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产后发热的卫气营血辨证举隅

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产后发热的病因病机错综复杂,《妇人大全良方》认为血虚、血瘀为内感发热的主因,风邪、寒邪为外感发热的主因,强调产后本虚标实、辨证论治。叶天士提出的卫气营血辨证论述了热病的病程和证候的传变规律,成为治疗外感热病的重要指导。文章针对产后的特殊生理状态,将温病学的卫气营血的辨证方法应用于临床。从分析病因病机入手,讨论本病的传变,根据形、脉、证进行辨证施治,合理选择方药以及相关中药方剂的使用和注意事项;兼顾产后病的兼证,如血虚、血瘀及肝郁等,并予以相应的处理。将中医辨证治疗与现代药物治疗相结合,促进产妇的康复和减少并发症的发生。
Examples of Syndrome Differentiation of Postpartum Fever Based on Wei Qi Ying Xue
The etiology and pathogenesis of postpartum fever are complex and intricate.The Good Prescriptions of Women's Complete Collection believes that blood deficiency and blood stasis are the main causes of internal fever,while wind and cold pathogens are the main causes of external fever.It emphasizes the principle of postpartum deficiency and differentiation of symptoms and signs for treatment.Ye Tianshi proposed the dialectical theory of Wei Qi Ying Xue,discussed the course of heat disease and the transmission and transformation laws of syndromes,which has become an important guide for the treatment of exogenous heat diseases.The article focuses on the special physiological state after childbirth and applies the differentiation method of Wei Qi Ying Xue to clinical practice.Starting from analyzing the etiology and pathogenesis,discuss the transmission and transformation of this disease,differentiate and treat according to shape,pulse,and syndrome,reasonably selecting scripts and media,the use of related traditional Chinese medicine formulas And their precautions.Take into account the concurrent symptoms of postpartum diseases,such as blood deficiency,blood stasis,and liver depression,and provide corresponding treatment.Combining traditional Chinese medicine syndrome differentiation treatment with modern drug therapy to promote the recovery of postpartum women and reduce the occurrence of complications.

postpartum feveretiology and pathogenesiswarm diseasesyndrome differentiation of Wei Qi Ying Xuediagnosis and reatment based on syndrome differentiationtherapy of integrated traditional Chinese and Western medicine

黄晴、钱超

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苏州市第九人民医院妇产科,江苏苏州 215200

苏州市第九人民医院药剂科,江苏苏州 215200

产后发热 病因病机 温病 卫气营血辨证 辨证论治 中西医结合疗法

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(21)