摘要
文章所述急症,即指非创伤性急危重症,包括疾病急性发作期,其起病急骤,变化迅速,病症复杂,病情危重,具有“急速重危”特点。急症之治,虚实之辨更不能差以毫厘,临证之时,常恐攻实而伤正,补虚更助邪。然中医治病之本质,乃扶正祛邪,通过调动人体自身正气以对抗邪气,驱邪外出,而并非将疾病作为治疗对立面,故刘大新教授常言“急症亦勿忘扶正”。临证中应及时辨别急症,把握病证之标本、顺逆,注重顾护正气;若一味攻邪,过则损及正气,正不胜邪,病情急剧恶化;更有甚者,本非急危重症,攻伐太过而成坏病。学生从急症之病因、病机及当代人体质特点,结合跟师体会,浅议急症辨识诊治之策。
The acute disorder refers to the non-traumatic critical illness,including the disease at the acute attack,characterized as sudden onset,rapid change,complicated symptoms and critical situation.The differentiation of the excess from the deficiency is extremely important in the acute case.In clinical practice,the antipathogenic qi may be threatened if the treatment focuses on reducing the excess,or the pathogenic factors may be worsened if the treatment focuses on reinforcing.The essence of TCM in treatment is strengthening the antipathogenic qi and eliminating the pathogens,in which,the body self-resistance is mobilized so as to resist the pathogen and eliminate it,rather than taking the disease as the opposite in treatment."Never forget to strengthen the antipathogenic qi for acute disorder".In clinical treatment,the acute case should be differentiated carefully and the antipathogenic qi should be protected,avoiding the simple reducing method.The simple reducing method may worsen the disease.Hence,in treatment of acute case,the etiology,pathogenesis and body constitution should be considered comprehensively before determining the diagnosis and treatment.
作者
李诗梦
刘大新
丁雷
LI Shi-meng;LIU Da-xin;DING Lei(Department of Acupuncture and Moxibustion,Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine,Beijing 100700;E.N.T.Department,Dongfang Hospital of Beijing University of Traditional Chinese Medicine,Beijing 100078)
出处
《世界中西医结合杂志》
2019年第7期931-933,969,共4页
World Journal of Integrated Traditional and Western Medicine
基金
国家级第六批名老中医师承项目基金
北京中医药大学东方医院“1166”人才工程(030903010304)
关键词
刘大新
扶正祛邪
急症
师承
LIU Daxin
Strengthening Anitpathogenic Qi and Eliminating Pathogens
Acute Case
Apprenticeship
