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中西医结合视角下《伤寒论》"六经病篇"提要

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"六经病篇"构成了《伤寒论》之主体内容,笔者结合ICU中西医结合救治重症感染性疾病、新发突发传染病等的临床经验体会,认为"六经病篇"是多种感染性疾病诊疗经验之整合.太阳病篇论述了各类外感病初期发汗法及禁忌证,以及发汗后基础病种加重等变证之应对;阳明病篇论述了外感病中"发热、汗出、恶热"为主之病症,并详论了下法之应用时机、力度、禁忌等,旁及阳明中寒病、谷疸病等;少阳病篇之意义在于后世医家之发挥和推广;太阴病篇主要叙述了具有自限性的急性胃肠炎;少阴病篇主要论述了表现为中医"寒邪直中"和"伏气温病"之重症感染,亦涉及了较多之"下利";厥阴病篇论述了表现为"热深厥深"之感染性休克,亦涉及病情危重之"下利".
Summary of"Six Meridian Diseases"in Treatise on Cold Pathogenic Diseases from the Perspective of Integrated Traditional Chinese and Western Medicine
The"Six Meridian Diseases"constitutes the main content of Treatise on Cold Pathogenic Diseases.Based on the clinical experience of integrated traditional Chinese and western medicine in the treatment of severe infectious diseases and emerging infectious diseases in ICU,the author believes that the"Six Meridian Diseases"is the integration of the diagnosis and treatment experience of various infectious diseases.The chapter on"Taiyang disease"discusses different types of diaphoresis and contraindications in the initial stage of various external diseas-es,as well as the response to the aggravation of underlying diseases after.diaphoresis;the chapter on"Yangming disease"discusses the diseases with main symptoms of"fever,sweating,and malignant heat",and elaborates in de-tail the timing,strength,and contraindications of the application,as well as the cold disease and dietary jaundice in Yangming disease;the significance of the chapter on"Shaoyang disease"lies in the play and promotion of later generations of doctors;the chapter on"Taiyin disease"mainly describes the self-limiting acute gastroenteritis;and the chapter on"Shaoyin disease"mainly discusses severe infections with the manifestations of"direct attack of cold pathogen"and"warm disease of latent pathogenic qi"in traditional Chinese medicine,as well as some parts of"diarrhea syndrome";the chapter on"Jueyin syndrome disease"discusses septic shock that manifests itself as"fever and syncope",and also involves"diarrhea syndrome"of critical illness.

"Six Meridian Diseases"Severe infectionIntegrated traditional Chinese and western medicineCold Pathogenic Diseases

陈腾飞、汤阳、刘清泉

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首都医科大学附属北京中医医院,北京 100010

北京中医药大学,北京 100027

六经病 重症感染 中西医结合 《伤寒论》

北京市市属医院科研培育计划北京市医院管理中心青年人才培养"青苗"计划

PZ2018018QML20231007

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(4)
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