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“玄府-膜原-门户”认识对湿热性疫病辨治的启发

Inspiration from the Understanding of“Xuanfu-Membrane Origin-Gateway”for the Identification and Treatment of Exogenous Diseases
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摘要 探究中医治疗湿热性疫病理论在当代临床问题中的指导价值及灵活运用。通过对华北与东北地区新冠诊疗方案的用药特点进行比较分析,认为华北地区的治疗体现出新型冠状病毒肺炎具有湿热性质,需从三焦分利湿热;而东北地区治疗则要重视发汗解表与清热并重,且要注意截断病势。两地的治疗特点体现了玄府-膜原-门户理论,该理论强调祛邪路径,旨在通过宣通玄府、调畅三焦以治疗湿热性质的疫病,使气机升降出入归于正常,气血津液正常流通布散,以祛除膜原湿热邪气。注重“玄府-膜原-门户”的理论对指导当今湿热性疫病具有重要临床意义,临床可参照论治。 The purpose of this paper is to investigate the guiding value and flexible application of the theory of Chinese medicine for the treatment of damp-heat epidemic diseases in contemporary clinical problems.Based on the comparative analysis of the characteristics of the diagnosis and treatment plan for COVID-19 in North China and Northeast China,it is concluded that the treatment in north China shows that COVID-19 has the character of damp-heat,which is divided into Sanjiao to relieve damp-heat while in northeast area,we should pay equal atten⁃tion to sweating,relieving symptoms and clearing heat,and cut off the disease.The treatment in both regions re⁃flects the Xuanfu-Membrane Origin-Gateway theory,which emphasizes the path of expelling evil and aims to treat damp-heat epidemics by promoting the Xuanfu and regulating the Sanjiao,so that the ascending and descending of qi movement normally and the qi,blood and fluids can circulate and disperse normally,so as to get rid of the damp-heat evil of the membrane source.It is of great clinical significance to pay attention to the theory of“Xuan⁃fu-Membrane Origin-Gateway”to guide the treatment of damp-heat epidemic diseases.
作者 陈宣妤 侯雪雍 赵一霖 刘绍媛 赵岩松 Chen Xuanyu;Hou Xueyong;Zhao Yilin;Liu Shaoyuan;Zhao Yansong(Beijing University of Chinese Medicine,Beijing 102488,China)
机构地区 北京中医药大学
出处 《中国中医急症》 2023年第12期2207-2211,共5页 Journal of Emergency in Traditional Chinese Medicine
基金 国家社会科学基金项目(22BZS077) 国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202006)。
关键词 湿热疫 新型冠状病毒感染 方剂溯源 理论溯源 Damp-heat epidemic COVID-19 Prescription traceability Theoretical traceability
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