发热待查的中西医诊治专家共识OA
Expert consensus on the traditional Chinese and Western medicine diagnosis and treatment of fever of unknown origin
发热待查病因复杂、诊断困难,是现代临床面临的挑战之一.本共识旨在构建发热待查的中西医诊治框架,强调在运用西医学技术进行系统病因探查的同时,早期启动中医药治疗,可弥补单纯病因治疗的局限.该共识融合了卫气营血、六经、三焦及脏腑经络等多种辨证体系,以病机演变规律为主线,将发热待查系统性地归纳为十大核心证型,定义其核心病机、关键辨证要点,并推荐了相应的经典方剂及常用中成药,为临床实践提供了清晰、可操作的辨证论治路径.
Fever of unknown origin(FUO)is characterized by complex etiology and diagnostic difficulty,posing a significant challenge in modern clinical practice.This consensus aims to establish an integrated framework for the diagnosis and treatment of FUO using both traditional Chinese medicine(TCM)and Western medicine.It emphasizes the early initiation of TCM therapy while conducting systematic etiological investigation with Western medical technologies,thereby addressing the limitations of purely etiology-based treatment.The consensus integrates multiple syndrome differentiation systems,including defense-qi-nutrient-blood,six meridians,Sanjiao,and Zang-fu organ meridians and collaterals,using the progression of disease mechanisms as the central thread.FUO is systematically categorized into ten core syndrome patterns,with each pattern's core pathomechanism and key differentiation points defined,and corresponding classical formulas and commonly used Chinese patent medicines recommended.This provides a clear and actionable pathway for syndrome differentiation-based treatment in clinical practice.
齐文升;齐文杰;赵昕;于大兴;王超;林铃;闫子民
中国中医科学院广安门医院急诊科,北京 100053首都医科大学附属北京友谊医院感染内科,北京 100050中国中医科学院广安门医院急诊科,北京 100053中国中医科学院广安门医院急诊科,北京 100053首都医科大学附属北京友谊医院感染内科,北京 100050首都医科大学附属北京友谊医院感染内科,北京 100050中国中医科学院广安门医院急诊科,北京 100053
发热待查中西医专家共识
fever of unknow originalChinese and Western Medicineexpert consensus
《北京中医药》 2026 (1)
89-93,5
国家中医药传承创新团队项目(ZYYCXTD-C-202403)中央高水平中医医院临床研究和成果转化能力提升项目——中医药临床循证研究专项(HLCMHPP2023090)北京市卫生健康委员会高层次公共卫生技术人才建设项目(学科带头人-02-29)
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