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基于“热毒”理论的流感中医辨治探析

Discussion on TCM Diagnosis and Treatment of Influenza from the Perspective of Heat Toxicity

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【作者】 吴东升; 张炜; 孙仕奇; 张彧;

【Author】 WU Dongsheng;ZHANG Wei;SUN Shiqi;ZHANG Yu;Anhui University of Traditional Chinese Medicine;The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine;Baoshan Hospital Affiliated to Shanghai University of Traditional Chinese Medicine;Research Center for Epidemic Diseases,Shanghai University of Traditional Chinese Medicine;

【通讯作者】 张炜;

【机构】 安徽中医药大学; 湖南中医药大学第一附属医院; 上海中医药大学附属曙光医院; 上海中医药大学附属宝山医院; 上海中医药大学中医药疫病研究中心;

【摘要】 流感具有传染性强、传播迅速、易于暴发流行的特点。中医认为,毒邪为致病迅猛之邪,其多由热化生,热可化毒,毒蕴生热,热与毒常互为因果,交结壅滞。流感的核心病机在于热毒交结、壅阻于肺,故清解热毒是治疗本病的关键。治疗过程中,应重视热毒在“卫气营血”各阶段的传变,审因论治。临证应以清热解毒、防毒化热、引毒外出为主,辅以扶正祛邪、益气养阴之法。本文结合“热毒”的内涵及其致病机制,探讨流感的病因病机与辨治要点,为基于热毒理论的中医治疗流感提供思路与参考。

【Abstract】 Influenza is highly contagious and spreads quickly, which can easily cause outbreaks and epidemics.Toxic evil is a type of pathogenic factor that causes disease rapidly. The source of toxicity is mostly heat, which often turns into toxicity, and toxicity often contains heat. Heat and toxicity often coexist in a stagnant state. This article analyzes the connotation and pathogenic characteristics of heat toxicity, and combines the characteristics of influenza to explain the significance of "heat toxicity" in the onset and treatment of influenza. The important pathogenesis of influenza is the intersection of heat and toxicity, which stagnates in the lungs. The treatment of heat toxicity is the key to the treatment of this disease. In the treatment of influenza, attention should be paid to the transmission and transformation of heat toxicity in "Wei Qi Ying Xue", and the pathogenesis should be strictly adhered to. In treatment, attention should be paid to clearing heat and detoxification, preventing toxicity from turning into heat, leading toxicity out, and focusing on strengthening the body, eliminating evil, and replenishing Qi and nourishing Yin. This article summarizes and discusses the etiology,pathogenesis and treatment strategies of influenza by explaining the connotation and pathogenic characteristics of "heat toxicity", and provides new ideas for the treatment of influenza from the perspective of heat toxicity.

【关键词】 热毒; 流感; 清热解毒;
【Key words】 heat toxicity; influenza; clearing away heat and detoxification;
【基金】 国家自然科学基金项目(82405420);上海中医内科临床重点实验室项目(20DZ2272200);上海市市级科技重大专项“重大突发传染病防控关键核心技术研究”(ZD2021CY001);张炜中医药传承创新工作室(2025CXGZS-01);张炜宝山区名中医传承工作室(BSMZYGZS-2024-01)
  • 【文献出处】 云南中医药大学学报 ,Journal of Yunnan University of Chinese Medicine , 编辑部邮箱 ,2026年02期
  • 【分类号】R259
  • 【下载频次】21
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