论瘀热

On Stagnated Heat

瘀与热是瘀热形成的病理基础。瘀包括血瘀和瘀血,临床表现为疼痛、发热、皮肤、黏膜的异常、积、肿块、出血;热为六淫病邪之一,临床表现为自觉或他觉的发热。在急性外感热病及某些内伤杂病(尤其是疑难病症)发展的一定阶段,许多患者同时表现血热与血瘀并见;而瘀热相搏证是指在急性外感热病或内伤杂病病变发展的一定阶段,火热毒邪或兼夹痰湿壅于血分,搏血为瘀,致血热、血瘀两种病理因素互为搏结、相合为患而形成的一种证型。

Blood stasis and heat are the pathological basis for the formation of stagnated heat. Blood stasis is clinically manifested by pains, fever, skin and mucosa abnormality, stagnation, lumps and hemorrhage; heat, as one of the six exopathogens, is manifested by fever felt either by the patient or others. At certain stages of the development of acute exogenous febrile diseases and some internal diseases （ especially difficult cases）, blood heat and blood stasis may be present at the same time in many patients. The syndrome of interactivity of blood stasis and heat refers to the syndrome in which heat, sometimes with phlegm dampness, is accumulated in the blood system and interacts with blood, leading to blood heat and blood stasis, at certain stages of the development of acute exogenous febrile diseases and some internal diseases.