梁贻俊教授治疗温热病昏迷的经验

梁贻俊教授治疗温热病昏迷有独到见解，疗效卓著。她临证中西相参，将温热病致成昏迷的暑温、湿温等与流脑、乙脑、中毒性痢疾等烈性传染病在诊断、辨证、治疗上有机地结合，注重温热病昏迷的主因，分辨其毒热与痰湿偏盛之不同，以分型论治为先，辨证与辨病相结合，提出了清营泄热，凉血散血，清瘟解毒，芳香化湿治疗四法；着重提出使用三宝的经验及急性热病服药的改革。梁师还提出从观察患者的被动反应、肌张力、皮肤色泽、舌脉等判断昏迷的深浅和证候的顺逆。

Professor Liang Yi-zun has a oringinal view in the treatment of unconsciousness in the course of epdemic febrile diseases and her treatment is very successful.Combined traditional chinese medicine with modern medicine in clinical practice,compared the summer fever and damp fever of unconsciousness in the course of epidemic febrile diseases with it in epidemic bacterial cerbrospinal meningitis,encephalitis B,toxic dysentery in the diagnosis,differential diagnosis and treatment,she pays an attention to the primary cause of the unconsciousness in the course of epidemic febrile diseases,draws a distinction between the type of heat-toxin attacking the Ying system and the disposition to the phlegm damp.She emphases the importance of understanding the type of diseases and combination the differention of the symptoms,signs and the differention of diseases.She suggests the 4 treatment methods including clear up the Ying system and remove toxin materials,cool the blood and dissipate blood stasis,clear away pestilence and toxic material,and damp-dissolving aromatics;and emphases the application of three essentials and reforms the way of taking medicine.Senior Liang also suggests that the observation of patients' passive reaction,muscular tension,the skin color and the signs of glossa and pulse is important in the detemination of the degree of unconsciousness and the favorable or unfavorable of the sign-symptoms.It brings about a new views in the determination the degree and prognosis of unconsciousness for the doctor specialized in the traditional Chinese medicine.