医药大学学报,2013,36(2):87-88.
[21]廖汉祺.金元时期易水学派的脏腑病机理论研究[D].广州:广州中医药大学,2013.