中医暑疫理论对夏季传染病防治的启示
On Prevention and Treatment of Infectious Diseases in Summer Based on TCM Theory of Heat Epidemic
王斯曼 1尧明慧 1张梦楚 1燕海霞1
作者信息
- 1. 上海中医药大学基础医学院 上海 201203
- 折叠
摘要
[目的]对历代医家所阐释的暑疫理论及其诊疗特色进行探析,为夏季传染病的临床诊治提供思路.[方法]通过梳理周扬俊、余霖、王士雄等医家基于不同角度、层次对暑疫的论述,分析暑疫的病因病机、治法选方,并应用暑疫理论探讨手足口病、登革热及2022年多地散发的新冠病毒感染等夏季传染病的辨治规律.[结果]几位医家将暑疫病因病机归类为主气偏盛、阴虚邪盛、暑热蒸腾及尸毒弥漫,多用清里和表、凉血开窍法治疗.手足口病、登革热、新冠病毒感染三类夏季传染病的病因病机、临证特点及治法选方与暑疫理论较为相符.[结论]三类夏季传染病的证治规律符合暑疫理论,暑疫理论可为中医药临床诊治夏季传染病提供理论依据.
Abstract
[Objective]To provide insights into the clinical diagnosis and treatment of infectious diseases in summer through probing into the theory of heat epidemic and its characteristics formulated by famous doctors in the past dynasties.[Methods]The etiology,pathogenesis and treatment of heat epidemic were analyzed by summarizing the discussions of various doctors from different angles and at different levels,and the differentiation and treatment rules of several common summer infectious diseases were explored on the basis of the application of heat epidemic theory.[Results]The etiology and pathogenesis of heat epidemic can be classified as excessive main Qi,evil abundance and Yin deficiency,transpiration of summer heat and diffuse ptomaine.Its treatment can be roughly divided into interior-clearing and exterior-harmonizing,blood-cooling and orifice-unblocking.On the basis,the article explored the etiology,pathogenesis and treatment of summer infectious diseases,such as hand-foot-and-mouth disease,dengue and Corona Virus Disease 2019(COVID-19),which have certain similarities with heat epidemic.[Conclusion]The theory of heat epidemic,closely related to the syndrome and treatment rules of three types of summer infectious diseases,can be the tentative basis for clinical diagnosis and treatment of summer infectious diseases with traditional Chinese medicine.
关键词
暑疫/夏季传染病/病因病机/防治/手足口病/登革热/新冠病毒感染Key words
heat epidemic/summer infectious diseases/etiology and pathogenesis/prevention and treatment/hand-foot-and-mouth disease/dengue/Corona Virus Disease 2019引用本文复制引用
基金项目
上海市健康辨识与评估重点实验室建设项目(21DZ2271000)
出版年
2024
国家科技期刊平台
NSTL
万方数据