摘要
疫病常伴有神志异常,影响患者康复。中医药在治疗疫病神志异常疗效显著。笔者通过整理明清时期的相关文献,发现疫病神志异常可分为虚证、实证以及虚实夹杂证。虚者,多为津液大伤,脑髓空虚,气少血亏,神无所养,治宜清热养阴;实者,多为正邪交争,热毒内盛,内陷心包,上攻于脑,扰乱神明,治宜辛凉清里泻热;虚实夹杂者,邪胜而正虚,并常伴有痰、瘀、湿等病理产物,需攻补兼施,随证治之。
Epidemic disease is often associated with abnormalities of consciousness,which is not conducive to the recovery of patients.Traditional chinese medecine(TCM)could be an effective treatment for epidemic mental disorders.By compiling relevant literatures from the Ming and Qing dynasties,the authors found that the abnormalities of the mind in epidemic disease could be divided into deficiency syndrome,excess syndrome and mixed syndrome with deficiency and excess.In the case of the deficiency,it is due to a great injury to the fluids,qi and blood deficiency,brain marrow emptiness and lack of nourishment for the mind,the treatment should be to clear heat and nourish yin;in the case of the excess,struggling between healthy qi and pathogenic qi internal exuberance of heat toxin,invaginating into pericardium,attacking the brain and disturbing the mind,the treatment should be to clear the surface and remove heat.In the case of mixture of deficiency and excess,evil abundance and right vacuity often accompanied by pathological products such as phlegm,stasis and dampness,need to be attacked and tonified together,and treated according to the syndrome.
作者
朱华贺
王纳
杨爱东
ZHU Hua-he;WANG Na;YANG Ai-dong(School of Basic Medical Sciences,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第5期2468-2471,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家重点研发计划项目(No.2018YFC1704100,No.2018YFC1704102)
国家自然科学基金面上项目(No.81673855)
上海市进一步加快中医药事业发展三年行动计划[No.ZY(2018-2020)-CCCX-2001-01]
上海中医药大学中医临床基础学科(No.A1-Z193020109)。
关键词
明清
疫病
神志异常
病机治法
文献研究
Ming and Qing dynasties
Epidemic disease
Mental abnormalities
Pathogenesis and treatment
Literature research
