摘要
喘脱证是温病后期常见坏病。通过对温病中喘脱证病因特点、传变规律、病机见症研究的梳理发现:风温喘脱、湿热喘脱、冬温喘脱以邪实壅盛多见;温毒喘脱以气分热毒,闭阻肺窍多见;春温喘脱以虚实并存多见;特殊人群喘脱又分为产妇喘脱、幼儿喘脱。温病喘脱的危重性和紧急性在于疾病终末期阴竭阳脱的细微变化,需细审其传变过程。本文通过对温病文献的整理研究,以期对新冠病毒肺炎、人感染禽流感、大叶性肺炎、伤寒、流行性脑脊膜炎等疾病的危急喘脱证提供辨证类型参考。
Wheezing is a common bad disease in the later stages of warm disease.Through the characteristics of the cause of wheezing in the disease,the law of transmission,wheezing symptoms,disease symptoms,it is found that the wind-warm wheezing,damp-heat wheezing,winter-warm wheezing are mainly observed by excessive pathogen,while wheezing in warm disease is mainly observed by qi heat-pathogen and blocking lung orifices,and spring wheezing is mainly observed by coexistence of deficiency and excess.For wheezing in special groups of people,it can be divided into maternal wheezing and child wheezing.The criticality and urgency of wheezing in warm disease lies in the subtle changes of yin and yang at the end of the disease,which needs to be carefully reviewed.This paper aims to provide a reference for the types of syndrome differentiation for critical wheezing syndromes such as COVID-19,human infection with avian influenza,lobar pneumonia,typhoid fever,and epidemic meningitis by collating and researching the literature on warm diseases.
作者
秦欢
施庆武
曾妮
吴承艳
Qin Huan;Shi Qingwu;Zeng Ni;Wu Chengyan(Nanjing University of Chinese Medicine,Jiangsu,Nanjing 210023,China)
出处
《中国中医急症》
2022年第3期433-435,439,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
国家社科基金冷门绝学研究专项(20VJXG032)
江苏省社会科学基金重点项目(18LSA002)
江苏省研究生创新课题(KYCX21_1617)。
关键词
喘脱
温病
证型
Wheezing
Warm disease
Syndrome type
