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外感热病共性病机及传变机制探讨

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探讨外感热病共性病机及传变机制.指出外邪侵袭,导致卫气抗邪,正邪相争,阳气壅郁,从而表现出一系列的热病证候,病机特点为"郁-虚".以"气血-体用"论概括热病证候传变规律,将热病病程概括为气、血两个阶段,其中气分阶段包括卫分等,以功能失调为主;血分统营分,以实质损害为主,兼有更加严重的功能失调.外感热病重症转化病机包括热盛动血、热闭心包、热盛动风、化源欲绝、少阴虚寒及正气外脱等.
Discussion on the Common Pathogenesis and Transmission Mechanism of Exogenous Febrile Diseases
The article explores the common pathogenesis and transmission mechanism of exogenous febrile diseases.It points out that the invasion of external evils leads to the wei qi resisting evils,the struggle between good and evil,and the stagnation of yang qi,thus showing a series of febrile disease syndromes,and the pathogenesis is characterized by"stagnation-deficiency".The theory of"qi-blood and body-function"is used to summarize the transmission and change patterns of febrile disease syndromes,and the course of febrile diseases is summarized into two stages:qi and blood.The qi phase includes the wei phase,mainly characterized by functional disorders;the blood phase includes the nutrient phase,mainly characterized by substantial damage and accompanied by more severe functional disorders.The pathogenesis of severe exogenous febrile diseases transformation includes excessive heat stimulating blood cir-culation,heat inducing pericardium closure,excessive heat activating wind,the source of generation and transformation being cut off,asthenia cold syndrome of Shaoyin,and collapse of healthy qi,etc.

exogenous febrile diseasecommon pathogenesistransmission mechanismwei qi stagnationTreatise on Cold Dam-ageSystematic Differentiation of Warm Diseases

魏凯峰、杨进

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南京中医药大学中医学院,江苏 南京 210023

南京中医药大学附属南京中医院,南京市中西医结合疫病研究中心,江苏 南京 210022

外感热病 共性病机 传变机制 卫气郁 伤寒论 温病条辨

国家中医药局高水平中医药重点学科建设项目省名老中医药专家传承工作室建设项目全国名老中医药专家传承工作室建设项目

国中医药人教函[2023]85号苏中医科教[2021]7号国中医药人教函[2022]75号

2024

10.14148/j.issn.1672-0482.2024.0229

南京中医药大学学报
南京中医药大学

南京中医药大学学报

CSTPCD北大核心
影响因子：1.658
ISSN：1672-0482
年,卷(期)：2024.40(3)
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