摘要
外感热病是由外邪侵入人体,以发热为主要症状的一类疾病,严重影响患者健康。杨仓良教授根据毒邪学说及外感热病的发病特点,认为毒邪是外感热病的主要致病因素,主张分期论治。杨教授认为外感热病初期由风毒、寒毒、湿毒、热毒侵犯所致,投祛风攻毒汤、散寒攻毒汤、利湿攻毒汤、清热攻毒汤等以解表攻毒;中期痰瘀毒内生,阻滞经络气血,以损伤脏腑脉络为害,投化痰攻毒汤、逐瘀攻毒汤等加减以达化痰逐瘀攻毒之目的;后期毒邪乘虚入里,虚与毒互结,相互为患,致气虚毒恋、血虚毒恋、阴虚毒恋、阳虚毒恋等,采用补气攻毒汤、补血攻毒汤、滋阴攻毒汤、温阳攻毒汤等加减以收扶正攻毒之效。杨仓良教授认为外感热病属凶险顽固难治之疾,临床应不拘泥于一法一方,提倡早期中西医结合治标,中期内外合用治本,后期针药并用断根,恢复期锻炼强身等法,以达杂合以治之目的。
Externally-contracted febrile diseases are caused by exogenous pathogenic factors invading the human body with fever as the main symptom,which impose great effects on the health of patients.According to the toxic pathogen theory and the characteristics of externally-contracted febrile diseases,Professor YANG Cangliang believes that toxic pathogen is the main pathogenic factor,and advocates treatment by stages.In the early stage,Professor YANG believes that externally-contracted febrile diseases are caused by wind toxin,cold toxin,dampness toxin and heat toxin,and Qufeng Gongdu Decoction,Sanhan Gongdu Decoction,Lishi Gongdu Decoction and Qingre Gongdu Decoction are used to release the exterior and purge the toxin;in the middle stage,phlegm,stasis and toxin are endogenous,blocking the qi and blood and meridians and collaterals and harming the zang-fu organs and collaterals,and Modified Huatan Gongdu Decoction and Zhuyu Gongdu Decoction are given to resolve phlegm and expel stasis and purge the toxin;in the later stage,the toxic pathogen takes advantage of the deficiency,and the deficiency binds with the toxin,causing qi deficiency and lingering toxin,blood deficiency and lingering toxin,yin deficiency and lingering toxin,yang deficiency and lingering toxin,etc.Buqi Gongdu Decoction,Modified Buxue Gongdu Decoction,Ziyin Gongdu Decoction,and Wenyang Gongdu Decoction are given to reinforce the healthy qi and purge the toxin.Professor YANG believes that externally-contracted febrile diseases are dangerous and intractable,and that in clinical practice,it is better not to rigidly adhere to certain method or prescription.He advocates the integrated Chinese and western medicine in the early stage to treat the branch,the combination of internal and external treatment in the middle stage to treat the root,the combination of acupuncture and medicine in the later stage to eradicate the root,and exercise in the recovery stage to strengthen the body,so as to achieve the purpose of using compound treatment to treat the disease.
作者
贾青龙
杨涛硕
杨佳睿
杨仓良(指导)
JIA Qinglong;YANG Taoshuo;YANG Jiarui;YANG Cangliang(Instructor)(Department of Acupuncture and Moxibustion,Qingtongxia Municipal People's Hospital,Qingtongxia Ningxia 751600,China;National Grassroots Famous Chinese Medicine Practitioner YANG Cangliang Studio,Ningxia Qinyang Hospital of Chinese Medicine,Yinchuan Ningxia 750011,China)
出处
《新中医》
CAS
2023年第23期218-222,共5页
New Chinese Medicine
基金
第七批全国老中医药专家学术经验继承人项目(国中医药人教函〔2022〕76号)。
关键词
外感热病
从毒论治
分期论治
解表攻毒
化痰逐瘀
通络攻毒
扶正攻毒
Externally-contracted febrile diseases
Treatment from toxin
Treatment by stages
Releasing the exterior and purging the toxin
Resolving phlegm and expelling stasis
Freeing the collateral vessels and purging the toxin
Reinforcing the healthy qi and purging the toxin
