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基于中医疫病理论探讨岭南地区流行性感冒的治疗

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从中医疫病理论探讨岭南地区流行性感冒的病因病机和治疗。岭南地区流行性感冒病因以疫毒为主,湿邪为辅,形成复合型病因。岭南地区流行性感冒病机演变分为五个阶段,并提出分期论治策略:①疾病初起,病位在肺卫肌表,治宜辛凉宣散、祛湿透邪;②疫毒入里、损伤肺络,治宜清热利湿、化瘀解毒;③湿痰壅阻、毒瘀胶结造成危重证候,治宜通腑泄热、祛湿化浊;④危重期正虚邪恋、阴阳两虚,治宜温阳化湿、益气养阴;⑤恢复期伤阴耗气、余邪未尽,治宜益气养阴、健脾祛湿。本研究提出的分期论治策略,立足岭南地区特点,强调祛湿法的重要性,并合理运用岭南道地药材。
Discussion on Treatment of Influenza in Lingnan Region Based on Epidemic Theory of Chinese Medicine
Explores the etiology,pathogenesis,and treatment of influenza in the Lingnan region from the perspective of the epidemic theory of Chinese medicine.The main cause of influenza in Lingnan region is epidemic toxin,supplemented by dampness pathogen,which forming a complex etiology.The pathogenesis evolution of influenza in the Lingnan region was divided into five stages and proposing a staged treatment strategy:①In the initial stage,the disease is located in the lung defense and muscle surface,and the treatment should be acrid-cool dispersing,dispelling dampness and penetrating the pathogen;②When the epidemic toxin enters the interior and damages the lung collaterals,the treatment should be clearing heat,draining dampness,resolving blood stasis and detoxifying;③When dampness and phlegm obstruct,and toxin and stasis bind together,causing critical syndromes,the treatment should be unblocking the fu organs,purging heat,removing dampness and turbidity;④In the critical stage,when the healthy qi is deficient and the pathogen is lingering,with both yin and yang deficiency,the treatment should be warming yang and dissolving dampness or boosting qi and nourishing yin;⑤In the recovery stage,with yin damage,qi consumption,and residual pathogens,the treatment should be boosting qi,nourishing yin,strengthening the spleen and removing dampness.The staged treatment strategy proposed in this study is based on the characteristics of the Lingnan region,emphasizing the importance of dampness-removing methods and rationally using authentic Lingnan medicinal materials.

InfluenzaEpidemic theory of Chinese medicineStaged treatmentEtiology and pathogenesis

陈韵、蔡惠铃、胡瑶、蔡海荣、林艳萍、李芳

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广州中医药大学第二附属医院/广东省中医院,广东 广州 510120

流行性感冒 中医疫病理论 分期论治 病因病机

2025

新中医
广州中医药大学 中华中医药学会

新中医

影响因子:0.595
ISSN:0256-7415
年,卷(期):2025.57(1)