岑鹤龄温病思想对现代卫气营血辨证理论之完善

发布时间：2018-11-07 09:51

【摘要】：卫气营血辨证揭示了温病发展的一般规律和治疗原则。但长期以来诸多医师将卫、气、营、血理解为病位的固定更易,且忽视温病发展过程中的正邪相争,对疾病后期的正气虚衰缺乏足够重视。岭南名医岑鹤龄结合现代温病临床实践,参考温病发展过程中的正邪相争及疾病后期正气虚衰的普遍现象,提出"犯卫""在气""入血""伤阴""亡阳"的现代温病辨证纲领,其中入血伤阴是热病证候的分水岭。针对其在卫者创立青柴灵口服液,为扭转和预防伤阴、亡阳危候,创立岑氏凉血救阴方。故结合现代研究进展,认为岑鹤龄温病思想较为符合当前温病的发展规律,其理法兼备,是对卫气营血辨证理论在新时代背景下的完善,有益于指导现代温病诊治,值得进一步深入研究。
[Abstract]:The differentiation of qi and blood reveals the general law and treatment principle of febrile disease. But for a long time, many doctors understand Wei, Qi, Ying and blood as the fixation of disease position more easily, and ignore the debate between good and evil in the development of febrile disease, so they do not pay enough attention to the deficiency of qi in the later stage of the disease. In combination with the clinical practice of modern febrile disease, Cen Heling, a famous doctor in Lingnan, referred to the competition between good and evil in the development of febrile disease and the common phenomenon of deficiency of qi in the late stage of the disease. This paper puts forward the dialectical program of modern febrile disease such as "violating Wei", "entering qi", "entering blood", "hurting yin" and "disappearing yang", in which blood injury is the watershed of febrile disease syndrome. In order to reverse and prevent the injury of Yin and the perilous condition of the dead yang, Cen Liangxue was founded to save Yin. Therefore, combined with the development of modern research, it is considered that Cen Heling's thought of febrile disease accords with the development law of febrile disease at present, and that the theory of dialectical differentiation of qi and blood of Wei Qi and Ying is perfect in the new era, which is beneficial to the diagnosis and treatment of modern febrile disease. It is worth further study.
【作者单位】：广州中医药大学第二附属医院;香港东华医院;
【基金】：广东省中医院青年中医人才项目(E45212);广东省中医院岭南岑氏杂病流派传承工作室项目(E43602)
【分类号】：R249;R254.2

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