论中医外感热病学的重构OA
On the reconstruction of exogenous febrile disease in traditional Chinese medicine
外感热病是对一类发热性疾病的统称,古代中医所述之"伤寒""温病""疫病""时行"等,均可归属于"外感热病"范畴.重构"中医外感热病学",其实质涵盖了"寒温统一""中西医关系"等热点、难点问题.文章围绕重构中医外感热病学的范畴、病因、核心病机、辨治体系重构的关键要素、基本治则治法5个方面,论述了外感热病学的重构.外感热病学的范畴应涵盖各类急性发热性疾病,原有的"六淫"病因学说难以满足临床需求,外感热病的核心病机可总结为"阳郁/正虚→气热传营/正虚→闭证/正虚→脱证/正虚→络病/正虚",外感热病学辨析体系重构的关键要素有"病期、病性、病位;内伤基础与体质",基本治则治法为"祛邪法"和"扶正法",且应贯穿疾病全程,祛邪法又可分为给邪气以出路、直接对抗病邪、给邪气出路联合对抗病邪治疗.
Exogenous febrile disease is a general term for a class of febrile diseases.In ancient Chinese medicine,'typhoid fever''warm disease''epidemic disease''seasonal disease',etc.can be attributed to the category of'exogenous febrile disease'.The reconstruction of the'exogenous febrile disease of traditional Chinese medicine'covers hot and difficult issues such as'unification of cold and temperature'and'relationship between Chinese and Western medicine'.This paper discusses the reconstruction of exogenous febrile disease from five aspects:the category,etiology,core pathogenesis,key elements of reconstruction of syndrome differentiation and treatment system,and basic treatment principles and methods.It is concluded that the category of exogenous febrile disease should cover all kinds of acute febrile diseases.The original'six evils' etiology theory is difficult to meet the clinical needs.The core pathogenesis of exogenous febrile disease can be summarized as'yang depression/deficiency of vital qi→qi-heat transmission/deficiency of vital qi→closed syndrome/deficiency of vital qi→removal of syndrome/deficiency of vital qi→collateral disease/deficiency of vital qi'.The key elements of the reconstruction of the discrimination system of exogenous febrile disease include'stage of disease,nature of disease and location of disease'.The basic treatment principles and methods are'eliminating evil method'and'strengthening the body resistance method',and should run through the whole course of the disease.The method of eliminating evil can be divided into giving the evil to the way out,directly resisting the disease,and giving the evil to the way out combined with the treatment of resisting the disease.
陈腾飞;田晋豪;刘清泉
首都医科大学附属北京中医医院,北京 100010北京中医药大学临床医学院,北京 100010首都医科大学附属北京中医医院,北京 100010
外感热病学热病寒温统一重构伤寒温病疫病
Exogenous febrile diseaseFeverCold and warm unityReconstructionTypnoid feverWarm diseaseEpidemic disease
《中华中医药杂志》 2026 (8)
2126-2131,6
北京市医院管理中心青年人才培养"青苗"计划(No.QML20231007),首都医科大学附属北京中医医院科技发展基金资助项目(No.LYZD202307)
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