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涂晋文从热毒论治重症流行性感冒经验

TU Jinwen's Experience in the Treatment of Severe Influenza Based on the Heat Toxin Theory

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总结涂晋文教授从热毒论治重症流行性感冒的临证经验.认为重症流行性感冒的主要病机为热毒壅肺,强调毒随邪入、热由毒生、变从毒起的病机过程,提出以温毒同治、多法联用为治则.临证结合卫气营血辨证,认为疾病早期病在卫分、气分,治宜以清热解毒、解表透邪、和解表里、泻下通腑等多法联用以祛热毒,常用自拟退热1号方加减;疾病进展期病在营血,治宜透热解毒兼以清营凉血,常用自拟退热 1号方合清营汤或犀角地黄汤加减;疾病后期阴液损耗、热毒伏于血分,治宜透热解毒兼以滋阴凉血,常用沙参麦冬汤合竹叶石膏汤加减.同时强调以清法、和法为要,祛邪勿伤正,遣方用药还需注意辨体施治.
ABSTRACT To summarize Professor TU Jinwen's clinical experience in the treatment of severe influenza based on the theory of"heat toxin".It is believed that"heat toxin"is the main mechanism of severe influenza,emphasized the pathogenesis process that toxin enters with the pathogenic qi,heat generates by the toxin,and changes initiate from the toxin,and proposed simultaneous treatment of warmth and toxin,and combination of multiple methods as the treat-ment principles.Syndrome differentiation in clinic should combine with wei-qi-ying-blood.The disease in the early stage located in wei(defensive)and qi level,treated by clearing heat and resolving toxins,releasing the exterior and expel-ling pathogen,harmonizing the exterior and interior,dredging the bowels with diarrhea,and combining other methods to get rid of the heat and toxin,and modified Self-Prescribed Tuire No.1 Formula(退热 1号方)is recommended;the disease in progression stage located in ying-blood,treated by relieving heat and resolving toxins,and clearing the ying level and cooling the blood,with prescriptions as modified Self-Prescribed Tuire No.1 Formula plus Qingying Decoction(清营汤),or Xijiao Dihuang Decoction(犀角地黄汤);the disease in the late stage with of yin fluid consump-tion,and heat toxin in the blood level,treated by eliminating heat and resolving toxins,and enriching yin and cooling the blood,with prescriptions as modified Shashen Maidong Decoction(沙参麦冬汤)and Zhuye Shigao Decoction(竹叶石膏汤).At the same time,it is emphasised that heat-clearing and fire-draining method and harmonising methods are important,and that dispelling pathogen should not injure healthy qi,and that the selection of prescriptions and medicines need consider syndrome differentiation and treatment.

influenzasevere caseheat toxinexperience of famous doctorsTU Jinwen

吕安淇、施雨峰、杨毅、柯佳、涂晋文

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湖北中医药大学中医学院,湖北省武汉市武昌区昙华林188号,430060

湖北省中医院/湖北中医药大学附属医院/湖北省中医药研究院

流行性感冒 重症 热毒 名医经验 涂晋文

国家中医药管理局国医大师传承工作室建设项目湖北省自然科学基金湖北省公共卫生青年拔尖人才培养计划

2023AFD173鄂卫通[2021]74号

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(7)
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