李延教授运用络病理论治疗内伤发热验案二则

Two Cases of Internal and Injured Fever Treated by Professor Li Yan with Collateral Disease Theory

内伤发热是指以内伤为病因,脏腑功能失调,气血阴阳失衡为病机,以发热为主要临床表现的一类病症,热势轻重不一,但以低热为多,或自觉发热但体温并不升高。内伤发热需辨清虚实及病情轻重,治疗时则根据证候病机的不同采用针对性治法:损实补虚,若虚实夹杂则宜兼顾。李延教授结合临床经验认为内伤发热与络脉气血充盈与否有一定相关性,治疗需结合基本病机,通络荣络为辅。分析了李延教授运用络病理论治疗内伤发热的医案二则。

Internal injured fever refers to a kind of disease with internal injury as the cause,dysfunction of viscera,imbalance of yin、yang、qi and blood as the pathogenesis,and fever as the main clinical manifestation,with different degrees of heat potential,but more low heat,or conscious fever but no temperature rise.In the treatment of internal injury and fever,it is necessary to distinguish the deficiency from the actual condition and the severity of the disease.According to the different pathogenesis of the symptoms,the targeted treatment method should be adopted:damage to the actual and supplement the deficiency.If the deficiency and the actual situation are mixed,it should be considered.According to Professor Li Yan’s clinical experience,there is a certain correlation between internal injury and fever,and whether blood and collaterals are full or not.This paper mainly describes two specific medical cases of Professor Li Yan’s application of collateral disease theory in the treatment of internal and injured fever.