基于中医体质学的潮热精准辨识思路探讨OA

Tidal fever is a fever-like symptom characterized by distinct periodicity and regular episodes.It is observed in various diseases,and its complex clinical manifestations pose challenges for accurate diagnosis and treatment.This article first summarizes the understanding of the occurrence and evolution of tidal fever by physicians throughout history,showing its development from the single pattern of yangming heat-excess to various other patterns—such as yin deficiency,dampness-heat,blood deficiency,phlegm-dampness,food stagnation,and blood stasis.It then discusses the core theory of traditional Chinese medicine(TCM)constitution theory as the theoretical foundation for the proposed framework.Based on studies of constitution-disease associations,the susceptible constitution types associated with the occurrence and development of different types of tidal fever are summarized,their TCM pathogenesis is analyzed,and modern pathological mechanisms related to tidal fever are incorporated as supporting evidence through integrative interpretation.On this basis,a precision identification framework for tidal fever is proposed to better address the clinical reality of multimorbidity,namely,an identification strategy based on constitution differentiation,with TCM pathogenesis analysis integrated with modern pathological mechanisms.Furthermore,by combining pharmacological studies of classical formulas for the treatment of tidal fever,this work offers guidance for precise constitution-based prescription selection and rational formula application in clinical practice.