天行赤眼中的卫气营血辨证

Differentiation of Wei,Qi,Ying and Xue on Acute Contagious Conjunctivitis

[目的]探讨温病卫气营血辨证思想,在西药常规治疗无效的,天行赤眼外障眼病治疗中的应用。[方法]根据天行赤眼的特征,按卫气营血辨证理论,病在卫分,辛凉疏散,宣肺泄热,用辛凉平剂银翘散加减;卫气同病辛凉解表清热解毒、银翘散合白虎汤加减;病在气分,清热解毒,攻下泄热,白虎汤合大承气汤加减;气营(血)同病,清热解毒,凉血散血,清营汤,犀角地黄汤加减;热退津伤,邪热留恋,清热生津祛余热,沙参麦冬汤加减。[结果]辨证正确,效若桴鼓。[结论]祖国医学的温病理论,只要辨证得法,同样可以灵活施用于外障眼病的治疗。

[Objective] To explore the differentiation of Wei Qi Ying Xue on febrile disease, its treatment on external oculopathy of acute contagious conjunctivitis, which is failed in western medicine. [Method] Under the characteristics of the disease and the theory of differentiation of Wei Qi Ying Xue, its location is in Wei system, it should dispel with pungent and cool drugs to remove lung hotness, by applying revised normal pungent and cool prescription Yinqiao San; for disease in both Wei and Qi, it should use revised Yinqiao San and Baihu Tang to relieve exterior syndrome and clear hot toxin by pungent and cool drugs; if the location is in Qi system, it should take revised Baihu Tang and Dachengqi Tang to clear away heat and toxic material or by purgation; if it happens both in Qi and Ying（blood）, take Qingying Tang and Xijiao Dihuang Tang to clear away heat and toxic material, cool and dispel blood; when the heat is removed and the fluid is injured, the bad heat is pondering, it should take Shashen Maidong Tang to clear away the remaining heat and produce fluid. [Result] It gets good result with correct differentiation. [Conclusion] As long as you have correct differentiation of signs, can the febrile disease theory in national medicine be applied in the treatment of external oculopathy flexibly.