基于"邪正相搏"及"瘥后劳复"的感染性疾病全周期辨证论治思考OA

Infectious diseases occur and evolve through a dynamic contest between pathogenic qi and the body's healthy qi,with marked stage-dependent progression.This paper constructs a whole-course system of syndrome differ-entiation and treatment based on the theories of"struggle between pathogenic qi and healthy qi"and"relapse due to overexertion after recovery".The former reveals the intrinsic link between the waxing and waning of pathogenic and healthy qi and the evolution of syndromes,guiding stratified interventions during acute stage by discerning the loca-tion and nature of pathogenic factors and determining appropriate strategies for eliminating pathogens and supporting healthy qi according to the dynamics of deficiency and excess syndromes.The latter focuses on the recovery stage after infection and disease relapse,emphasizing harmonizing yin,yang,qi and blood to restore functions of zang-fu(脏腑)organs,and combining unblocking,tonifying,and turbidity-dispelling methods to eliminate both new and lingering pathogens.Throughout the whole-course treatment,attention should be paid to dynamic pathogenesis and stage-to-stage coherence,with emphasis on formula-syndrome correspondence,and integration of modern diagnostic and thera-peutic measures,to construct individualized strategies bridging disease stages and integrating prevention with treat-ment,thereby systematically leveraging the integrative strengths of traditional Chinese medicine in the prevention and treatment of infectious diseases.