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关于"感冒"病的若干思考和建议

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感冒是常见、多发的外感疾病,《中医儿科学》教材中的论述有较多的不合理和争议之处,笔者的建议包括:将首见感冒病名时期提前至北宋时期(1078~1085年),"感冒"也是俗称的"伤风";感冒与时行感冒是两种不同的疾病,后者应当归于传染病章单独论述;风邪不是感冒的主要病因,寒邪和毒邪更加常见;单纯的发热、脉数、咽红肿痛在寒证、热证中均可出现,不是热证的特有表现;感冒的辨证更适合六经辨证体系,治疗宜遵循六经病的用药规律;银翘散并非单纯"解表剂",以表里双解为宜.
Reflections and recommendations on the"common cold"disease
Common cold is a common and frequent exogenous disease.There are many unreasonable and controversial points in the textbook of Pediatrics of Traditional Chinese Medicine.The author's suggestions include:the time when the name of common cold first appeared should be advanced to the Northern Song dynasty(1078-1085),and"common cold"is usually known as"Shang Feng"in Chinese;common cold and seasonal influenza are different diseases,and the latter should be discussed separately in the chapter on infectious diseases;wind pathogen is not the main cause of common cold,while cold pathogen and toxic evil are more common causes;simple fever,rapid pulse and sore throat may occur in both cold and heat syndromes,and are not the specific manifestations of heat syndrome;the syndrome differentiation of common cold is more suitable for the syndrome differentiation system of six meridians,and the treatment should follow the medication rules of six-meridian diseases;Yinqiao powder is not a simple"formula of relieving exterior syndrome",whose main effect is to relieve exterior and interior syndromes.

Common coldSeasonal influenzaWind pathogenSyndrome differentiation of six meridiansYinqiao powder

刘嘉楠、王海

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150040 哈尔滨,黑龙江中医药大学

黑龙江中医药大学第一临床医学院中医儿科教研室

感冒 时行感冒 风邪 六经辨证 银翘散

2024

中国中西医结合儿科学
中国医师协会,辽宁省基础医学研究所,辽宁中医药大学附属医院

中国中西医结合儿科学

影响因子:1.03
ISSN:1674-3865
年,卷(期):2024.16(6)